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Palliative cancer care - oral problems - Management
1st-line topical antifungals

Age from 16 years onwards
Nystatin 100,000units/ml s/f susp: use 1ml four times a day
Nystatin 100,000units/ml oral suspension sugar free
Using the oral dispenser provided, place 1 ml in the mouth and hold near the affected area(s) four times a day.
Supply 30 ml.
Age: from 16 years onwards
NHS cost: £1.91
Licensed use: yes
Patient information: Use after food or drink. Hold the liquid near the affected area for as long as possible before swallowing. Remove dentures before use. Continue treatment for 48 hours after lesions have healed. Consult your doctor if condition has not improved after 7 days of treatment.
Miconazole 20mg/g oromucosal gel 5ml to 10ml 4 times a day.
Miconazole 20mg/g oromucosal gel sugar free
Place 5ml to 10ml in the mouth and hold near the affected area(s) four times a day.
Supply 160 grams.
Age: from 16 years onwards
NHS cost: £9.30
Licensed use: yes
Patient information: Use after food and drink. Try to keep the gel in the mouth for a few minutes in the area affected before swallowing. If there are separate lesions, a small amount of gel can be smeared on to the affected area four times a day with a clean finger. Remove dentures before use. At bedtime, the dentures should be removed and brushed with a small amount of the gel. 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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