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Medical Forum / Diseases and Disorders / Asthma / May 2004Thrush Infection Resistant to Nystatin and Mycelex--What Now?
I kept getting these recurrent oral thrush infections, probably because I'm mildly anemic. Nystatin didn't work at all. Mycelex seemed to help, but the infection flared up again soon later. An ENT confirmed that I've got thrush on my epiglottis, and I guess it keeps spreading up my throat from there. He wants to try Diflucan. Can Diflucan work even though Mycelex didn't? After all, they're in the same class (azoles). If not, what other options do I have? -- Steven L. Have you thought about drinking Guinness to build up your iron levels. I only say this because my Doctor told me my iron levels were high. This was because of Guinness drinking. Most enjoyable but keep your eyes on your weight! > I kept getting these recurrent oral thrush infections, probably because > I'm mildly anemic. Nystatin didn't work at all. Mycelex seemed to [quoted text clipped - 9 lines] > > -- Steven L. > Have you thought about drinking Guinness to build up your iron > levels. I only say this because my Doctor told me my iron levels > were high. This was because of Guinness drinking. Most enjoyable > but keep your eyes on your weight! It is not that Guiness has iron. High iron levels (hemochromatosis) is due to liver injury from excessive alcohol (and can be genetic). So it would not help him anemia, except possibly by making him worry about it less.  SignatureCBI, MD > I kept getting these recurrent oral thrush infections, probably > because I'm mildly anemic. Nystatin didn't work at all. Mycelex > seemed to help, but the infection flared up again soon later. > An ENT confirmed that I've got thrush on my epiglottis, and I guess it > keeps spreading up my throat from there. He wants to try Diflucan. > > Can Diflucan work even though Mycelex didn't? After all, they're in > the same class (azoles). Diflucan is usually felt to be more potent. I don;t really know if this is due to being a systemic drug rather than topical or some other difference in the drugs themselves. > If not, what other options do I have? Some still use gentian violet but it would be hard to get onto your epiglottis and would leave you with a purpole mouth for a while. I'm assuming they have looked for other causes for the recurrences such as immune problems and diabetes. SignatureCBI, MD >>I kept getting these recurrent oral thrush infections, > [quoted text clipped - 34 lines] > I'm assuming they have looked for other causes for the > recurrences such as immune problems and diabetes. I have heard that anemia can predispose you to thrush. And I'm anemic. -- Steven L. >>>I kept getting these recurrent oral thrush infections, >>>because I'm mildly anemic. Nystatin didn't work at all. >>If not, what other options do I have? >> Some still use gentian violet but it would be hard to get >> onto your epiglottis and would leave you with a purpole >> mouth for a while. I vote for gentian violet. You ask the pharmacist for it, no prescription is required. Not every pharmacy carries it but it can be easily purchased online. Nystatin did not work for me either the one time I tried it. The Gentian is Veddy Purple and nasty tasting but it will work on your throat at least. Epiglottis? Couldn't say. Dave Do you use a spacer with your inhaler? A spacer is known to reduce the risk of thrush from steroid inhalers by reducing how much drug deposits on the back of the throat and proper spacer use can double the amount of medicine delivered to the lung . Also in numerous controlled trials involving children it has been shown that treating asthma with a spacer instead of a nebuliser is just as effective. You can get a small pocket spacer that also houses the salbutamol inhaler inside it when not in use. I think it is called the "Able Spacer" it is available by prescription in the UK. the manufacturer is Clement Clarke and they have a PDF http://212.78.70.98/clement_clarke/products/spacers/able_spacer/index.html There is an even smaller pocket spacer from Vitalograph called the E-Z Spacer which expands to provide a large volume of 750ml. SignatureTo reply via email, replace "INVALID" with .co.uk _ _ _ By three methods we may learn wisdom: First, by reflection, which is noblest; Second, by imitation, which is easiest; and third by experience, which is the bitterest. --Confucius-- > I kept getting these recurrent oral thrush infections, probably because > I'm mildly anemic. Nystatin didn't work at all. Mycelex seemed to [quoted text clipped - 9 lines] > > -- Steven L. Do you use a spacer with your inhaler? A spacer is known to reduce the risk of thrush from steroid inhalers by reducing how much drug deposits on the back of the throat and proper spacer use can double the amount of medicine delivered to the lung . Also in numerous controlled trials involving children it has been shown that treating asthma with a spacer instead of a nebuliser is just as effective. You can get a small pocket spacer that also houses the salbutamol inhaler inside it when not in use. I think it is called the "Able Spacer" it is available by prescription in the UK. the manufacturer is Clement Clarke and they have a PDF http://212.78.70.98/clement_clarke/products/spacers/able_spacer/index.html There is an even smaller pocket spacer from Vitalograph called the E-Z Spacer which expands to provide a large volume of 750ml. SignatureTo reply via email, replace "INVALID" with .co.uk _ _ _ By three methods we may learn wisdom: First, by reflection, which is noblest; Second, by imitation, which is easiest; and third by experience, which is the bitterest. --Confucius-- > I kept getting these recurrent oral thrush infections, probably because > I'm mildly anemic. Nystatin didn't work at all. Mycelex seemed to [quoted text clipped - 9 lines] > > -- Steven L. |
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