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Author Topic: Oral thrush  (Read 4778 times)

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Offline BM

  • Member
  • Posts: 340
Oral thrush
« on: October 16, 2008, 06:00:11 AM »
I've developed quite severe oral thrush over the past few days. I'd had it before when I was in hospital with PCP and it was cleared up quite easily with fluconazole. Now I'm on my meds, it seems there are few anti-fungals available to deal with the problem (they interact with Viramune). I'm supposed to be getting some "medicated sweets" (amphotericin?) from my doctor but I was wondering if there was anything I could be doing to lessen the problem. Could brushing with Colgate Total and/or using Listerine be making the problem worse? I'm currently using doxycycline for an acne-type rash that appeared shortly after I started my meds.

Offline Ann

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  • Member
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  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: Oral thrush
« Reply #1 on: October 16, 2008, 08:12:21 AM »
BM,

You might find that eating plenty of plain, bio-active yogurt helps.

As for the brushing and mouthwash, I can only tell you that things with strong flavours - like spices or mint - always make my mouth feel much worse when I've got oral thrush. Whether or not it actually makes the thrush worse, well, I'm not sure. I just avoid strong flavours, carbonated drinks, alcohol, that kind of thing when I've got thrush because of the "ow" factor.

I'm not on hiv meds yet, so I can't be of any assistance where the meds are concerned. I can still use fluconazole for what ails me.

Hope you feel better soon.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline Pippet

  • Member
  • Posts: 135
  • Life is drawing without an eraser.
Re: Oral thrush
« Reply #2 on: October 16, 2008, 11:45:43 AM »
BM,

  I found a mouthwash at my local drug store called "Prevention" that has no Alcohol (active ingedient: Zinc and Hydrogen Peroxide).  It was quite soothing when I went through a period of thrush.

  I know how frustating thrush can be. Hopfully you'll get it cleared up soon.

Be well, Pip
Diagnosed Aug. 2006
CD4 246, VL 202,000
Started Truvada/ Viramune 11-23-06
Taken off meds 12-06-06 (Bad Rash)
Started Truvada/ Reyataz, Norvir 1-18-07
Taken off Norvir 3-1-07 (Jaundice)
New doc 3-22-07
CD4 229  VL 1031
My latest cocktail...  Truvada and Kaletra (4-6-07)
CD4 289 VL 350 (5-15-07)
CD4 308 VL 115 (8-06-07)
CD4 349 VL 511 (11-5-07)
CD4 489 VL 383 (2-4-08)
CD4 483 VL <50 (5-6-08) YEAH
CD4 545 VL 108 (9-12-08)
CD4 409 VL <48 (1-27-09) YEAH
CD4 505 VL <48 (5-20-09)
CD4 385 VL <48 (9-15-09)
CD4 609 VL  159 (2-28-10)

Offline J.R.E.

  • Member
  • Posts: 7,282
  • Joined Dec-2003 Living positive, since 1985.
Re: Oral thrush
« Reply #3 on: October 17, 2008, 08:05:30 AM »
Hello,

Should also try to limit your sugar intake. If you drink alcohol, and smoke, you should try to to stop that also, until it starts clearing up. Change your toothbrush more frequently, until things get better, might want to get a tongue scraper. Just practice a lot of good oral hygiene. Stick with whatever medication that has been prescribed for this, and use it as directed. I have even rinsed my mouth with Hydrogen peroxide. It gets a little foamy, and you don't want to swallow the stuff.

As your t-cell count goes up, the thrush should start diminishing.


Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 25 mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


Diagnosed positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of 12/10/14,  t-cells are at 350,  Previous 8/25/14--- 402/ Viral load remains <40

 Current % is at 13% / Previous 8/25/14 11%

  
 63 years young.

Offline lean2265

  • Member
  • Posts: 16
Re: Oral thrush
« Reply #4 on: October 21, 2008, 10:11:07 AM »
Try this.
HP 3% grade...u cna get this from cvs or walgreens or any big grocery store.
It's hydrogen peroxide...u just swish it in ur mouth for 30 sseconds-1minutes....twice a day.
Please don't swallow or inhale it.......

I hope it work for u :)

Offline hivsweden

  • Member
  • Posts: 81
Re: Oral thrush
« Reply #5 on: October 22, 2008, 01:08:32 PM »
Drinking fizzy mineral water with a high level of sodium bicarbonate helps when you have oral thrush. (I don't know the name of any such mineral waters available in Scotland, but perhaps someone else can help here?)

Offline denb45

  • Member
  • Posts: 5,051
  • "1987 Classic Old School POZ+"
Re: Oral thrush
« Reply #6 on: October 22, 2008, 01:24:01 PM »
I've developed quite severe oral thrush over the past few days. I'd had it before when I was in hospital with PCP and it was cleared up quite easily with fluconazole. Now I'm on my meds, it seems there are few anti-fungals available to deal with the problem (they interact with Viramune). I'm supposed to be getting some "medicated sweets" (amphotericin?) from my doctor but I was wondering if there was anything I could be doing to lessen the problem. Could brushing with Colgate Total and/or using Listerine be making the problem worse? I'm currently using doxycycline for an acne-type rash that appeared shortly after I started my meds.

Oral thrush is the pits, it rears-it's ugly-head about every 2 to 3 yrs. for me, but, after a Med regime change and some Bactrum DS, it clears it right up for me  ;D  my ID Doctor told me that hydrogen peroxide is the worst thing to put in your month, it destroys the natural  flora-fona-bacteria needed to fight off infection in your month...........at least for me,  (hydrogen peroxide) it made my oral thrush
worse  ???
« Last Edit: October 22, 2008, 01:31:25 PM by denb45 »
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

Offline AndyArrow

  • Member
  • Posts: 1,196
Re: Oral thrush
« Reply #7 on: October 29, 2008, 03:05:54 AM »
I've never had oral thrush ... mine always develops much deeper in my esophagus.  My doctor has me use Clotrimazole Troche (or Lozenge).  They just sort of melt under your tongue like an antacid.  I've never had a problem with any drug interaction but I know everyone is different so good luck.

AA
It is not the arrival that matters.  It is the journey along the way. -- Michel Montaigne

Offline BM

  • Member
  • Posts: 340
Re: Oral thrush
« Reply #8 on: October 29, 2008, 04:44:26 AM »
When the thrush was treated systemically, it tended to stay away for months at a time. Now it doesn't seem to matter what I do: it never goes away.

I'm currently using amphotericin lozenges and might as well be using a placebo.

Offline penguin

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  • Posts: 747
  • The Penguin Whisperer
Re: Oral thrush
« Reply #9 on: October 29, 2008, 06:26:42 AM »
you might want to discuss this study with your dr. worth noting of those on ARV's 74% were taking nvp based combo.

good luck, oral thrush is miserable, i know

kate

Offline BM

  • Member
  • Posts: 340
Re: Oral thrush
« Reply #10 on: October 29, 2008, 06:48:31 PM »
Thanks for that, I'll mention it next time I see my doctor.

I was given some low dose fluconazole today and told to use it for three days along with the lozenges. I'm a bit worried that constant exposure to fluconazole (this is the fifth course since July) is going to give me a resistant strain of thrush.

Am I right in thinking that any dose of fluconazole has the same effect on plasma nevirapine levels?

 


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