Some species of candida are resistant to azoles, and azole resistance is increasing especially in immunosuppressed patients who are prescribed long courses.
Medications only suitable for candida infections
Nystatin (Mycostatin®, Nilstat®), a polyene. This is not absorbed into the bloodstream through the gut.
Flucytosine (Alcobon® infusion), usually used with amphotericin. It can cause bone marrow depression.
Amphotericin B (Ambisome® injection; Fungizone® infusion), a polyene. This is not absorbed into the bloodstream through the gut.
Caspofungin, anidulafungin and micafungin (echinocandins)
Medications only suitable for dermatophyte infections
Griseofulvin (no longer available in New Zealand), derived from Penicillium
Terbinafine (Lamisil®, Terbafin® tablets), an allylamine.
New Zealand approved datasheets are the official source of information for these prescription medicines, including approved uses and risk information. Check the individual New Zealand datasheet on the Medsafe website.