Oral thrush

• Oral Thrush symptoms

  White patches/plaques on the mucosal surfaces in the mouth that cannot be easily scraped away
• oral thrush is common in

  • Babies
  • Older people with dentures
  • Steroid inhaler users (who don't rinse their mouth after use)
• Causesof oral thrush

  • Antibiotic treatment
  • Steroid inhaler use (forgetting to rinse the mouth after use)
  • Cancer treatment (chemotherapy)
  • Poor mouth hygiene
  • Wearing dentures that do not fit properly
  • Smoking
• REFERRAL for thrush

  • Recurrent infection
  • Unresponsive to OTC treatment after 1 week
  • Crops of more than 5 ulcers
  • Babies <4 months
  • Any difficulty/ pain when swallowing
• Treatmentfor oral thrush

  1. Apply Miconazole (Daktarin oral gel) to plaques four times daily after food

  2. Continue treatment for at least 1 week after symptoms have disappeared

  3. Adults, children and babies >4 months of age

  4. Risk of choking, use with care in ages (4months to 2 years). Do not apply to back of throat

  5. Not for use in pregnancy

  6. Not for warfarin users - increased risk of bleeding. SEVERE.
• Counselling


  • Use sterile bottles & dummies after each use
  • Rinse your mouth after eating or taking medicine
  • Diabetics regular check ups
• SEVERE INTERACTION BETWEEN WARFARIN & TOPICAL MICONAZOLE!