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Formulary
12.3.2 Oropharyngeal anti-infective drugs
First Line
Second Line
Specialist
Hospital Only
For guidance on the management of oral candidiasis in palliative care see 16.10 Mouth care in palliative care.
Nystatin
- Oral suspension 100,000units/ml (£1.80 = 30ml)
Indications
Miconazole
- Oromucosal gel sugar free 20mg/g (£5.26 = 15g)
Indications
Notes
- Miconazole greatly enhances the anti-coagulation effect of warfarin, avoid concomitant use. Refer also to MHRA Drug Safety Update June 2016.
- Refer to the BNF or manufacturer's Summary of Product Characteristics (SPC) for a full list of interactions with miconazole.
Oral fluconazole may be considered following failure or contraindication to topical treatments see 5.2.1 Triazole antifungals.
