Treatment of Oral Fungal/Viral Infections Flashcards
What is Oropharyngeal Candidiasis usually caused by?
Candida species
When is Fluconazole effective? (5)
- Extensive and severe infections
- Unresponsive infections
- Patients where topical antifungal cannot be used
- Patients with dry mouth
- Immunocompromised patients
What do you do if a patient on fluconazole develops a rash?
Discontinue treatment
Why should you avoid fluconazole in patients using warfarin and simvastatin?
- Fluconazole is a hepatic enzyme inhibitor
- So increases effects of this drug
What is Miconazole Oromucosal Gel?
Mild and localised topical anti-fungal gel
How should you use Miconazole Oromucosal Gel?
Retain near lesions before swallowing
Why is compliance of Nystatin Oral Suspension poor?
You have to retain near lesion for 5 minutes
What local measures should be taken to treat denture stomatitis?
Clean dentures by soaking in chlorhexidine mouthwash or sodium hypochlorite
What drugs can be prescribed for denture stomatitis? (3)
- Miconazole Oromucosal Gel
- Fluconazole
- Nystatin (if other two not appropriate)
What can be prescribed to treat angular cheilitis? (2)
- Miconazole cream 2%
- Sodium fusidate ointment 2%
What advice would you give to a patient with Primary herpetic gingivostomatitis? (4)
- Soft nutritious diet
- Fluid intake
- Analgesics
- Rest
What can be prescribed to help treat Primary herpetic gingivostomatitis?
- Chlorhexidine 0.2%
- Hydrogen peroxide 6%
- Local use of benzydamine
