If you want to try a prescription from your MD, that's up to you. They can prescribe different types of antifungals. My doctor prescribed Nystatin for me after I requested it. It did nothing for me. Luckily, I didn't suffer any bad symptoms from it either. From what I have read, Nystatin is the one prescription antifungal that causes the least amount of sideaffects. Nystatin apparently does not enter the bloodstream but does kill candida and other fungi in the gastrointestinal tract.

Diflucan (fluconazole) enters the bloodstream. Some say it can make sinus problems worse, and even be hard on the liver. Apparently Diflucan will kill Candida and some other fungi in the sinuses, but it does not kill aspergillus, a more dangerous fungus often found in the sinus. Killing the other fungi can allow aspergillus to multiply.

Threelac does not go into the bloodstream, which means it may not be effective on systemic candida (candida spread throughout the body). As with Diflucan, I have heard mixed results about the product.

Nizoral is the big bad wolf of prescription antifungal. It is Ketoconazole, which is said to cause serious liver damage in some patients. More and more specialists (Naturopaths AND Mainstream Doctors)are warning against taking this product.

Candida specilaists say if you must take an oral antifungal like the ones I mentioned above to treat systemic Candida, only use it for 2 weeks maximum. Do your own research on the subject. Here is an interesting article on Treating Candidiasis without Nystatin, Ketoconazole, or Diflucan.

There are also many different antifungal products that are sold in healthfood stores like grapefruit seed extract, olive leaf extract and oil of oregano (definately not a nice flavour). The last two mentioned seem to be the favourites of most antifungal users. See my blog post on Oregano for more information.

Caprylic acid is another one, but you should be careful with it. See a professional before trying this. Some say it's harmful, others say it's ineffective. If you want to increase caprylic acid in your diet without taking it as a supplement, try incorporating coconut oil in your cooking.

Some people have such a compromised system that they can't handle antifungals at all. Heal the gut first, then think about what is best for you.

Some specialists say that yeasts are able to adapt. This means that if you use the same antifungal for a long period of time (some say even after 7 days straight), the yeast can become resistant to it.

My rant on antifungals:

Too often I hear people reporting that the antifungals make them extremely sick and then other people tell them that it means the antifungals are working. YES antifungals can cause your symptoms to worsen, but for most people it should only last a few days and should not be incapacitating.

No matter how seriously ill these poor people get, they still believe it must mean they have candidiasis and that the yeasties are dieing. This logic is ridiculous. That's like me saying "I drank a cup of bleach, and got really sick, so it must mean I have candidiasis and the bleach is killing it." Nooooooo, it means the bleach is making me sick. Same with the antifungals. Maybe it's too much of a dosage. Or maybe the specific antifungal you're using is too strong or causes side affects because of something else going on in your body. Or maybe you shouldn't be using antifungals at all.

Remember: you aren't trying to get rid of ALL the candida from your system (candida albicans are naturally part of us). You want to bring the system into a state of balance. This is why I would be more likely to suggest a combination of diet and probiotics to people.