![]() The usual causative agent is Candida albicans, but other species, including C. Patients treated with inhaled corticosteroids or nasal corticosteroids are also at risk due to inadvertent accumulation of corticosteroid deposited in the oral and nasal mucosa. Oropharyngeal candidiasis, or thrush, is a local infection commonly seen in infants, denture-wearers, patients treated with antibiotics, chemotherapy, or radiation therapy to the head and neck, and those with immunodeficiency states, such as HIV infection and AIDS. Given KR’s medical conditions and medications, what therapy is best to manage his oropharyngeal candidiasis? OVERVIEW 1-4 KR exhibits white plaques on the tongue and oropharynx, as well as a feeling he describes as “like cotton in my mouth”. Sennosides/Docusate 8.6/50mg 2 tablets by mouth every day for constipation (hold for loose stool).Ranitidine 150mg 1 tablet by mouth every day for gastric reflux.Oxycodone 5mg 1 tablet by mouth every 4 hours as needed for breakthrough pain.Ondansetron (Zofran®) 8mg 1 tablet by mouth every 8 hours as needed for nausea and/or vomiting.Methadone 10mg 1 tablet by mouth every 8 hours for pain.Lorazepam 0.5mg 1 tablet by mouth every 4 hours as needed for anxiety.Loratadine (Claritin®) 10mg 1 tablet by mouth every day for allergies.Gabapentin (Neurontin®) 100mg 1 capsule by mouth three times a day for nerve pain.Dolutegravir (Tivicay®) 50mg 1 tablet by mouth every day for infection.Dexamethasone 4mg 1 tablet by mouth every day for pain.Abacavir/Lamivudine (Epzicom®) 600/300mg 1 tablet by mouth every day for HIV infection.He lives with his sister who is his primary caregiver. KR is a 68-year-old male recently admitted to hospice with a primary diagnosis of liver cell carcinoma and comorbidities of HIV infection, neuralgia, anxiety, and allergic rhinitis and no known drug allergies.
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