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Treatment area: Oral thrush

Targeted treatment of oral fungus infections

Oral thrush is an infection of the oral mucosa caused by yeast fungi of the Candida genus, which is treated with antifungal medications. Based on your questionnaire, our doctors will determine whether oral fluconazole or oral nystatin is suitable for you.

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Ratgeber lesenRead the guideLire le guideGids lezen
  • online questionnaire
  • Medical examination
  • Discreet Shipping
  • Money back if not suitable

BehandlungsoptionenTreatment optionsOptions de traitementBehandelopties

Antifungal medication for oral thrush

Diflucan requires a prescription, Nystan is available only from pharmacies. After making your selection, you will complete a medical questionnaire, and a doctor will decide whether treatment is suitable for you.

Selbst einschätzenAssess it yourselfFaire le point vous-mêmeZelf inschatten

Which remedy might be suitable?

  1. 1 If treatment is planned directly on the oral mucosa Nystatin (Nystan) is administered several times a day by distributing it around the mouth and is poorly absorbed into the bloodstream. According to the product information, no interactions with other medications are known. Your doctor will determine whether it is suitable for you.
  2. 2 If taking it once a day fits better into your daily routine Fluconazole (Diflucan) is taken once daily and works throughout the body via the bloodstream. Due to numerous drug interactions, a complete list of medications is important. The doctor will decide.
  3. 3 If you regularly take other medications or have a heart, liver or kidney condition. Fluconazole should not be combined with certain medications, and caution is advised in these cases. Therefore, please provide all information on the questionnaire. The doctor will decide.
  4. 4 For pain when swallowing, fever, or coatings that cannot be wiped off. Such symptoms may indicate esophageal involvement or another cause and often require an on-site examination. Include them in the questionnaire. The doctor will decide.

Diese Hinweise helfen bei der Orientierung und ersetzen keine ärztliche Beratung. Ob und welche Behandlung für Sie geeignet ist, entscheidet der Arzt anhand Ihres Fragebogens.This guidance helps you get your bearings and does not replace medical advice. Whether a treatment is suitable for you, and which one, is decided by the doctor on the basis of your questionnaire.Ces indications vous aident à vous orienter et ne remplacent pas un avis médical. C’est le médecin qui décide, sur la base de votre questionnaire, si un traitement vous convient et lequel.Deze aanwijzingen helpen u op weg en vervangen geen medisch advies. Of en welke behandeling voor u geschikt is, bepaalt de arts aan de hand van uw vragenlijst.

Oral azole antifungals

Fluconazole is absorbed through the gastrointestinal tract and also reaches mucous membranes and saliva via the bloodstream.

fluconazole RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Diflucan (Fluconazol)

Fluconazole as an oral suspension for oral thrush and other Candida infections.

WirkdauerDurationDurée d’actionWerkingsduur
Half-life approximately 30 hours, taken once daily.
FormFormFormeVorm
Powder for oral suspension

So wirkt es:How it works:Mode d’action :Zo werkt het: Fluconazole inhibits the formation of ergosterol, a component of the fungal cell membrane, thus slowing the growth of yeast fungi. The active ingredient also reaches mucous membranes and saliva via the bloodstream.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If oral thrush or another Candida infection is present
  • If swallowing capsules is difficult
  • Provided there are no interactions with other medications that would preclude this (the doctor will check this)
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Oral suspension, measured once daily using the dosing syringe. The doctor will determine the dose and duration depending on the infection.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 40 mg / ml

Do not take with pimozide, quinidine, erythromycin, cisapride, or astemizole. Fluconazole has many drug interactions and can rarely cause heart rhythm disorders or liver damage.

abfromà partir devanaf 135,77 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Antifungal medication for use in the mouth

Nystatin is hardly absorbed into the bloodstream and acts directly on the mucous membrane with which it comes into contact.

Nystatin RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Nystan (Nystatin)

Nystatin suspension for oral thrush and Candida infections of the mouth, esophagus and intestines.

WirkdauerDurationDurée d’actionWerkingsduur
Local effect, apply several times a day
FormFormFormeVorm
Oral suspension

So wirkt es:How it works:Mode d’action :Zo werkt het: Nystatin binds to the cell membrane of yeast fungi and makes it permeable. The active ingredient is hardly absorbed into the bloodstream and acts directly on the mucous membrane with which it comes into contact.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If oral thrush is present with white, wipeable patches.
  • When discomfort arises under a dental prosthesis due to yeast fungi
  • If treatment is planned directly on the oral mucosa
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: The suspension is distributed around the mouth several times a day, held there as long as possible, and then swallowed. Treatment continues for at least 48 hours after symptoms subside.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 100,000 IU/ml

Not suitable for fungal infections in the blood or internal organs. If symptoms persist for more than 14 days, or if pain on swallowing or fever develops, a medical examination is necessary.

abfromà partir devanaf 48,94 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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RatgeberGuideGuideGids

What you should know about oral thrush

Oral thrush develops when yeast fungi multiply excessively on the oral mucosa, often in people with a weakened immune system. If it occurs without any apparent reason or repeatedly, the cause should be investigated by a doctor.

What is oral thrush?

Candida yeast fungi are present in the mouths of many people without being noticed. If the balance of the oral flora is disrupted, they can multiply rapidly and trigger an infection (candidiasis). Typical symptoms include:

  • white, wipeable coatings on the tongue, cheek lining or palate
  • a reddened, sometimes slightly bleeding underside
  • Burning, a furry feeling, or an altered taste

Oral thrush is promoted by factors including antibiotics, inhaled cortisone, dentures, dry mouth, diabetes, and a weakened immune system.

How do antifungal medications work?

Antifungal agents (antimycotics) attack the cell membrane of yeast fungi. There are two active ingredients in this category, both available as suspensions:

  • Nystatin (Nystan): It acts locally on the mucous membrane and is hardly absorbed into the bloodstream.
  • Fluconazole (Diflucan): It is ingested and reaches mucous membranes and saliva via the bloodstream.

According to the product information, nystatin is used to treat Candida infections in the mouth, esophagus, and intestines. Fluconazole is used, among other things, to treat Candida infections of the mucous membranes. The doctor will decide which medication is most suitable.

Side effects and cautions

With nystatin, nausea is possible, and at high doses, diarrhea or gastrointestinal discomfort may occur; allergic skin reactions are rare. With fluconazole, headache, abdominal pain, nausea, diarrhea, rash, or elevated liver enzymes are common.

Fluconazole has many drug interactions and should not be taken with pimozide, quinidine, erythromycin, cisapride, or astemizole. Caution is advised in cases of cardiac arrhythmias, as well as liver and kidney disease. Both suspensions may contain sugar (sucrose), which is important to note for patients with diabetes and rare sugar intolerances. Medical advice is required during pregnancy and breastfeeding.

When should you see a doctor immediately?

Oral thrush can also be a sign of another illness. Call emergency services immediately on 112 (Switzerland: 144) if:

  • Swelling of the face, lips, tongue or throat, or shortness of breath occurs
  • An extensive skin rash with blisters or skin peeling develops.
  • Rapid heartbeat, irregular heartbeat, fainting or seizures may occur.

Seek prompt medical attention from a doctor or dentist if you experience pain when swallowing, fever, unintentional weight loss, yellowing of the skin or eyes, white patches that cannot be wiped away or persist for more than 2 weeks, and if oral thrush occurs for the first time without any apparent reason.

Preventing relapses

Maintaining a balanced oral flora

Whether oral thrush recurs often depends on contributing factors. Many of these can be influenced by daily life. It is also important to continue treatment for as long as prescribed by the doctor, even if the lesions disappear sooner. With nystatin, the application is continued for at least 48 hours after the symptoms have subsided.

  • Clean dentures thoroughly every day and remove them at night if possible.
  • Rinse your mouth with water after inhaling a cortisone spray.
  • Brush your teeth regularly, especially since the suspensions may contain sugar.

In people with diabetes, good blood sugar control can reduce the risk. If oral thrush occurs without an apparent cause or recurs frequently, the cause should be investigated by a doctor, for example, a weakened immune system. Information on treatment with cortisone sprays can be found in our section: Asthma. Our online doctor answers general questions..

Zu den BehandlungsoptionenView treatment optionsVoir les options de traitementNaar de behandelopties

AblaufHow it worksDéroulementWerkwijze

In vier Schritten zur BehandlungFour steps to your treatmentEn quatre étapes vers votre traitementIn vier stappen naar uw behandeling

Ärztlich geprüft, diskret und ohne Wartezimmer.Reviewed by a doctor, discreet and without a waiting room.Examiné par un médecin, discret et sans salle d’attente.Door een arts beoordeeld, discreet en zonder wachtkamer.

  1. 1Behandlung wählenChoose a treatmentChoisir un traitementBehandeling kiezenWählen Sie Ihr Anliegen und das gewünschte Präparat oder stellen Sie eine allgemeine Anfrage.Choose your concern and the medicine you want, or send a general request.Choisissez votre problème et le médicament souhaité, ou envoyez une demande générale.Kies uw klacht en het gewenste middel, of stuur een algemene aanvraag.
  2. 2Fragebogen ausfüllenFill in the questionnaireRemplir le questionnaireVragenlijst invullenDie medizinischen Fragen beantworten Sie online, vertraulich und in Ruhe.You answer the medical questions online, confidentially and at your own pace.Vous répondez aux questions médicales en ligne, en toute confidentialité et à votre rythme.U beantwoordt de medische vragen online, vertrouwelijk en in alle rust.
  3. 3Ärztliche PrüfungMedical reviewÉvaluation médicaleMedische beoordelingEin zugelassener Arzt prüft Ihre Angaben. Ist die Behandlung nicht geeignet, erhalten Sie Ihr Geld zurück.A licensed doctor reviews your answers. If the treatment is not suitable, you get your money back.Un médecin agréé examine vos réponses. Si le traitement ne convient pas, vous êtes remboursé.Een bevoegde arts beoordeelt uw gegevens. Is de behandeling niet geschikt, dan krijgt u uw geld terug.
  4. 4Diskreter VersandDiscreet deliveryLivraison discrèteDiscrete verzendingNach Ausstellung des Rezepts versendet eine EU-Partnerapotheke Ihr Arzneimittel meist innerhalb eines Werktages.Once the prescription has been issued, an EU partner pharmacy usually sends your medicine within one working day.Une fois l’ordonnance établie, une pharmacie partenaire de l’UE expédie votre médicament généralement sous un jour ouvré.Na het uitschrijven van het recept verstuurt een EU-partnerapotheek uw geneesmiddel meestal binnen één werkdag.

Häufige FragenFrequently asked questionsQuestions fréquentesVeelgestelde vragen

Questions about oral thrush

Haben Sie eine andere Frage? Unsere Ärzte und unser Service-Team helfen Ihnen gerne weiter.Have another question? Our doctors and our service team will be glad to help.Vous avez une autre question ? Nos médecins et notre équipe de service vous aident volontiers.Heeft u een andere vraag? Onze artsen en ons serviceteam helpen u graag verder.

Frage an einen ArztAsk a doctorPoser une question à un médecinVraag stellen aan een arts
Do I need a prescription for Diflucan or Nystan?

Diflucan (fluconazole) is a prescription medication. Nystan (nystatin) is a pharmacy medication and is only dispensed through a pharmacy. At Doctorcura, every request is reviewed by a physician based on your questionnaire, including requests for Nystan. Therefore, please provide complete information about your symptoms, pre-existing conditions, and all medications you are currently taking. The request itself is free; you only pay for prescribed treatments.

Nystatin is poorly absorbed into the bloodstream and works where it comes into contact with the mucous membrane. Therefore, the suspension is distributed in the mouth several times a day and kept there as long as possible. Fluconazole is taken once daily, enters the bloodstream and is distributed throughout the body, and has numerous interactions. Your doctor will decide which medication is right for you.

The duration of treatment is determined by the doctor. For fluconazole, the prescribing information for oral thrush in adults usually specifies 7 to 21 days; for esophageal thrush, it is longer. Nystatin is used for at least 48 hours after symptoms have subsided. If symptoms do not improve or persist for more than 14 days, a follow-up examination is necessary.

No. We only use the online questionnaire for adults aged 18 and over, whose information is then medically verified. Oral thrush in babies and children should be examined by a pediatrician. The appropriate dosage will also be determined there, depending on the child's age and weight.

In that case, no prescription will be issued, and you will receive a full refund of all payments made. If you experience difficulty swallowing, fever, coatings that cannot be wiped away, or recurring oral thrush without an apparent cause, we recommend that you consult a local doctor or dentist as soon as possible. In case of shortness of breath or facial swelling, call emergency services immediately at 112.

Medizinische ExpertiseMedical expertiseExpertise médicaleMedische expertise

Jede Anfrage in ärztlichen HändenEvery request in a doctor’s handsChaque demande entre des mains médicalesElke aanvraag in medische handen

Dr. Viktor Simunovic
Medizinischer GutachterMedical assessorMédecin évaluateurMedisch beoordelaarDr. Viktor SimunovicAllgemeinmedizin & digitale GesundheitGeneral medicine & digital healthMédecine générale et santé numériqueHuisartsgeneeskunde en digitale zorg
Dr. Codruta Anca Pandalache
Medizinische GutachterinMedical assessorMédecin évaluatriceMedisch beoordelaarDr. Codruta Anca PandalacheReproduktionsmedizin & FrauengesundheitReproductive medicine & women’s healthMédecine de la reproduction et santé des femmesVoortplantingsgeneeskunde en vrouwengezondheid
Lernen Sie unsere Ärzte kennenMeet our doctorsFaites connaissance avec nos médecinsMaak kennis met onze artsenHintergrund, Erfahrung und FachgebieteBackground, experience and specialismsParcours, expérience et spécialitésAchtergrond, ervaring en vakgebieden

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Oral thrush: medically supervised treatment

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