Candidal stomatitis (oral thrush)
Clinical basis & sources
- Primary source
- OCP Minor Ailments Prescribing
Sources used
- Minor Ailments: Drug Classes and Specified DrugsOntario College of Pharmacists · 2026
- Executive Officer Notice: Update to Funding for Minor Ailment Services in Ontario Pharmacies (Effective July 1, 2026)Government of Ontario · 2026-05-19
- IDSA 2016 Clinical Practice Guideline Update for the Management of CandidiasisInfectious Diseases Society of America · 2016
- Oral CandidiasisNCBI Bookshelf / StatPearls · 2024
- JAMP Nystatin Product MonographHealth Canada Drug Product Database / JAMP Pharma Corporation · 2026-04-02
- Ontario Regulation 256/24: GeneralGovernment of Ontario · 2026
Content last reviewed . Spot something outdated? Use the correction link at the bottom of the page.
Allowable drugs under Schedule 4 (1)
Drugs an Ontario pharmacist may prescribe for Candidal stomatitis (oral thrush) under O. Reg. 256/24, Schedule 4. Choice still depends on the assessment, contraindications, allergies, and product availability — this is the eligible list, not a recommendation.
- Nystatin
Symptoms this assessment screens
- White or creamy plaques in the mouth
- Burning, soreness, taste change, or cottony feeling
- Denture use, denture soreness, or red palate under denture
- Recent antibiotics or inhaled corticosteroid use
- Dry mouth, diabetes risk, or recurrent oral irritation
- Pain affects eating, drinking, feeding, or medication use
Red flags — any positive means refer
- Difficulty swallowing, painful swallowing, or chest discomfort
- Fever, systemic illness, dehydration, or inability to maintain oral intake
- Immunocompromised, recurrent, refractory, or extensive disease
- Non-wipeable patch, oral mass, bleeding, induration, ulcer, or persistent lesion
- Infant feeding failure, fewer wet diapers, or caregiver hydration concern
- Diagnosis uncertain or symptoms do not fit oral thrush
Sign in to run this assessment
The interactive consult — guided screening, one-click treatment fills, printable assessment, prescription, and physician-notice documents — is free with a ScopeUp account. Enter your email, type the one-time code we send, and every assessment unlocks.