Mycostatin topical, Pediaderm AF (nystatin topical) dosing, indications, interactions, adverse effects, and more

Sections

Sections nystatin topical
Dosing & Uses
Adverse Effects
Warnings
Pregnancy
Pharmacology
Administration
Images
Patient Handout
Formulary

Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

cream/ointment/powder

100,000 units/g

Mucocutaneous Infection

Apply to affected area q8-12hr until healing is complete or as indicated

Vaginal Infections

Insert 1 tablet/day qHS until healing is complete or as indicated

Dosage Forms & Strengths

cream/ointment/powder

100,000 units/g

Mucocutaneous Infection

Apply to affected area q8-12hr until healing is complete or as indicated

Frequency Not Defined

Nontoxic; well tolerated by all age groups

Contact dermatitis

Stevens-Johnson syndrome

Acneiform eruption (rare)

Contraindications

Hypersensitivity

Cautions

Discontinue immediately if signs of hypersensitivity reaction occur

Discontinue if irritation occurs at application site

For external use only; not for systemic, oral, intravaginal, or ophthalmic use

Pregnancy & Lactation

Pregnancy category: C

Lactation: Not known whether excreted in breast milk; absorption following oral use is poor; manufacturer advices caution when administering to nursing women

Pregnancy Categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

Mechanism of Action

Binds to fungal cell membrane sterols; as a result, the membrane no longer functions as a selective barrier, and potassium and other cellular constituents are lost

Absorption

Not from intact skin or mucous membrane

Topical Administration

Cream preferred to ointment in candidiasis involving intertriginous areas

Moist lesions best treated with powder

BRAND	FORM.	UNIT PRICE	PILL IMAGE
nystatin oral -	500,000 unit tablet
nystatin oral -	500,000 unit tablet
nystatin oral -	100,000 unit/mL suspension
nystatin oral -	100,000 unit/mL suspension
nystatin oral -	100,000 unit/mL suspension
nystatin oral -	100,000 unit/mL suspension
nystatin oral -	100,000 unit/mL suspension
nystatin oral -	100,000 unit/mL suspension
nystatin oral -	100,000 unit/mL suspension
nystatin oral -	500,000 unit tablet
nystatin oral -	100,000 unit/mL suspension
nystatin oral -	100,000 unit/mL suspension
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram ointment
nystatin topical -	100,000 unit/gram ointment
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram ointment
nystatin topical -	100,000 unit/gram cream
nystatin topical -	100,000 unit/gram cream
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram cream
nystatin topical -	100,000 unit/gram cream
nystatin topical -	100,000 unit/gram cream
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram cream
nystatin topical -	100,000 unit/gram cream
nystatin topical -	100,000 unit/gram ointment
nystatin topical -	100,000 unit/gram ointment
nystatin topical -	100,000 unit/gram ointment
nystatin topical -	100,000 unit/gram cream
nystatin topical -	100,000 unit/gram ointment
nystatin topical -	100,000 unit/gram cream
nystatin topical -	100,000 unit/gram ointment
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram ointment
nystatin topical -	100,000 unit/gram ointment
nystatin topical -	100,000 unit/gram cream
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram powder
nystatin topical -	100,000 unit/gram cream
nystatin topical -	100,000 unit/gram ointment
Nystop topical -	100,000 unit/gram powder
Nystop topical -	100,000 unit/gram powder
Nystop topical -	100,000 unit/gram powder
Nyamyc topical -	100,000 unit/gram powder
Nyamyc topical -	100,000 unit/gram powder
Nyamyc topical -	100,000 unit/gram powder

Patient Handout

Select a drug:

NYSTATIN SUSPENSION - ORAL

(NYE-stat-in)

COMMON BRAND NAME(S): Mycostatin

USES: This medication is used to treat fungal infections of the mouth. Nystatin is an antifungal that works by stopping the growth of fungus.Nystatin suspension should not be used to treat fungal infections of the blood.

HOW TO USE: Shake well before using, and use the provided medication dropper to carefully measure out the dose. Unless your doctor instructs you otherwise, use as follows: Place half of the dose in one side of the mouth. Swish it around the mouth, gargle, and swallow or spit out as directed. Keep the liquid in your mouth for as long as possible. Then repeat with the remaining half of the dose in the other side of the mouth. Avoid eating for 5-10 minutes after using this medication.Use this medication 4 times a day or as directed by your doctor. It may take from several days to several months to complete treatment. Use this medication regularly in order to get the most benefit from it. Remember to use it at the same times each day. Dosage is based on your medical condition and response to therapy.Continue to use this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may allow the infection to continue, resulting in a return of the infection.Inform your doctor if your condition persists after several days of treatment or worsens at any time.

SIDE EFFECTS: Mouth irritation, diarrhea, nausea, vomiting, or stomach upset may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor right away if any of these rare but very serious side effects occur: fast heartbeat, wheezing, muscle pain.A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

PRECAUTIONS: Before taking nystatin, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.Before using this medication, tell your doctor or pharmacist your medical history, especially of: HIV disease, diabetes, kidney disease.This product contains sugar. Caution is advised if you have diabetes. Ask your doctor or pharmacist about the safe use of this product.Denture wearers need to be careful to properly clean and maintain their dentures during treatment with this medication.This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Your healthcare professionals (such as your doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop or change the dosage of any medicine before checking with them first.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use.Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

NOTES: Do not share this medication with others.This medication has been prescribed for your current condition only. Do not use it later for another infection unless your doctor tells you to.

MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

STORAGE: Store at room temperature between 59-86 degrees F (15-30 degrees C) away from heat and light. Do not freeze. Do not store in the bathroom. Keep all medicines away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

Formulary

FormularyPatient Discounts

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The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.

View explanations for tiers and restrictions

Tier	Description
1	This drug is available at the lowest co-pay. Most commonly, these are generic drugs.
2	This drug is available at a middle level co-pay. Most commonly, these are "preferred" (on formulary) brand drugs.
3	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs.
4	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
5	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
6	This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
NC	NOT COVERED – Drugs that are not covered by the plan.

Code	Definition
PA	Prior Authorization Drugs that require prior authorization. This restriction requires that specific clinical criteria be met prior to the approval of the prescription.
QL	Quantity Limits Drugs that have quantity limits associated with each prescription. This restriction typically limits the quantity of the drug that will be covered.
ST	Step Therapy Drugs that have step therapy associated with each prescription. This restriction typically requires that certain criteria be met prior to approval for the prescription.
OR	Other Restrictions Drugs that have restrictions other than prior authorization, quantity limits, and step therapy associated with each prescription.

Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature.

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