All good input on this thread - just wanted to reiterate a few things and add a few more suggestions:
With yeast/fungal overgrowth, you need to hit it hard and fast. It repopulates and grows quickly and can change into a hyphae form (spores) that makes it very difficult to treat. The longer it proliferates, the harder it is to manage.
I don't agree with the "pulsing" that some MDs do - having patients take a strong anti fungal intermittently. This might be necessary as part of
a strategy for severely compromised or weak people who can't handle the die off but it needs to be used in context with a broader approach and I don't think it makes sense for the rest of us. It's a good way to build up resistance.
Antifungals kill on contact. Some MDs aren't real knowledgable about
local issues vs systemic and prescribe systemics when a local would be more effective. If you don't have immediate impact with a systemic anti fungal (like Diflucan/Floconazole), try a different one (like Ketoconazole). But I'd try a local unless your issues are obviously systemic or severe.
The Nystatin pills that are generally prescribed mostly are full of fillers and very little of the anti fungal and are very expensive. The Nystatin liquids actually have sugar in them to make them tastier (shaking my head). I strongly urge people to talk their MDs into prescribing PURE Nystatin Powder 500,000 units (can be found at most compounding pharmacies). It's naturally derived from the earth and safe for most people to take daily, long-term while they are on abx protocols (does not cross the mucosal barrier and doesn't get processed through the liver).
Y/f overgrowth usually starts in the gut because of the abx components we take orally (even herbs can wipe out enough of your good bacteria that a y/f overgrowth can take hold). The powder has a couple of great benefits--you add it to water so you can swish it around in your mouth and swallow it--so it directly impacts thrush in your mouth/throat on its way down to your stomach. I've also read it can coat your entire alimentary canal--but I need to find out how it survives the stomach acids.
If the y/f proliferates long enough, it can cause damage to the GI--the y/f grows "roots" into the mucosal tissues, basically drilling holes. Fecal matter, toxins, yeast and food particles then seep through the holes and into the bloodstream causing all kinds of problems--this is known as leaky gut. You haven't struggled until your body is creating antibodies against every food you eat... it is a very difficult condition to heal from so it's one of the many reasons to nip a y/f overgrowth issue in the bud. A local anti fungal can manage this.
You can also develop a systemic issue through a leaky gut or by other means but a systemic issue then requires a systemic anti fungal, which then has to get filtered through the lymph system and liver, which can raise liver enzymes. There are several ways to support your liver if you need a systemic anti fungal and I think MDs try to ease up on the liver by having patients avoid taking systemic every day but I don't really agree with this. Yeast/fungus doesn't act like bacteria does and can be very difficult to get rid of without hitting it hard and fast and also incorporating a holistic management approach.
Unfortunately, if you continue taking antifungals, particularly if you're not taking enough of it, and you are eating sugars and simple carbs that feed the y/f you're never going to get it under control and you're very likely at an increased risk for building resistance to the effective drugs or natural antifungals.
As long as you're taking enough of the antifungals and taking them regularly, you should be able to knock out a systemic or local overgrowth within a month or two and then you can transition to a management approach while you're on abx. Most of the time, this is basically transitioning from a systemic anti fungal to a local anti fungal. I've also had success just implementing a very strong binder to manage any y/f overgrowth but this is also somewhat temporary. If you're not on abx your approach can be a little different.
Many people have success with natural antifungals and will disagree with me but all of my research suggests you need to hit an existing y/f overgrowth with Rx and get it under control ASAP, and THEN you can switch to naturals for maintenance or prevention. Depending on your condition, this could take 3-4 wks or more. And as already suggested, if you use naturals you should limit them to two or three at a time and always rotate them out every couple of weeks. It's easy to build up resistance.
If you're having trouble with finding something effective, stool tests like Doctor's Data indicate what is found and which anti fungal is/isn't effective (including common Rx and natural protocols). Not all y/f overgrowth shows up in stools or bloodwork, unfortunately so it's often a clinical dx.
I would maintain an "elimination" protocol for a good couple of weeks past the end of your symptoms. For maintenance, a local anti fungal SHOULD suffice but I would also transition from elimination to maintenance gradually.
Always, support your lymph & liver with systemics but even with locals you should keep in mind that detox is critical--you're killing stuff and that stuff needs to be ushered out of your body just like the lyme & co. Die off can be tough - yeast cells can release 79 different toxins including ethanol and acetaldehyde so keep this in mind as you're figuring out your detox protocol - detox your blood, organs, brain, etc.
So, I'm having one of those days where I'm losing track of what I'm doing so I just realized I have typed a lot of info and maybe haven't answered your specific question. Sorry about
that!! Please post another question and we'll get it answered.
Post Edited (Pirouette) : 4/27/2016 1:46:54 PM (GMT-6)