{"adverse_reactions":["ADVERSE REACTIONS 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. To report SUSPECTED ADVERSE REACTIONS, contact Xttrium Laboratories, Inc. at 1-800-587-3721 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch."],"carcinogenesis_and_mutagenesis_and_impairment_of_fertility":["Carcinogenesis, Mutagenesis, Impairment of Fertility 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."],"clinical_pharmacology":["CLINICAL PHARMACOLOGY Pharmacokinetics 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 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."],"contraindications":["CONTRAINDICATIONS The preparation is contraindicated in patients with a history of hypersensitivity to any of its components."],"description":["DESCRIPTION Nystatin is an antimycotic polyene antibiotic obtained from Streptomyces noursei . Structural formula: C 47 H 75 NO 17 MW 926.13 Nystatin Oral Suspension USP, for oral administration, contains 100,000 USP Nystatin Units per mL. Inactive ingredients: alcohol (≤ 1% v/v), artificial wild cherry flavor, banana flavor, D&C Yellow #10, FD&C Red #40, glycerin, USP, magnesium aluminum silicate, methylparaben, NF, potassium phosphate dibasic, USP, propylene glycol, USP, propylparaben, NF, purified water, USP and sucrose 33.5%. May also contain citric acid, USP for pH adjustment. nystatin chemical structure"],"dosage_and_administration":["DOSAGE AND ADMINISTRATION INFANTS: 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: 4-6 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 ."],"effective_time":"20260206","general_precautions":["General This medication is not to be used for the treatment of systemic mycoses. Discontinue treatment if sensitization or irritation is reported during use."],"how_supplied":["HOW SUPPLIED Nystatin Oral Suspension USP, 100,000 USP Nystatin Units per mL, is available as a fruit flavored, light creamy yellow, ready-to-use suspension. 60 mL bottle was a calibrated dropper and 1 Pint (473 mL) bottles (0116-4026-16) Storage Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Avoid freezing."],"id":"4a2ff89a-52fe-8bf9-e063-6394a90a7f1d","indications_and_usage":["INDICATIONS AND USAGE Nystatin Oral Suspension is indicated for the treatment of candidiasis in the oral cavity."],"microbiology":["Microbiology 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."],"nursing_mothers":["Nursing Mothers 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."],"openfda":{"application_number":["ANDA062512"],"brand_name":["Nystatin Oral Suspension"],"generic_name":["NYSTATIN"],"is_original_packager":[true],"manufacturer_name":["Xttrium Laboratories, Inc."],"nui":["N0000175498","M0017172"],"package_ndc":["0116-4026-16","0116-4026-05","0116-4026-50","0116-4026-11"],"pharm_class_cs":["Polyenes [CS]"],"pharm_class_epc":["Polyene Antifungal [EPC]"],"product_ndc":["0116-4026"],"product_type":["HUMAN PRESCRIPTION DRUG"],"route":["ORAL"],"rxcui":["312055"],"spl_id":["4a2ff89a-52fe-8bf9-e063-6394a90a7f1d"],"spl_set_id":["4a670371-d373-1ba6-e063-6394a90a13b6"],"substance_name":["NYSTATIN"],"unii":["BDF1O1C72E"]},"overdosage":["OVERDOSAGE 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 )."],"package_label_principal_display_panel":["PRINCIPAL DISPLAY PANEL - 60 mL Bottle Label NDC 0116-4026-16 NYSTATIN ORAL SUSPENSION, USP (100,000 units per mL) Each mL contains: 100,000 units Nystatin, USP with the following inactive ingredients: alcohol (≤ 1% v/v), artificial wild cherry flavor, banana flavor, D&C yellow #10, FD&C red #40, glycerin, USP, magnesium aluminum silicate, methyl paraben, NF, potassium phosphate dibasic, USP, propylene glycol, USP, propylparaben, NF, purified water, USP and sucrose 33.5%. May also contain citric acid, USP for Ph adjustment. Fruit Flavored SHAKE WELL BEFORE USING Rx Only NET: 1 Pint (473 mL) USUAL DOSAGE: For infants: 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). USUAL DOSAGE: For Children and Adults: See package insert. WARNINGS: Keep this and all drugs out of the reach of children. In case of accidental overdose, seek professional assistance or contact a Poison Control Center immediately. Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. AVOID FREEZING Dispense in a tight, light-resistant container as defined in the USP. Manufactured by: Xttrium Laboratories, Inc. 1200 E. Business Center Dr. Mount Prospect, IL 60056 402616BTLLBL REV. 09-25 16 oz bottle label","PRINCIPAL DISPLAY PANEL - 5 mL Unit Dose Cup Label UNIT DOSE Delivers 5 mL NDC 0116-4026-05 NYSTATIN ORAL SUSPENSION, USP 500,000 units / 5 mL Alcohol ≤ 1% v/v SHAKE WELL Institutional Use Only Rx Only Xttrium Laboratories, Inc. Mount Prospect, IL SEE INSERT lid insert insert insert insert"],"pediatric_use":["Pediatric Use See DOSAGE AND ADMINISTRATION ."],"pharmacokinetics":["Pharmacokinetics 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."],"precautions":["PRECAUTIONS General 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 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 Teratogenic Effects 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 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. Pediatric Use See DOSAGE AND ADMINISTRATION ."],"pregnancy":["Pregnancy Teratogenic Effects 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."],"recent_major_changes":[""],"set_id":"4a670371-d373-1ba6-e063-6394a90a13b6","spl_product_data_elements":["Nystatin Oral Suspension NYSTATIN SUCROSE ALCOHOL ANHYDROUS CITRIC ACID D&C YELLOW NO. 10 FD&C RED NO. 40 GLYCERIN METHYLPARABEN POTASSIUM PHOSPHATE, DIBASIC PROPYLENE GLYCOL PROPYLPARABEN WATER MAGNESIUM ALUMINUM SILICATE NYSTATIN NYSTATIN CHERRY BANANA Light - Creamy Banana"],"spl_unclassified_section":["Rx Only","Rx Only Product No.: 4026 Manufactured By: Xttrium Laboratories, Inc. 1200 E. Business Center Dr. Mount Prospect, IL 60056 402616BTLLBL REV. 09-25"],"storage_and_handling":["Storage Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Avoid freezing."],"teratogenic_effects":["Teratogenic Effects 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."],"version":"1"}