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Palliative cancer care - oral problems - Management
What is the first-line treatment for oral candidiasis?
- In immunocompetent people, use topical nystatin, or miconazole for first-line treatment.
- In immunocompromised people, high-dose oral fluconazole is generally preferred for first-line treatment.
- Predisposing local and systemic risk factors for oral candida should be managed in conjunction with anticandidal treatment.
- Chlorhexidine should be used to clean dentures and may be used as an adjunct to topical or oral treatment.
- Note: the choice of anticandidal drug treatment may be dictated by local policy or based on advice from a local microbiologist.
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