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Candida - oral - Management
1st-line antifungal: miconazole oral gel

Age under 1 month
Miconazole s/f oral gel: use 1ml four times a day
Miconazole 20mg/g oromucosal gel sugar free
Measure 1ml using the oral syringe provided. Then, using a clean finger, apply the gel in small amounts until the whole of the inside of the mouth has been covered. Do NOT apply the gel near the back of the throat (risk of choking). Apply the gel two to four times a day, after feeds.
Supply 15 grams.
Age: under 1 month
NHS cost: £2.85
Licensed use: no - off-label age
Patient information: Use after feed. Do not apply the gel to the back of the throat as this can cause choking in young babies. Continue treatment for 48 hours after lesions have healed. Consult your doctor if condition has not improved after 7 days of treatment.
Age from 1 month to 3 months
Miconazole s/f oral gel: use 2.5ml twice a day
Miconazole 20mg/g oromucosal gel sugar free
Measure 2.5 ml using the oral syringe provided. Then, using a clean finger, apply the gel in small amounts until the whole of the inside of the mouth has been covered. Do NOT apply the gel near the back of the throat (risk of choking). Apply the gel twice a day, after feeds.
Supply 80 grams.
Age: from 1 month to 3 months
NHS cost: £4.38
Licensed use: no - off-label age
Patient information: Use after feeds. Do not apply the gel to the back of the throat as this can cause choking in young babies. Continue treatment for 48 hours after lesions have healed. Consult your doctor if condition has not improved after 7 days of treatment.
Age from 4 months to 1 year 11 months
Miconazole s/f oral gel: use 2.5ml twice a day
Miconazole 20mg/g oromucosal gel sugar free
Measure 2.5 ml using the oral syringe provided. Then, using a clean finger, apply the gel in small amounts until the whole of the inside of the mouth has been covered. Do NOT apply the gel near the back of the throat (risk of choking). Apply the gel twice a day, after feeds.
Supply 80 grams.
Age: from 4 months to 1 year 11 months
NHS cost: £4.38
Licensed use: yes
Patient information: Use after feed or food and drink. If there are separate lesions, a small amount of gel can be smeared on to the affected area twice a day with a clean finger. Continue treatment for 48 hours after lesions have healed. Consult your doctor if condition has not improved after 7 days of treatment.
Age from 2 years to 5 years 11 months
Miconazole s/f oral gel: use 5ml twice a day
Miconazole 20mg/g oromucosal gel sugar free
Place 5ml in the mouth and hold near the affected area(s) twice a day.
Supply 80 grams.
Age: from 2 years to 5 years 11 months
NHS cost: £4.47
Licensed use: yes
Patient information: Use after feed or food and drink. Continue treatment for 48 hours after lesions have healed. Consult your doctor if condition has not improved after 7 days of treatment.
Age from 6 years to 11 years 11 months
Miconazole s/f oral gel: use 5ml four times a day
Miconazole 20mg/g oromucosal gel sugar free
Place 5ml in the mouth and hold near the affected area(s) four times a day.
Supply 80 grams.
Age: from 6 years to 11 years 11 months
NHS cost: £4.47
Licensed use: yes
Patient information: Use after food and drink. Continue treatment for 48 hours after lesions have healed. Consult your doctor if condition has not improved after 7 days of treatment.

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