Table 4.
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 |