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Nystatin

Brand: Mycostatin (discontinued), Bio-Statin; mostly generic

Polyene antifungalUsed for: Oral thrush, skin candidiasisAnti-Infectives

No boxed warning on the current FDA label.

Caution
Swish-and-swallow suspension only works on contact; oral tablets are not absorbed and treat only intestinal candidiasis.

Common side effects

  • Nausea
  • Diarrhea
  • Mouth irritation
  • Unpleasant taste

Key interactions

  • No significant drug interactions (not absorbed)

Counseling points

  • Swish the suspension around the mouth as long as possible before swallowing
  • Do not eat or drink for 30 minutes afterward
  • Continue for the full course, usually 48 hours past symptom resolution
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