MEDICAL INFORMATION FOR HEALTH CARE PROFESSIONALS

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NYSTATIN SUSPENSION

Other names:   Mycostatin, Nilstat, Nyaderm, PMS-Nystatin

WHY is this medication prescribed ? 

Nystatin is used to prevent and treat fungal infections of the mouth (thrush).

HOW should this drug be taken?

Nystatin is available as a 100 000 unit/mL  oral suspension. The dose most commonly used is 500 000 units (= 5 mL or 1 teaspoonful) 4 times a day .  The suspension should be swished & held in your mouth for several minutes before swallowing.

Shake the bottle well before each use to mix the medication evenly.

Your dosage is:

_______________________________

What should you do if you FORGET a dose?

The missed dose should be taken as soon as you remember, then return to your regular dosing schedule.  If you skip a dose (i.e. don't remember until the next dose is due), do not double the next dose.  If you are unsure, please consult your doctor or pharmacist.

What ADVERSE EFFECTS can this drug cause?  What should you do about them?

Although nystatin is relatively well tolerated and side effects are not common, they can occur.  The following side effects have been reported with nystatin oral suspension:  nausea, vomiting, diarrhea, stomach upset and stomach pain.

If you are concerned about any unexpected effects, please talk to your doctor or pharmacist.

IT IS IMPORTANT THAT YOU KEEP YOUR REGULAR DOCTOR'S APPOINTMENTS, SO THAT YOUR PROGRESS CAN BE ASSESSED.

What other PRECAUTIONS should you follow while using this drug?

Do not eat or drink anything for 20 minutes after using nystatin oral suspension in order to increase contact time with the mouth surface.

Although the symptoms of your mouth infection may improve within one to three days, make sure you continue to take nystatin for the full duration prescribed by your doctor.  Failure to do so can allow the infection to return.

How should this medication be STORED?

Nystatin oral suspension should be stored at room temperature in a cool (15-30C) dry place, protected from light and well out of the reach of children.  Do not store medications in your bathroom.  Heat and moisture may cause medications to lose its effectiveness.

IF YOU HAVE ANY QUESTIONS OR CONCERNS ABOUT THIS MEDICATION, PLEASE DISCUSS THEM WITH YOUR NURSE, PHARMACIST, OR PHYSICIAN.

PLEASE WRITE DOWN YOUR QUESTIONS OR CONCERNS TO ENSURE THEY ARE ADDRESSED.

A pharmacist at

_______________________________

is available to answer questions. 

The telephone number is

_______________________________ 

Please ask for ___________________

Adapted from:  Medication Teaching Manual:  The Guide to Patient Drug Info, ASHP 1994; and Mycostatin product monograph from the Compendium of Pharmaceuticals and Specialties, CPhA, 2001.  Edited by the CSHP Ontario Branch Professional Specialty Group in HIV Disease, in conjunction with the HIV/AIDS Outpatient Network of Ontario Coordinators Sub-Group, November 2001.