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. 2018 May 15;9:980. doi: 10.3389/fmicb.2018.00980

Table 4.

Treatment of OPC (Vazquez, 2010; Lortholary et al., 2012; Patil et al., 2015).

Anti–fungal agents Form Dosage
First line Nystatin
Clotrimazole
Miconazole
Fluconazole
Suspension (100,000 U/mL)
Pastilles (200,000 U each)
Oral troche (10 mg)
Lauriad
Muco-adhesive buccal Tablets
(50 mg)
Tablet
(100 mg−200 mg)
Solution (10 mg/mL)
(PO or I.V.)
4–6 mL four times daily for 7–14 days
1–2 mL four times daily for 7–14 days
1 five times daily for 7–14 days
Once daily for 7–14 days
Once daily for 7–14 days
(Apply to mucosal surface following detailed manufacturer instructions)
1 tablet daily for 7–14 days
10 mL once daily for 7–14 days
Second line Itraconazole
Posaconazole
Voriconazole
Capsule (200 mg) (PO)
Solution (10 mg/mL) (PO)
Tablet (400 mg) (PO)
Tablet (200 mg) (PO or I.V.)
1 capsule daily for 28 days
10–20 mL once daily
Daily in divided doses
2 tablets daily
Refractory cases Caspofungin
Micafungin
Anidulafungin
Amphotericin B
Amphotericin B
deoxycholate
I.V.
I.V.
I.V.
Oral suspension
I.V.
70 mg (loading dose) followed by 50 mg daily
100–150 mg daily
100 mg (loading dose) followed by 50 mg daily
500 mg every 6 h.
0.3 mg/kg once