Violation

A 70 year old insulin-dependent patient has just completed a 7 day course of ampicillin for a respiratory infection. He presents with signs and symptoms consistent with a diagnosis of oral candidiasis. Which of the following is the most appropriate management for this patient?

Reduce the patient’s insulin dose

Prescribe nystatin

Double the patient’s insulin dose

Prescribe clindamycin

Prescribe a topical steroid

Please describe the matter of abuse