Most candidal (yeast) infections can be treated at home with
over-the-counter or prescription medication and can clear up within a week. If
some other disease has weakened a person's immune system, the person should
consult a doctor about any new symptoms before attempting self-treatment
because of the risk of infection.
Most women can treat vaginal yeast infections at home with nonprescription
vaginal creams or suppositories.
A single dose of fluconazole (Diflucan) tablet also cures most vaginal
yeast infections. Fluconazole requires a prescription from your physician.
For thrush, swish the antifungal agent nystatin around in your mouth then
swallow the liquid. Take care to maintain excellent oral hygiene.
All objects put into a child's mouth should be washed or sterilized after
Breastfeeding mothers should be
evaluated for Candida infection of the breast.
If you wear dentures, clean them thoroughly after each use and practice
good oral hygiene.
Adults and older children have several treatment options not available to
babies, such as troches (antifungal lozenges) or pills such as fluconazole
(Diflucan) to help clear the infection in addition to nystatin.
Skin and diaper rash
Clotrimazole (Lotrimin) creams
and lotions can be applied to superficial skin infections. Other medications
require a prescription and a visit to your doctor.
Other antifungal creams, such as ketoconazole (Nizoral), which
is available by prescription, is helpful as well.
For paronychia, avoiding moisture can be helpful. Oral itraconazole (Sporanox) or
fluconazole (Diflucan) can also be helpful and can be prescribed by a doctor.
Topical antifungal and topical corticosteroids are also used.
Perlèche is treated with topical antiyeast or antifungal agents, and often
with a mild corticosteroid cream. Limit lip licking of the corners of the
mouth. Placing a bit of petroleum jelly on top of the antiyeast agents can be
helpful as well.
The affected area should be kept clean and dry.
For diaper rashes, frequent diaper changes and the use of barrier creams
speed recovery .
Intertrigo can benefit from the use of nystatin powder, which decreases the
amount of moisture and also acts as an antiyeast agent.
A wide array of treatment options is available to treat candidiasis. Options
include creams, lotions, tablets or capsules, troches (lozenges), and vaginal
suppositories or creams. Talk to your doctor to find the option that is right
Azole medications are a family of antifungal drugs that end in the suffix
"-azole." They block the manufacture of ergosterol, a crucial material of the
yeast cell wall. Without ergosterol, the yeast cell wall becomes leaky and the
yeast die. Fortunately, ergosterol is not a component of human membranes, and
azoles do not harm human cells.
Polyene antifungal medications include nystatin and amphotericin B.
Nystatin is used for thrush and superficial candidal infections. Doctors
reserve amphotericin B for more serious systemic fungal infections. The
antifungals work by attaching to the yeast cell wall building material,
ergosterol. These medications then form artificial holes in the yeast wall that
cause the yeast to leak and die.