Nystatin Oral Suspension USP [100,000 units per mL] I0868C0622 R06/22

Manufacturer
Major Pharmaceuticals | PAI Holdings, LLC
Effective date
2026-02-23
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
7
Source
full-release
Hydrated at
2026-05-31 22:07:01

Label at a glance#

ProductNystatin
Active ingredientNYSTATIN
Label structure12 sections

Indications and uses

Nystatin Oral Suspension is indicated for the treatment of candidiasis in the oral cavity.

Dosage and administration

2 mL (200,000 units) four times daily (in infants and young children, use dropper to place one-half of dose in each side of mouth and avoid feeding for 5 to 10 minutes). NOTE: Limited clinical studies in premature and low birth weight infants indicate that 1 mL four times daily is effective. 4 to 6 mL (400,000 to 600,000 units) four times daily (one-half of dose in each side of mouth). The preparation should be re...

Label contents#

Full prescribing information#

SPL UNCLASSIFIED SECTION

Rx Only

DESCRIPTION

DESCRIPTION SECTION

Nystatin is an antimycotic polyene antibiotic obtained from Streptomyces noursei. Structural formula:

Chemical Structure
Chemical Structure

Nystatin Oral Suspension USP, for oral administration, contains 100,000 USP Nystatin Units per mL. Inactive ingredients: alcohol (≤ 1% v/v), artificial peppermint flavor, cherry flavor, citric acid, D&C Yellow No. 10, FD&C Red No. 40, glycerin, magnesium aluminum silicate, methylparaben, potassium phosphate dibasic, propylene glycol, propylparaben, purified water and sucrose.

CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

Pharmacokinetics

PHARMACOKINETICS SECTION

Gastrointestinal absorption of nystatin is insignificant. Most orally administered nystatin is passed unchanged in the stool. In patients with renal insufficiency receiving oral therapy with conventional dosage forms, significant plasma concentrations of nystatin may occasionally occur.

Microbiology

MICROBIOLOGY SECTION

Nystatin is both fungistatic and fungicidal in vitro against a wide variety of yeasts and yeast-like fungi. Candida albicans demonstrates no significant resistance to nystatin in vitro on repeated subculture in increasing levels of nystatin; other Candida species become quite resistant. Generally, resistance does not develop in vivo. Nystatin acts by binding to sterols in the cell membrane of susceptible Candida species with a resultant change in membrane permeability allowing leakage of intracellular components. Nystatin exhibits no appreciable activity against bacteria, protozoa, or viruses.

INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

Nystatin Oral Suspension is indicated for the treatment of candidiasis in the oral cavity.

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

The preparation is contraindicated in patients with a history of hypersensitivity to any of its components.

PRECAUTIONS

PRECAUTIONS SECTION

General

GENERAL PRECAUTIONS SECTION

This medication is not to be used for the treatment of systemic mycoses. Discontinue treatment if sensitization or irritation is reported during use.

Carcinogenesis, Mutagenesis, Impairment of Fertility

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

No long-term animal studies have been performed to evaluate carcinogenic potential. There also have been no studies to determine mutagenicity or whether this medication affects fertility in males or females.

Pregnancy

PREGNANCY SECTION

Teratogenic Effects Category C

TERATOGENIC EFFECTS SECTION

Animal reproduction studies have not been conducted with nystatin oral suspension. It is also not known whether nystatin oral suspension can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Nystatin oral suspension should be given to a pregnant woman only if clearly needed.

Nursing Mothers

NURSING MOTHERS SECTION

It is not known whether nystatin is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when nystatin is administered to a nursing woman.

ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

Nystatin is well tolerated even with prolonged therapy. Oral irritation and sensitization have been reported. (See PRECAUTIONS: General).

Gastrointestinal: Diarrhea (including one case of bloody diarrhea), nausea, vomiting, gastrointestinal upset/disturbances.

Dermatologic: Rash, including urticaria has been reported rarely. Stevens-Johnson syndrome has been reported very rarely.

Other: Tachycardia, bronchospasm, facial swelling, and non-specific myalgia have also been rarely reported.

OVERDOSAGE

OVERDOSAGE SECTION

Oral doses of nystatin in excess of five million units daily have caused nausea and gastrointestinal upset. There have been no reports of serious toxic effects of superinfections (see CLINICAL PHARMACOLOGY, Pharmacokinetics).

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

INFANTS

SPL UNCLASSIFIED SECTION

2 mL (200,000 units) four times daily (in infants and young children, use dropper to place one-half of dose in each side of mouth and avoid feeding for 5 to 10 minutes).

NOTE: Limited clinical studies in premature and low birth weight infants indicate that 1 mL four times daily is effective.

CHILDREN AND ADULTS

SPL UNCLASSIFIED SECTION

4 to 6 mL (400,000 to 600,000 units) four times daily (one-half of dose in each side of mouth). The preparation should be retained in the mouth as long as possible before swallowing.

Continue treatment for at least 48 hours after perioral symptoms have disappeared and cultures demonstrate eradication of Candida albicans.

HOW SUPPLIED

HOW SUPPLIED SECTION

Nystatin Oral Suspension USP, 100,000 USP Nystatin Units per mL, is available in a cherry, peppermint flavored, light creamy yellow, ready-to-use suspension, supplied in the following oral dosage forms:

NDC 0904-7276-41: 5 mL unit dose cup
NDC 0904-7276-92: Case contains 50 unit dose cups of 5 mL, packaged in 5 trays of 10 unit dose cups each
NDC 0904-7276-70: Case contains 100 unit dose cups of 5 mL, packaged in 10 trays of 10 unit dose cups each

Storage

STORAGE AND HANDLING SECTION

Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Avoid freezing.

SPL UNCLASSIFIED SECTION

Distributed by:
MAJOR ® PHARMACEUTICALS

Indianapolis, IN 46268

R06/22

PRINCIPAL DISPLAY PANEL - 5 mL Cup Label

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Major ®

NDC 0904-7276-41

Nystatin
Oral Suspension, USP

500,000 units / 5 mL

Alcohol ≤ 1% v/v SHAKE WELL

Delivers 5 mL ∙ See insert
For Institutional Use Only ∙ Rx Only

MAJOR ® PHARMACEUTICALS
Indianapolis, IN 46268

F0868C050624

Lidding for Nystatin UDC
Lidding for Nystatin UDC

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
312055nystatin 100,000 UNT/mL Oral SuspensionPSN7
312055nystatin 100000 UNT/ML Oral SuspensionSCD7
312055nystatin 100,000 UNT/ML Oral SuspensionSY7
312055nystatin 500,000 UNT per 5 ML Oral SuspensionSY7

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
NYSTATIN Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813

Product Linked Resources#

Resource, Code type, Value table
ResourceCode typeValueEquivalent identifiersSource image
BarcodeEAN-130309047276417GTIN-13: 0309047276417
EAN-13: 0309047276417
GTIN-12: 309047276417
UPC-A: 309047276417
GTIN storage (14 digits): 00309047276417
nystatin-2.jpg

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
e29fe634-dc25-094c-c77f-5d09c3eceb3eProduct name520260107
efd58dcf-540a-4531-8766-e713129ca6f2Product name120250307
e57b6340-9387-3f9a-7307-511c81791375Product name320221214
544f8e8d-6389-eeeb-9586-aa447c08dcc7Product name520210614
1629e00f-54fb-4a43-8306-b58442b23902Product name920200430
854ec07b-1cd7-a5db-235a-7aa24d3cf97aProduct name320180628
19b9f4c1-15e9-edcc-4c16-f01ecfb5c549Product name120140508

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
0904-7276-41Nystatin5 mL in 1 CUP, UNIT-DOSESUSPENSION57
0904-7276-70Nystatin10 in 1 CASESUSPENSION107
0904-7276-70Nystatin10 in 1 TRAYSUSPENSION107
0904-7276-92Nystatin5 in 1 CASESUSPENSION57
0904-7276-92Nystatin10 in 1 TRAYSUSPENSION107

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
0904-7276-41ML - Milliliter0904-727696e2ec22-526d-48c6-88ae-1ae44083a2af12022-12-07
0904-7276-70ML - Milliliter0904-727610302933-43ab-48c8-a467-039534481bd112022-12-07
0904-7276-92ML - Milliliter0904-72762a070892-5792-41ba-aff7-624e85e3245b12022-12-07

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 13 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
0904-72760904-7276-41, 0904-7276-92, 0904-7276-70

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 13 matching rows.

Source Document#

Source XML

Orange Book application contexts#

All distinct exact application/product contexts derived from this label’s complete NDC list are paginated below.

Orange Book application contexts page 1 of 1 · 1 matching rows.

Source provenance: Browse the complete Orange Book source catalog · source snapshot 44.

Orange Book products#

Current product rows page 1 of 1 · 1 matching rows.

Application-product, Trade name, Ingredient table
Application-productTrade nameIngredientStrengthDosage form / routeTE codesRLD / RSApproval date
A203621-001NYSTATINNYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07

Therapeutic equivalence codes#

Current TE-code rows page 1 of 1 · 1 matching rows.

Application-product, TE code table
Application-productTE code
A203621-001AA

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 2 · 44 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTrade nameStrengthDosage form / routeProduct TE source textRLD / RSApproval dateSource SHA-256
2026-10-15 13:18:302026-09A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07c2088c7a36db…
2026-09-14 22:38:342026-08A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-0784e616aacf4f…
2026-08-18 06:07:402026-07A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-0731067a03dcf5…
2025-08-23 18:47 UTC2025-08A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-076a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-0703ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-072680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-075bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-0779d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-071e350fbaab3a…
2024-05-31 18:47 UTC2024-05A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-078072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-075c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-075d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-074b0b4de00fa7…
2019-12-13 00:20 UTC2019-12A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-0774a2ff9319b5…
2022-03-09 01:35 UTC2022-03A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-0787673890dc5c…
2021-03-12 10:30 UTC2021-03A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-075aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-078869cabd3fbd…
2020-11-12 02:37 UTC2020-11A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07c0c555d07b60…
2019-12-14 00:12 UTC2019-12A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-073f01610625f2…
2019-09-15 20:21 UTC2019-09A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07b00525d2431f…
2019-07-19 19:46 UTC2019-07A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-076a51e52b5d6a…
2024-02-18 07:12 UTC2024-02A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-071c564ffb4f44…
2023-12-20 04:57 UTC2023-12A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-079b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-073f0d92c62455…
2023-05-13 08:27 UTC2023-05A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-07053a50430f4f…
2023-01-26 05:58 UTC2023-01A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-073bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11A203621-001NYSTATIN100,000 UNITS/MLSUSPENSION / ORALAA2016-01-073a93d1ddd44b…

Observed Orange Book normalized TE history#

Normalized TE history page 1 of 2 · 44 observed states.

Captured, Edition, Application-product table
CapturedEditionApplication-productTE codeOrderSource SHA-256
2026-10-15 13:18:302026-09A203621-001AA1c2088c7a36db…
2026-09-14 22:38:342026-08A203621-001AA184e616aacf4f…
2026-08-18 06:07:402026-07A203621-001AA1caaa826d4ba7…
2026-02-19 14:30 UTC2026-02A203621-001AA1011fe1cb6892…
2025-12-14 10:44 UTC · 2 captures of this ZIP2025-12A203621-001AA131067a03dcf5…
2025-08-23 18:47 UTC2025-08A203621-001AA16a471c1ec25d…
2025-03-22 03:13 UTC · 3 captures of this ZIP2025-03A203621-001AA1fd3edfee7708…
2025-02-26 10:13 UTC · 3 captures of this ZIP2025-02A203621-001AA1b8a1b40f171c…
2025-01-19 17:59 UTC · 7 captures of this ZIP2025-01A203621-001AA103ed91905a0d…
2024-12-13 21:23 UTC · 2 captures of this ZIP2024-12A203621-001AA12680178bc6a6…
2024-09-14 05:58 UTC · 2 captures of this ZIP2024-09A203621-001AA15bbf6a4d5a75…
2024-11-08 22:44 UTC · 3 captures of this ZIP2024-11A203621-001AA1d8e5a09893c0…
2024-10-29 15:01 UTC2024-10A203621-001AA1d06236e962d9…
2024-08-13 05:28 UTC · 3 captures of this ZIP2024-08A203621-001AA179d66fd596c7…
2024-07-13 05:37 UTC · 2 captures of this ZIP2024-07A203621-001AA1301d65b070ca…
2024-06-18 03:08 UTC · 5 captures of this ZIP2024-06A203621-001AA11e350fbaab3a…
2024-05-31 18:47 UTC2024-05A203621-001AA18072bd15b7f6…
2022-06-29 02:47 UTC · 2 captures of this ZIP2022-06A203621-001AA15c6f7cd8ea54…
2022-04-08 23:34 UTC2022-04A203621-001AA15d02ea3f76ae…
2022-04-04 05:41 UTC2022-04A203621-001AA14b0b4de00fa7…
2019-12-13 00:20 UTC2019-12A203621-001AA174a2ff9319b5…
2022-03-09 01:35 UTC2022-03A203621-001AA1bb7c543d1eb4…
2021-12-28 21:50 UTC2021-12A203621-001AA1782e0a99824c…
2021-05-05 16:15 UTC · 3 captures of this ZIP2021-05A203621-001AA187673890dc5c…
2021-03-12 10:30 UTC2021-03A203621-001AA15aa47cf7b7d7…
2020-12-22 03:56 UTC2020-12A203621-001AA18869cabd3fbd…
2020-11-12 02:37 UTC2020-11A203621-001AA1c0c555d07b60…
2019-12-14 00:12 UTC2019-12A203621-001AA13f01610625f2…
2019-09-15 20:21 UTC2019-09A203621-001AA1b00525d2431f…
2019-07-19 19:46 UTC2019-07A203621-001AA1ea99ee380514…
2024-03-16 18:09 UTC · 4 captures of this ZIP2024-03A203621-001AA16a51e52b5d6a…
2024-02-18 07:12 UTC2024-02A203621-001AA11c564ffb4f44…
2023-12-20 04:57 UTC2023-12A203621-001AA1ea1830bbd6c7…
2023-11-28 05:40 UTC · 2 captures of this ZIP2023-11A203621-001AA1a72a2bbeb626…
2023-10-25 00:34 UTC · 2 captures of this ZIP2023-10A203621-001AA19b2671bbb829…
2023-07-15 15:27 UTC · 2 captures of this ZIP2023-07A203621-001AA1a67488948f0b…
2023-06-13 01:57 UTC · 3 captures of this ZIP2023-06A203621-001AA13f0d92c62455…
2023-05-13 08:27 UTC2023-05A203621-001AA1053a50430f4f…
2023-01-26 05:58 UTC2023-01A203621-001AA13bdfa0b2c4d7…
2022-11-12 20:34 UTC · 5 captures of this ZIP2022-11A203621-001AA13a93d1ddd44b…

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 1 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
NystatinNYSTATINMajor Pharmaceuticals17b9e33d-da9c-467a-bbc4-9e257727f19a2026-02-23Adverse reactionsExact identifier
ndc (package): 0904-7276-41
ndc (package): 0904-7276-70
ndc (package): 0904-7276-92
ndc (product): 0904-7276
ndc11 (package): 00904727670
ndc11 (package): 00904727692
ndc11 (package): 00904727641
spl id: 764e2a6a-00ef-4340-8810-9537bae3b0be
spl set id: 17b9e33d-da9c-467a-bbc4-9e257727f19a

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.