Oral suspension, troche: Treatment of oral candidiasis.Oral: Treatment of oropharyngeal candidiasis.This binding affects the cell wall permeability allowing leakage of cellular contents. Nystatin, a polyene antifungal, binds to ergosterol in the fungal cell membrane.Premature and low–birth-weight infants: 100,000 units (1 mL) qid.Troche: Dissolve 1–2 tablets in mouth four to five times/day for up to 14 days.Oral suspension: 400,000–600,000 units qid (one-half of dose in each side of mouth, retaining the drug as long as possible before swallowing).Continue for at least 48 hr after clinical cure. Topical foot powder: For fungal infections of the feet, dust powder on feet and in shoes and socks.ĪDULTS AND PEDIATRIC PATIENTS EXCEPT INFANTS.Vaginal preparations: Apply to affected area two to three times daily until healing is complete.1 tablet (100,000 units) or 1 applicator of cream (100,000 units) daily–bid for 2 wk.Topical application: Mycostatin, NilstatĪvailable forms : Tablets-500,000 units oral suspension-100,000 units/mL troche-200,000 units vaginal tablets-100,000 units topical cream, ointment, powder-100,000 units/g.Oral, oral suspensions, oral troche: Candistatin (CAN), Mycostatin, Nilstat, PMS Nystatin (CAN), ratio-Nystatin (CAN).Generally, the longer the better, but more than a few minutes isn't necessary as long as you consistently dose four times daily, for 7 to 14 days. In terms of how long to swish nystatin before swallowing, you should swish it around for at least one to two minutes. It may cause mild side effects, such as nausea, vomiting, diarrhea and upset stomach, but that generally is the extent of it. The drug is very poorly absorbed and almost the entire dose you take is excreted in feces, unchanged. Nystatin is generally a very well tolerated drug, even when swallowed. The preparation should be retained in the mouth as long as possible before swallowing. The prescribing information for nystatin specifically states to swallow: CHILDREN AND ADULTS: 4–6 mL (400,000 to 600,000 units) four times daily (one-half of dose in each side of mouth).
Swallowing nystatin ensures all the affected areas come in to contact with the drug. If you spit out nystatin, there is a chance that all the affected areas won't come into contact with the antifungal, which is vital for it to work. Getting to your question here, nystatin suspension can be spit or swallowed but, it is most commonly recommended to be swallowed, which is best practice.Īn oral thrush infection can be present in many different parts of the mouth, as well as in the back of the mouth, the throat and esophagus. Do You Spit Or Swallow Nystatin Suspension?
This allows the drug to remain in contact with the affected areas, and not be washed away prematurely. It is also important to not eat or drink for about 30 minutes after using nystatin. Continue treatment for at least 48 hours after symptoms are resolved. This ensures all the affected areas have been reached. Each dose should be divided so that one-half of each dose is placed in each side of the mouth. Nystatin suspension should be dosed at 400,000 to 600,000 units (4 to 6 mL), swished in the mouth four times daily (every 6 hours or so), for at least one to two minutes for 7 to 14 days. Your question concerns using Nystatin for an oral fungal infection (thrush).
#NYSTATIN SWISH AND SWALLOW DOSE SKIN#
Nystatin is an antifungal drug used for a number of indications, including: Thanks so much for reaching out to us, and great question! What Is Nystatin?
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