Welcome, Guest. Please login or register.
January 20, 2018, 06:25:07 AM

Login with username, password and session length

  • Total Members: 32184
  • Latest: timoup
  • Total Posts: 725310
  • Total Topics: 59122
  • Online Today: 290
  • Online Ever: 1421
  • (August 13, 2016, 05:18:44 AM)
Users Online
Users: 2
Guests: 272
Total: 274


Welcome to the POZ Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: Lamisil vs. Itraconazole for THrush  (Read 8189 times)

0 Members and 1 Guest are viewing this topic.

Offline Beowulf52

  • Member
  • Posts: 4
Lamisil vs. Itraconazole for THrush
« on: June 08, 2008, 11:06:38 PM »
Hey all, my Medicare part D is refusing to pay for Itraconazole which I have been on for several years now, for thrush, as well as toxo and cryptococcal prohylaxis. I am resisitant to Nizoral, Diflucan, Nystatin, and allergic to Griseofulvin. My Medicare co. wants me to take Lamisil, but I can;t seem to find anything about it in the treatment of THrush and the above prophylaxes. Has anyone got experience taking this drug (Lamisil)  and can anyone tell me if it's more toxic to the liver than Itraconazole?

I have appealed it, and my doc has appealed it, but they still insist on Lamisil. Any advice, thoughts, etc, would be much appreciated.

Hard to believe I have survived nearly 23 years only to come up against this  Insurance "wall" .

Thank you in advance,

Beowulf (Bill)

Offline Tim Horn

  • Member
  • Posts: 799
Re: Lamisil vs. Itraconazole for THrush
« Reply #1 on: June 09, 2008, 02:30:16 PM »
Beowulf --

What a bunch of bastards. The Medicare officers have got some cheek overriding what you -- and your healthcare provider -- feel is best for you. And the fact that Lamisil is only approved for onchomycosis of the fingernail suggests that, not only is Medicare taking away your autonomy to make important decisions, its making off-label recommendations to boot!

With that said, oral Lamisil is active against various Candida varieties (including albicans, the cause of oral and esophageal thrush). Unfortunately, we don't know how effective it is, as I'm not aware of any studies evalauating Lamisil as prophylaxis (or treatment) for candidiasis. 

What's your CD4+ count? The reason I ask is because this, alone, could be your greatest defense against thrush recurrences and both toxo and cryptococcus. And how are you doing on your antiretroviral therapy?

Certainily, if you experience a thrush breakthrough while on Lamisil, Medicare's recommendations are basically moot, as they simply aren't working for you -- so there may be another fight ahead (but let's hope this doesn't become necessary).

Tim Horn


Offline Beowulf52

  • Member
  • Posts: 4
Re: Lamisil vs. Itraconazole for THrush
« Reply #2 on: June 09, 2008, 07:03:08 PM »
Thanks for your input Tim, sadly this happened a year ago as well- the exact same scenario, only they took my Doc's recommendation. Now they are refusing- my CD4 is up to 250, which is is the highest it's ever been since I got diagnosed in 1986. The current HAART has been the first that has ever boosted my cell count even a little, and though Medicare says I shouldn't;t have thrush at that count, the cold hard fact is that I do. I eat no sugar at all, and try very hard to use other therapies, but when I need a Rx I need it. And Itraconazole is hardly an abusable drug- LOL! When I call Medicare Rx they insist I am using it for nail  fungus, which I do NOT have , when I tell them it's oral candidiasis, and all they need to do is look at the charts to confirm it- they go back to the toenail issue again- my conclusion as a retired RN- the people doing the reviews are either idiots, or not well versed in treatment issues or both. Of course, since there is virtually no case management where I live, it makes it all the more difficult. Thank you supposed "Case Managers" at New Hope Clinic , Yakima. It's all a bunch of bunk, but I am going to try the Lamisil, and if there is no improvement- I guess maybe THEN they will see either see the light, or find some other lame excuse to refuse coverage.

In any case thank you for your feedback Tim!


Beowulf (Bill)


Terms of Membership for these forums

© 2017 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.