Fungal infections

Superficial fungal infections can be treated in a primary care setting.

Chronic hyperplastic candidosis (candidal leukoplakia) is potentially premalignant and therefore refer patients with this condition for specialist treatment.

Treatment with nystatin, a topical antifungal agent, is effective against superficial infections but compliance is poor because of its unpleasant taste.

Miconazole or the systemically absorbed drug fluconazole can be prescribed as alternatives unless contraindicated. (Fluconazole interacts with many drugs, including warfarin and statins.  Miconazole, although used topically, can be absorbed and cause similar interactions.)