Typically we recommend Nystatin tablets or powder 500,000-1,000,000 IU QID for 1-3 months. This is really a topical agent with no significant systemic absorbtion. We also generously utilize Diflucan. Dr. Morris in LaCrosse Wisconsin typically utilizes 100mg QD for a week followed by 2 times per week for another 6 weeks. Diflucan has safely been used in high doses for years in females with problematic yeast vaginitis. Topical Tea Tree Oil, Melalenca, and DMSO have been advocated as well. Some physicians have reported a clinical Jarish Herxheimer Reaction which is essentially the release of mycotoxins associate with a large yeast “die off”.
Dietary changes, such as decreasing sugars, charbohydrates, and mold related foods is certainly a goal. For some this can be incredibly helpful. Personally I find it unrealistic.
The judicious use of antibiotics is paramount. Probiotics such as Lactobacillus acidophilus and Bifidobacteria bifidans can be very helpful. Probiotics manufacture B vitamins, aid in digestion and absorbtion of nutrients, and serve as sentries to keep harmful bacteria and fungi at bay.