Compound
Film-coated tablets | 1 table |
nystatin | 250000 units |
500000 units | |
excipients: milk sugar; basic magnesium carbonate; OPMC; calcium stearate; potato starch; MC−16; titanium pigment dioxide; twin 80; Trolein O; Vaseline oil; vanillin |
in dark glass jars or polymer jars, 20 pcs.; in a cardboard pack 1 jar.
Suppositories for rectal use | 1 sup. |
nystatin | 250000 units |
500000 units | |
excipients: parahydroxybenzoic acid propyl ester; food grade citric acid; Vaseline oil; vitepsol H-15; vitepsol W−35 |
in a blister pack 5 pcs.; in a cardboard pack 2 packs.
Vaginal suppositories | 1 sup. |
nystatin | 250000 units |
500000 units | |
excipients: parahydroxybenzoic acid propyl ester; food grade citric acid; vitepsol N−15; vitepsol W−35 |
in a blister pack of 5 pcs.; in a cardboard pack 2 packs.
Ointment | 1 g |
nystatin | 100000 units |
excipients: anhydrous lanolin; Vaseline medical |
in tubes of 30 g; in a cardboard pack 1 tube.
The film-coated tablets are light yellow in color, with a greenish tint, with a slight odor of vanillin; two layers are visible on the cross section.
Rectal suppositories are yellow, torpedo-shaped, with a maximum diameter of 1.2 cm.
Vaginal suppositories are yellow in color and torpedo-shaped.
The ointment is yellow or brown-yellow in color.
The main active ingredient of the ointment is the antibiotic nystatin. For ease of use, nystatin ointment is supplemented with vasilin and lanolin (fat from sheep's wool).
The medicine is packaged in aluminum tubes with a capacity of 15 grams. Each package contains 1,500,000 milligrams of the active ingredient; paraffin and lanolin are used as auxiliary components. The ointment itself is yellow in color and is available in a variety of ointments.
Its shades can periodically change from light to dark. The nystatin drug is used quite actively.
The safety of its practical use is emphasized by the instructions for use.
The main form of actual use is aluminum tubes. Each tube weighs 15 grams.
Placed in a cardboard box and supplied with instructions for practical use.
The medicine is produced under the conditions specified directly by the manufacturer during preparation for production. Release conditions imply compliance with the release form of the medicine and recommended packaging rules.
Storage is also carried out according to the attached instructions. It means keeping the medication in a dry, dark place, away from direct sunlight.
The external air temperature in the locations of this product should not exceed 27°C.
It is imperative to eliminate the possibility of exposure of the medication to fire, and should also be kept out of the hands of children.
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Features of using candles
Treating the symptoms of thrush with suppositories is a reliable and proven way to combat this pathology. However, you can cure rectal or vaginal thrush only if you know how to properly administer suppositories.
Rectal
In order for suppositories with Nystatin to be beneficial and easier to use, it is necessary to maintain the correct storage temperature - in the refrigerator (not higher than 5°C). Suppositories are much easier to administer if they are cool. The dosage form can be administered while standing or lying on your side.
Algorithm of actions when introducing suppositories:
- Take a shower and wash your hands thoroughly before handling. You can treat them separately with a disinfectant. It would also be good to cool them a little - hold them under running cold water or pick up an ice pack (this will help the candle melt more slowly during the procedure).
- The patient should take a comfortable position, and then open 1 suppository. As a rule, at the base of the “torpedo” you need to pull the solder in different directions or you can use scissors.
- All movements must be performed quickly so that the medicine does not leak in your hands. It is necessary to spread the buttocks and insert the candle (sharp end) to the depth of the index finger. After this, the sphincter must be squeezed and lie there for several minutes.
- Before inserting the suppository, to facilitate the process. You can lubricate the anus with Vaseline, fatty oil or baby cream. It is important to avoid sudden movements so as not to damage the mucous membrane in the rectum during the insertion process.
- After administering the suppository, it is advisable to lie down for 30-40 minutes and refrain from bowel movements during this time. I will have the urge to go to the toilet - this is a normal physiological phenomenon. But you need to overcome yourself so that the medicine has time to be absorbed and begin to act.
READ MORE: Thrush on tonsils in adults treatment
If the candle is placed overnight, the substances that form the basis of the dosage form are almost completely absorbed. But if this is a morning application and after half an hour you need to return to your usual routine, then the foundation may begin to leak.
The base of rectal suppositories usually contains liquid or white soft paraffin, petroleum jelly, animal fat or something else. Once in the rectum at a temperature of 36.6 - 37.0 °C, they begin to melt and gradually leak.
Vaginal
Vaginal suppositories are produced using the same technology as rectal suppositories. Only some components of the base can distinguish them, but their storage conditions are usually the same - in the refrigerator.
Some intravaginal suppositories are administered after soaking with water, while others have special applicators. However, most vaginal suppositories, including Nystatin suppositories, are inserted without additional devices using the index finger.
Nystatin suppositories are administered twice a day - in the morning and before bedtime. After showering and douching with warm water without soap, 1 suppository is inserted with clean hands deep into the female genital tract.
Doctors recommend abstaining from sexual intercourse throughout the entire therapeutic course. This will protect against re-infection.
Quite often, representatives of the stronger sex do not show symptoms of the disease, but they remain carriers and infect their sexual partners. If one of the partners has symptoms of candidiasis, both should be tested and treated.
Storage and release conditions
Candidiasis of the mucous membranes (including the vagina, rectum and lower intestines), skin and internal organs; prevention of candidiasis during long-term treatment with antibacterial agents, especially in depleted and weakened patients.
In a dry place, protected from light, at a temperature not exceeding 5 °C.
Keep out of the reach of children.
ointment for external use 100,000 units/g - 3 years.
film-coated tablets 250,000 units - 2 years.
film-coated tablets 500,000 units - 2 years.
rectal suppositories 250,000 units - 2 years.
rectal suppositories 500,000 units - 2 years.
vaginal suppositories 250,000 units - 2 years.
vaginal suppositories 500,000 units - 2 years.
Do not use after the expiration date stated on the package.
Other forms of release
Manufacturers of the antifungal agent produce alternative forms: topical cream and oral tablets. The use of an ointment substance is recommended for women with candidal vaginitis and men for the treatment of balanitis and balanoposthitis. The cream can also be used against fungal infections of the skin.
Nystatin tablets for thrush are prescribed when Candida pathogens spread through the gastrointestinal tract, and reviews of this use of the drug are positive. Patients are satisfied with the results of treatment and the availability of the chosen medicine. An oral remedy is often used for prophylactic purposes, for example, during a course of antibiotics.
Vaginal suppositories are effective against the pathogens Candida and Aspergillus, as well as some other yeast-like fungi.
Synonyms of nosological groups
Category ICD-10 | Synonyms of diseases according to ICD-10 |
B37 Candidiasis | Visceral candidiasis |
Invasive candidiasis | |
Laryngeal candidiasis | |
Candidiasis of the gastrointestinal tract | |
Candidiasis of the skin and mucous membranes | |
Candidiasis of mucous membranes and skin | |
Candidiasis of the mucous membranes | |
Candidiasis due to Candida albicans | |
Candidomycosis | |
Acute pseudomembranous candidiasis | |
Chronic forms of candidiasis | |
B37.2 Candidiasis of the skin and nails | Fungal paronychia |
Fungal eczema | |
Fungal dermatoses | |
Fungal diseases of smooth skin | |
Fungal infections of smooth skin | |
Fungal infections of smooth body skin | |
Fungal nail infections | |
Yeast skin infection | |
Skin candidiasis | |
Candidiasis of the skin and mucous membranes of the mouth and pharynx | |
Candidiasis of the skin of the nail folds | |
Candidiasis of the nail folds | |
Nail candidiasis | |
Candidiasis with damage to the skin and mucous membranes | |
Candidiasis of mucous membranes and skin | |
Candidal paronychia | |
Candidomycosis of the skin | |
Skin candida infections | |
Cutaneous candidiasis | |
Interdigital fungal erosion | |
Mycotic dermatitis | |
Paronychia candidiasis | |
Superficial form of skin candidiasis | |
Superficial candidiasis | |
Superficial nail candidiasis | |
Superficial mycosis of the skin | |
Chronic skin candidiasis | |
B37.3 Candidiasis of the vulva and vagina (N77.1*) | Vaginal candidiasis |
Vaginal candidiasis | |
Vulval candidiasis | |
Vulvovaginal candidiasis | |
Vulvovaginal candidiasis | |
Vulvovaginitis candidiasis | |
Vulvovaginitis mycotic | |
Fungal vaginitis | |
Vaginal candidiasis | |
Candidiasis of internal organs | |
Genitourinary candidiasis | |
Candidiasis of the genitourinary organs in women | |
Candidiasis with damage to the skin and mucous membranes | |
Candidiasis of the mucous membranes | |
Candidiasis of mucous membranes and skin | |
Candidal vaginitis | |
Candidiasis vulvitis | |
Vulvovaginal candidiasis | |
Colpitis of fungal etiology | |
Vaginal thrush | |
Moniliasis vulvovaginitis | |
Acute vaginal candidiasis | |
Acute mycosis of the vagina | |
Superficial candidiasis of the genital mucosa | |
Recurrent vaginal candidiasis | |
Recurrent vaginal candidiasis | |
Urogenital candidiasis | |
Chronic vaginal candidiasis | |
Chronic candidiasis of the mucous membranes | |
Chronic recurrent vaginal candidiasis | |
B37.4 Candidiasis of other urogenital sites | Genital candidiasis |
Genitourinary candidiasis | |
Candidiasis of the mucous membranes | |
Candidal balanitis | |
Candidiasis balanoposthitis | |
Candiduria | |
Superficial candidiasis of the genital mucosa | |
Urogenital candidiasis | |
B37.8 Candidiasis of other sites | Fungal diseases of the larynx |
Fungal infections of the conjunctiva | |
Fungal infections of the cornea | |
Disseminated candidiasis | |
Candidiasis of internal organs | |
Intestinal candidiasis | |
Perianal candidiasis | |
Candidiasis of the esophagus | |
Candidiasis of the rectum and lower intestine | |
Candidiasis of the mucous membranes of the esophagus | |
Candidomycosis of mucous membranes | |
Mycotic jam | |
Mycotic eczema | |
Mycotic dermatitis | |
Non-invasive intestinal candidiasis | |
Chronic candidiasis of the mucous membranes | |
Esophageal candidiasis |
Areas of use
Nystatin-based drugs can be used in the following cases:
- candidal infection of the skin and mucous membranes;
- candidiasis of internal organs (intestines, lungs, spleen, brain, heart, lymph nodes);
- prevention of generalized candidiasis in patients who take antibacterial drugs for a long time, undergo courses of radiation therapy, or have a reduced immune status for other reasons;
- genital candidiasis in both sexes;
- prevention of secondary fungal infection in the period after surgery and during local treatment with antimicrobial agents.
“Thrush in men, which in medical circles is called infectious balanitis (inflammation of the glans penis) or balanoposthitis (the inner layer of the foreskin is attached to the glans), is also successfully treated with antifungal ointments, including Nystatin.”
READ MORE: Can a man get thrush from a woman?
pharmachologic effect
Combined practical use with other methods of treating skin diseases shows a fairly high-quality effect. No similar effects were found, the combined effect is mild and painless.
The drug in combination with other components for the treatment of skin diseases only enhances its effect, additionally providing relief from swelling, skin irritations and mucosal lesions.
Fungal infections are more effectively eliminated when this composition is used in combination with other methods of therapy.
Numerous practice of use does not indicate any significant adverse reactions from use.
Some of those noted include:
- allergic rashes due to individual intolerance by the patient’s body to individual components of the product;
- redness of the skin in areas of use;
- nausea when the recommended dosage of application is exceeded;
- pain in the areas where the medication is applied in case of irrational use;
- increase in the patient's body temperature after application.
If significant side effects are observed during use, it is recommended to immediately stop treatment with this ointment, or reduce the dosage of use.
In each case, you should consult your doctor in order to subsequently avoid undesirable results from the treatment.
The action of the pharmaceutical drug is aimed at combating the infectious fungus candida and the microorganism aspergillosis. The medication destroys the cell membranes of the infectious agent, which leads to the death of the entire cell. As a result, the pathogenic microorganism dies.
By binding to sterols in the cell wall of fungi, it disrupts its permeability, which leads to the release of the main components of the cell. Active against yeast-like fungi of the genus Candida, incl. Candida albicans. Does not have cumulative properties.
Nausea, vomiting, diarrhea, sometimes fever, chills. There may be a risk of spread of resistant forms of fungi (requires discontinuation of the drug).
With simultaneous use of nystatin with clotrimazole, the activity of the latter decreases.
Category ICD-10 | Synonyms of diseases according to ICD-10 |
B37 Candidiasis | Visceral candidiasis |
Invasive candidiasis | |
Laryngeal candidiasis | |
Candidiasis of the gastrointestinal tract | |
Candidiasis of the skin and mucous membranes | |
Candidiasis of mucous membranes and skin | |
Candidiasis of the mucous membranes | |
Candidiasis due to Candida albicans | |
Candidomycosis | |
Acute pseudomembranous candidiasis | |
Chronic forms of candidiasis | |
B37.2 Candidiasis of the skin and nails | Fungal paronychia |
Fungal eczema | |
Fungal dermatoses | |
Fungal diseases of smooth skin | |
Fungal infections of smooth skin | |
Fungal infections of smooth body skin | |
Fungal nail infections | |
Yeast skin infection | |
Skin candidiasis | |
Candidiasis of the skin and mucous membranes of the mouth and pharynx | |
Candidiasis of the skin of the nail folds | |
Candidiasis of the nail folds | |
Nail candidiasis | |
Candidiasis with damage to the skin and mucous membranes | |
Candidiasis of mucous membranes and skin | |
Candidal paronychia | |
Candidomycosis of the skin | |
Skin candida infections | |
Cutaneous candidiasis | |
Interdigital fungal erosion | |
Mycotic dermatitis | |
Paronychia candidiasis | |
Superficial form of skin candidiasis | |
Superficial candidiasis | |
Superficial nail candidiasis | |
Superficial mycosis of the skin | |
Chronic skin candidiasis | |
B37.3 Candidiasis of the vulva and vagina (N77.1*) | Vaginal candidiasis |
Vaginal candidiasis | |
Vulval candidiasis | |
Vulvovaginal candidiasis | |
Vulvovaginal candidiasis | |
Vulvovaginitis candidiasis | |
Vulvovaginitis mycotic | |
Fungal vaginitis | |
Vaginal candidiasis | |
Candidiasis of internal organs | |
Genitourinary candidiasis | |
Candidiasis of the genitourinary organs in women | |
Candidiasis with damage to the skin and mucous membranes | |
Candidiasis of the mucous membranes | |
Candidiasis of mucous membranes and skin | |
Candidal vaginitis | |
Candidiasis vulvitis | |
Vulvovaginal candidiasis | |
Colpitis of fungal etiology | |
Vaginal thrush | |
Moniliasis vulvovaginitis | |
Acute vaginal candidiasis | |
Acute mycosis of the vagina | |
Superficial candidiasis of the genital mucosa | |
Recurrent vaginal candidiasis | |
Recurrent vaginal candidiasis | |
Urogenital candidiasis | |
Chronic vaginal candidiasis | |
Chronic candidiasis of the mucous membranes | |
Chronic recurrent vaginal candidiasis | |
B37.4 Candidiasis of other urogenital sites | Genital candidiasis |
Genitourinary candidiasis | |
Candidiasis of the mucous membranes | |
Candidal balanitis | |
Candidiasis balanoposthitis | |
Candiduria | |
Superficial candidiasis of the genital mucosa | |
Urogenital candidiasis | |
B37.8 Candidiasis of other sites | Fungal diseases of the larynx |
Fungal infections of the conjunctiva | |
Fungal infections of the cornea | |
Disseminated candidiasis | |
Candidiasis of internal organs | |
Intestinal candidiasis | |
Perianal candidiasis | |
Candidiasis of the esophagus | |
Candidiasis of the rectum and lower intestine | |
Candidiasis of the mucous membranes of the esophagus | |
Candidomycosis of mucous membranes | |
Mycotic jam | |
Mycotic eczema | |
Mycotic dermatitis | |
Non-invasive intestinal candidiasis | |
Chronic candidiasis of the mucous membranes | |
Esophageal candidiasis |
Reviews about the application
The use of vaginal and rectal suppositories Nystatin is characterized by appropriate reviews. Among the numerous opinions you can find positive and negative examples of the use of the drug.
If Nystatin suppositories are prescribed by a doctor, then you should not rely on the life experience of experienced patients, since each person’s body is individual. When self-medicating, which is not uncommon for modern busy people, on the contrary, it is recommended to learn about the antifungal agent from other people.
Patients are skeptical about the drug Nystatin. Calling its cost a significant plus, women may doubt the effectiveness of the medication. However, not in all cases cheap means bad.
Review from Irina, 28 years old.
“I had to treat thrush often and to no avail. An exacerbation of the disease occurred with the slightest hypothermia and a cold. Having tried many medications, I decided to try my luck and bought Nystatin.
Imagine my surprise when the candles showed an effect already on the second day of use. I needed two packs of suppositories for the course, but it was worth it. Thrush doesn’t bother me anymore.”
Review from Natalia, 21 years old.
“When using Nystatin suppositories for thrush, an unpleasant sensation occurs in the vagina. The itching and burning pass quickly, but then the medicine flows out slowly and for a long time. This process causes discomfort, especially when outside the home.
Review from Lyudmila, 35 years old.
“Nystatin suppositories turned out to be a useless medicine for me. The doctor prescribed the drug for 10 days, but already on the first day I felt better: the vaginal itching disappeared and the discharge went away. I finished taking one pack of the drug.
Medical opinion
Doctors are neutral about the drug, saying there is no possibility of predicting the outcome of treatment in advance. Doctors say that the antifungal agent is effective against certain types of yeast-like microorganisms.
If thrush in women is caused by other subspecies of fungi, then Nystatin suppositories will be ineffective. Also, the lack of treatment results raises doubts about the correct use of the medication.
Medical opinion regarding Nystatin suppositories is unanimous in the following:
- before prescribing the drug, it is necessary to conduct laboratory diagnostics of vaginal secretions and find out what pathogen causes thrush;
- if the patient has concomitant diseases (bacterial vaginosis), then it is necessary to use additional medications (antibiotics, antiseptics and antiprotozoal agents) together with Nystatin;
- the course of treatment with the drug must be completed completely;
- during the treatment period it is necessary to adhere to a diet, wear loose underwear and maintain intimate hygiene;
- examination and treatment should be carried out at the first symptoms of the disease, and not wait until it becomes chronic.
Doctors recommend using other medications for thrush if the disease is caused by microorganisms that are insensitive to Nystatin.
Numerous positive reviews about their use as a treatment for thrush will help you verify the effectiveness of nystatin suppositories.
Nystatin is a fairly safe remedy for the treatment of various forms of candidiasis, which has proven its effectiveness for many years. However, contraindications should be taken into account and closely monitored for possible side effects while taking the medication.
Pharmacology
Nystatin is usually classified as a group of polyene antibiotics with a pronounced antifungal effect. When reacting with a fungal infection, it has an extremely destructive effect on the cell membrane.
It is used as an option for effective treatment of candidiasis and skin mucous membranes. It is also actively used as a means to prevent such diseases.
The drug has a pronounced yellow color; it is not subsequently absorbed by the skin pores, mucous membranes, or by the constant systemic blood flow.
Rectal and intravaginal treatment involves using this composition twice a day. Before use, please study the attached instructions for practical use.
What do you need to remember?
- Nystatin contains a substance of the same name that destroys yeast-like fungi.
- They produce drugs for local and systemic action.
- Prescribed for candidiasis pathologies of any localization and for the prevention of thrush while taking antibiotics.
- Use strictly according to the regimen recommended by the doctor and taking into account the requirements of the instructions.
- The course is not interrupted during menstruation; it is prescribed to pregnant women according to strict medical indications.
- Nystatin is effective if the fungus is sensitive to the substance nystatin, and the patient complies with the therapy regimen.
- The medicine often causes irritation of the mucous membranes and digestive disorders.
- For children and pregnant women, thrush is treated under the strict supervision of doctors.
https://youtu.be/722aBM0XIrU
Literature:
- Mashkovsky, M.D. Medicines: a manual for doctors: in 2 books. Book 2 / M.D. Mashkovsky. — 7th ed., revised. and additional - M.: Medicine, 1972.-648 p.
- Regulations for the production of nystatin. All-Union technol. Research Institute of Antibiotics and Enzymes, St. Petersburg. -1993.
- Vetlugina, JI.A. Antifungal polyene antibiotics / JI.A. Vetlugina, E.T. Nikitina. Alma-Ata: “Science” of the KazSSR, 1980. - 248 p.
- Applied pharmacoepidemiology / Ed. acad. RAMS V.I. Petrova. M.: Geotar-Media, 2008. - 380 p.
- Kisina V.I. Primary and recurrent vulvovaginal candidiasis: pathogenesis, therapy, prevention // Gynecology. 2003. - No. 5. -WITH. 185-187
- Rakhmatulina M.R. New possibilities for the treatment of urogenital infectious diseases // Farmateka. 2007. - No. 10. — P. 26-31.
- Rational pharmacotherapy in obstetrics and gynecology: A guide for practicing physicians / Ed. ed. IN AND. Kulakova, V.N. Serova. M.: Litterra, 2005. - 1152 p.
- Serov V.N., Shapovalenko S.A. Rational therapy of vulvovaginitis of mixed etiology and prevention of relapses // Breast Cancer. 2003. - No. 16. - pp. 946-950.
- Strachunsky JI.C., Kozlov S.N., Rachina S.A. Pharmacoepidemiology: basic concepts and practical application // Clinical pharmacology and therapy. 2001. - T. 10, No. 4. - P. 35-40.
- Tikhomirov A.JL, Oleinik Ch.G. Modern treatment of vulvovaginal candidiasis // Breast cancer. 2001. - No. 6. — P. 227-231
Nystatin ointment: instructions for use for thrush
The ointment is not absorbed into the mucous membranes and skin, but this does not mean that the drug does not work well. The areas affected by the fungus should be smeared twice a day for 10 days.
Since Nystatin ointment is based on the antibiotic of the same name, it is not recommended to use it for longer than the specified period.
The main way to use this composition in practice is to rub it into the affected area. It is necessary to rub in with massaging movements counterclockwise or in its direction.
The frequency of use is determined by the instructions for use and the instructions of the physician conducting the therapy.
This achieves a good preventive effect of the subsequent spread of unpleasant sensations.
Fungal activity can be caused by taking antibiotics (especially with a broad spectrum of action), injuries (skin and mucous membranes), and poor hygiene. At risk: patients with bacteriosis, diabetes mellitus, metabolic disorders, chronic infections, etc. The effect of the drug is highly active against pathogenic fungi.
Nystatin is prescribed for thrush - this is one of the most popular drugs. The disease is fungal and dysbacteriotic, affecting the mucous membrane of the oral cavity and genital organs. Nystatin ointment for thrush is prescribed by a doctor when the first signs appear: severe itching, discharge (cheesy), redness of the infected areas. Nuances:
- Nystatin ointment for thrush is applied externally to the affected areas twice a day.
- The use of Nystatin is recommended for a period of at least 10 days.
- When treating thrush, alcohol is completely avoided.
- Treatment of thrush with Nystatin in women must be carried out in courses.
Women are more susceptible to this disease. Thrush often occurs during pregnancy, when hormonal changes occur in the body, and dysbacteriosis is common. Gynecology in the treatment of fungal diseases uses Nystatin in the form of ointments, tablets, and suppositories are placed vaginally. A man can also get thrush, and married couples are recommended to undergo treatment at the same time. If, after completing the course, the thrush does not go away, you need to consult a doctor for additional research and determination of the disease.
A newborn baby is at risk of candidiasis. Infection can occur in utero and postnatally. Infantile candidiasis manifests itself in infants in the form of diaper rash in the groin, axillary area, or looks like irritation on smooth areas of the skin (forehead, back). For children six months of age, the most common type of thrush is oral thrush. It appears from the inside of the cheeks, on the gums and lips in the form of spots that look like cottage cheese.
Nystatin ointment for children is used only externally, after consultation with a pediatrician. For the treatment of newborns and infants, it is better to use drops or tablets diluted with vitamin B12. You need to start treatment immediately after symptoms are detected; you need to help the child’s body quickly, otherwise the infection will reach the baby’s stomach. Do not use ointment to treat a child's mouth!
The effect of the nystatin drug in the treatment of damaged oral tissues is determined by its antibacterial effect. Nystatin ointment helps with stomatitis because it covers the affected areas with a protective film, localizing the infection and preventing the development of complications. An antifungal drug is prescribed by a doctor and is used only by adult patients.
Inside, regardless of food intake. Adults: 500,000 units 4–8 times a day. For generalized candidiasis, the daily dose is increased to 6,000,000 units. Children aged 1 to 3 years - 250,000 units 3-4 times a day, over 13 years - 250,000-500,000 units 4 times a day. The course of treatment is 10–14 days. If necessary, the course can be repeated after a week.
Rectally, deep into the rectum, 1 suppository 2 times a day (morning and evening). The course of treatment is 10–14 days. The duration of treatment and the need for repeated courses is determined by the doctor.
Vaginally, after hygienic procedures - 250,000–500,000 units 2 times a day (morning and evening). The course of treatment is 10–14 days.
Locally, the ointment is applied in a thin layer to the affected areas of the skin and mucous membranes 1–2 times a day, daily for 7–10 days. Can be combined with taking the drug orally.
How effective is the drug?
Nystatin belongs to the group of polyene antibiotics, the principle of which is to stop the synthesis of sterols in fungal cells (in particular, those belonging to the genus Candida), which leads to the destruction of cell membranes and the death of harmful microorganisms.
As a result, Nystatin causes a slowdown in the proliferation of fungi and their gradual effective destruction. At the same time, the drug has an exclusively selective effect, aimed only at fungi, therefore, during the treatment, other flora and microorganisms are not affected. Nystatin helps against thrush, causing minimal harm to healthy cells.
The main forms of release of the product are tablets and vaginal (and rectal) suppositories, as well as ointment for external use. The doctor can prescribe any form of the drug depending on the indications and severity of symptoms.
The concentration of the main substance in each form of the product is different, in particular:
- Suppositories (both vaginal and rectal) contain from 250,000 to 500,000 units of active ingredient. One package contains 10 suppositories.
- The concentration of the substance in tablets is the same as in suppositories, 250 - 500 thousand units, but the number of tablets in the package may vary.
- In 1 g. ointment contains about 100,000 units of substance. Tubes can have different weights.
The drug has a very effective effect on pathogenic yeast-like fungi, primarily those that belong to the genus Candida and cause various types of thrush.
The product has a strictly selective effect, destroying only fungi, so other microorganisms that are beneficial and make up the normal flora are not destroyed. Thus, Nystatin does not cause dysbiosis and other complications, which distinguishes it from other antibiotics in this group.
Thrush of various types can be treated with Nystatin, including not only on the genitals, but also on the surface of the skin, mucous membranes and even in internal organs: in the lungs, in the gastrointestinal tract or in the kidneys; Nystatin is also used for candidiasis of the mouth, larynx and tonsils.
In some cases, Nystatin is also prescribed as a prophylaxis for candidiasis, for example, in cases of severe weakening of the immune system, exhaustion of the body, or long-term treatment with antibiotics, especially those belonging to the penicillin group.
A varied form of release of Nystatin allows you to treat thrush in people of any age and gender, regardless of the location of candidiasis.
Modern pharmacology offers an incredibly extensive list of all kinds of drugs for thrush in a variety of forms. Pharmacies offer many options for combination treatment with drugs of the same name, since almost every name contains not only tablets or capsules for internal use, but also ointments, creams, gels, vaginal suppositories, as well as powders for preparing suspensions, syrups and solutions.
Of course, not every remedy is presented in such a wide variety of dosage forms, but almost all, like Nystatin, can be used in the form of tablets, ointments and suppositories.
Some drugs of a number of polyene antibiotics can be called analogues of Nystatin, for example: Natamycin and Levoy.
Several imidazole agents can also be classified as analogues, in particular: Miconazole, Ketoconazole, Clotrimazole.
Some triazoles are also analogues of Nystatin, for example: Itraconazole and Fluconazole.
There are 4 pharmacological forms on sale: vaginal and rectal suppositories, ointment, tablets. In our specific case, we will analyze in detail the last option.
The active substance is active against fungi of the genus Candida and Aspergillus.
There are 2 types of dosage (nystatin content) on sale: 250,000 and 500,000 units (the second is more common). Packaged in foil blisters, packed in cardboard boxes (No. 10 and No. 20), or poured into glass bottles (No. 100).
Organoleptic characteristics:
- taste – slightly bitter;
- smell – vanilla;
- yellow color;
- shape – round and slightly convex.
The indications indicate fungal infections of internal organs, skin and mucous membranes. Also prescribed for the prevention of candidiasis (while taking antibiotics).
Nystatin is contraindicated for allergy sufferers (in case of individual rejection of the components); pregnant and lactating women; people suffering from liver pathologies, pancreatitis, and peptic ulcers. Children are allowed from one year of age.
At the beginning of the publication, we mentioned the availability of Nystatin tablets for thrush; their price depends on the manufacturer. For example, a package (20 pieces, 500,000 units each), offered by Zdorovye or Borshchagovsky Chemical Plant, costs the same as a bottle (100 pieces, 500,000 units each) from Belmedpreparat - 120 rubles.
You will find how to use Clotrimazole tablets for thrush here {amp}gt;{amp}gt;.
Nystatin tablets for thrush are available in two dosages - 250,000/500,000 units. The main active ingredient of the drug is effective against yeast-like fungi Aspergillus and Candida.
Small dragees are yellow in color with a distinct vanilla smell and bitter taste.
“Nystatin” is not recommended to be combined simultaneously with taking “Clotrimazole” in any form of release, since the first significantly reduces the effectiveness of the second drug. There is no information about other drug interactions.
Recently, doctors have preferred other oral medications for the treatment of candidiasis. This is due to the fact that the antimycotic began to show less effectiveness, since the fungi have developed resistance to nystatin. In addition, the course of treatment with the drug is quite long, unlike new generation pharmaceuticals, which can cure the disease in 3-7 days.
To increase the effectiveness of the oral form of release, you should combine the antimycotic with Nystatin ointments and suppositories.
The drug is also available in the form of ointments, which is used in the treatment of balanoposthitis in men.
The antimycotic is also produced in the form of suppositories for rectal and vaginal administration for vaginal candidiasis, as well as for anal thrush.
Nystatin has no analogues for the active substance. The pharmacological action of the drug is similar to Fluconazole. This medication is considered today the most effective drug used for candidiasis.
Candidiasis is a fungal disease that affects the genitals and oral cavity. It is most common in women, but men are also susceptible to symptoms of the disease. For thrush, many doctors recommend using a medication such as Nystatin. Let’s find out in more detail what this tool is and how to use it correctly.
Nystatin and thrush are two incompatible things. This pharmacological drug fights yeast-like fungi of the genus Candida at a high level. After taking the first tablet, the medicine begins to have an effective effect. The drug forms a dense film, through which the fungus enters the cavity of this trap and quickly dies. It is effective enough that food, liquid and even urine from the vagina cannot damage its integrity.
If Nystatin is used in small quantities, this entails a slowdown in the growth of bacteria, and when a large dosage is used, they are completely destroyed. The drug is so powerful that after the first tablet the death of fungal tumors occurs. Its effectiveness has been proven by reviews of many women who use the product to treat candidiasis.
Nystatin for thrush is an effective medication that can eliminate unpleasant symptoms in just 2-3 days. But in order to overcome the disease, you need to find out what forms of release this drug has:
- suppositories for the vagina;
- suppositories for rectal use;
- ointments and creams;
- pills.
Each form of release is determined by its positive impact on a particular area of impact. For example, tablets are used for systemic treatment of an illness, and suppositories are used as a local medicine. Let's look at the forms of Nystatin in more detail.
- Tablets for thrush. They are produced in two main concentrations with 250 and 500 thousand units. These tablets are opened on top with a special protective layer that has a yellowish tint. They are used both for primary treatment and as a prophylactic agent. Used as prescribed by the doctor for the specified period. Often this course lasts from 6 to 10 days. It is forbidden to stop treatment on your own if the symptoms of the disease have disappeared, but the doctor has not yet confirmed the patient’s complete recovery. Tablets are the most popular form for removing vaginal candidiasis in women.
- Suppositories with Nystatin for thrush. They are available in two types: for vaginal and rectal use. Suppositories with nystatin for vaginal thrush are determined by the effectiveness of their effect on the mucous cavity of the genital organs. A woman receives their prescription only after the doctor has thoroughly examined the patient. Based on the data obtained from the bacterial culture analysis, the doctor prescribes an individual form of treatment for the disease. Suppositories must be administered only after taking a shower. This is necessary in order to eliminate the possibility of introducing bacteria and other pathogenic microorganisms into the vagina. The duration of therapy is 14 days. Nystatin suppositories for thrush are also recommended for use as a prophylactic drug.
- Rectal suppositories. They are used only in rare cases when the doctor determines the presence of symptoms of candidiasis in the rectum. They must be placed 2 times a day by insertion into the anus. Before the procedure, be sure to take a bath or shower. The duration of treatment is from 10 to 14 days. Suppositories called Nystatin are prohibited only for women who are breastfeeding or carrying a child within themselves.
- Ointments or cream. Prescribed as an additional means to combat candidiasis. They are applied to the surface of the vagina, thereby eliminating the possibility of new pathogenic microorganisms entering the vagina.
We suggest you familiarize yourself with Bubbles on the pubic area in women
Contraindications
The official manufacturer in the instructions for the drug indicates the following contraindications of Nystatin for women: pregnancy (especially the first trimester), breastfeeding. For all patients, the list is as follows: allergic reaction to the drug, peptic ulcer, pancreatitis, liver disease (chronic severe form).
Hypersensitivity, liver dysfunction, pancreatitis, gastric and duodenal ulcers, pregnancy.
It has some indications for practical use in accordance with the instructions for use and the recommendations of the attending physician. Depending on the specific indications, the method of application and the final dosage are determined.
The product is quite safe and has an extremely limited range of contraindications.
Basically, these include:
- pregnancy at any stage;
- breastfeeding;
- pancreatitis;
- peptic ulcers in all possible forms of manifestation;
- diseases of the liver and gastrointestinal tract;
- allergic reactions to individual components of this medicine;
- individual intolerance by the patient’s body to various components of such a drug.
There are not many contraindications to the course of treatment for thrush with Nystatin, but they should not be neglected:
- Gastric and duodenal ulcers;
- Liver dysfunction;
- Pregnancy;
- Allergic reactions to Nystatin components;
- Pancreatitis.
At the first signs of individual intolerance, treatment with Nystatin should be discontinued.
Treatment of thrush with nystatin ointment involves some limitations:
- Salty and spicy foods;
- Alcoholic drinks.
Using Nystatin and simultaneously consuming alcohol can provoke the manifestation of some side effects, for example, an allergic reaction.
During pregnancy, nystatin ointment can be used as a topical treatment for thrush. But even an ointment that is almost not absorbed into the mucous membranes and skin should be used under the supervision of a gynecologist.
How does Nystatin work?
Nystatin suppositories for thrush receive positive reviews due to the work of the active substance. The active component of the same name belongs to the group of polyene antibiotics and has pronounced antifungal effectiveness.
The medicine is effective against fungal parasites of the genus Candida. However, the drug does not have antibacterial activity. Thanks to its fungistatic effect, it inhibits the quantitative growth of opportunistic yeast-like microorganisms. What is important is that resistance to the active substance in fungi develops slowly.
The component of the same name Nystatin binds to sterol molecules located in the cell membrane of the microorganism. As a result, a channel is formed that transports electrolytes. The culmination of an increase in the concentration of the substance in the fungal cell is death.
The active substance of vaginal suppositories is not absorbed through the mucous membranes and does not accumulate in the tissues. For this reason, Nystatin suppositories can be called a safe product with a minimum number of contraindications.
Newborns
Indications for use in newly born infants may be as follows:
- Fungal infections in different places on the skin.
- Rashes on the skin layers in various parts of the body.
- Skin infections.
- Redness of the skin and some irritation.
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Nystatin tablets: what helps
The narrow therapeutic effect of the drug, the length of its proven reputation and the resistance that some types of fungus have managed to develop to the polyene antibiotic do not mean that Nystatin has stopped being used for this reason. Indications for the use of the drug apply to fungal infections, regardless of their location on the skin and mucous membranes, but it should not be used to treat viral and bacterial lesions, because viruses and bacteria are not susceptible to the main active substance of the drug. The main indication for the use of the drug is the manifestation of the vital activity and activity of yeast-like fungi of the genus Candida in the human body.
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- Candida, being a conditionally pathogenic fungus, is able to activate under the influence of provoking factors, both exogenous and endogenous, and begin pathogenic activity, leading to the development of a specific negative process, known as candidiasis. This process spreads in the body to the mucous membranes and epidermis, and the localization of the fungal infection may depend on the age or gender differences of a particular patient. Nystatin is used to suppress the vital functions and activity of the fungus, regardless of its location, and prevents the occurrence of negative consequences that develop during the period of its pathogenic productivity. Tablets with the active substance nystatin exhibit their specific effect and suppress candidiasis in the places of their development:
- on the mucous membrane of the gastrointestinal tract;
- in the oral cavity (mucosa, gums, palate and tongue);
- in the reproductive system of women;
- in the male genitourinary system;
- with the development of candidiasis from long-term antibiotic therapy;
- to prevent the development of candidiasis during operations in the intestinal cavity;
- to prevent the occurrence of mycoses in people with weakened immune systems or autoimmune diseases.
Medicines with the active ingredient nystatin, a polyene antibiotic, are produced in several dosage forms for use at the site of local damage, in hard-to-reach or inconvenient places. Suppositories with nystatin are no less common than the tablet form and are often used in gynecology and proctology.
From thrush
The use of this method for the treatment of thrush should only be carried out as prescribed by a doctor. In addition, monitoring by a doctor over the safety of its practical use is required.
If thrush occurs in women, uncontrolled use of the ointment can lead to additional irritation and negatively affect the woman’s overall health.
Nystatin ointment for thrush is a worthy competitor to the new expensive drug in terms of treatment effectiveness.
To achieve a speedy recovery, the doctor prescribes complex treatment - a combination of several forms of medication. For example, vaginal suppositories and Nystatin ointment for external treatment of infected areas.
Among women
Self-medication is not recommended. Therefore, Nystatin ointment for thrush in women is used under the strict supervision of a gynecologist. Sometimes vaginal tampons with nystatin ointment are prescribed. But more often the ointment is recommended to be used as an external remedy for treating areas affected by Candida fungus.
The location of the site of development of candidiasis also determines the place of application of the ointment - candidiasis of the genitourinary system involves lubrication of the external genitalia, and for thrush of the nipples, the ointment is applied directly to the nipples.
In men
Quite often, thrush occurs in men, which few people know or even realize. To treat candidiasis that has settled on the male penis, it is local external use that is used, in this case, nystatin ointment.
In order to increase the effectiveness of the drug, before applying the ointment, you should thoroughly clean the genital area - treat it with warm water and soap. Apply the ointment in a thin layer to the affected areas of the skin. The procedure should be repeated three times a day. The duration of treatment directly depends on the stage of development of the disease.
The acute form of thrush is treated within two weeks, the chronic form - up to three weeks. IMPORTANT: treatment of male thrush, which has already entered the chronic stage, consists of an integrated approach. That is, not only ointment is used, but also, for example, antifungal tablets for oral administration.
Treatment should be carried out together with your partner, but intimacy should be limited to exclude the possibility of re-infection.
In the mouth
Nystatin ointment is also used to treat candidiasis in the oral cavity. Thrush in the oral cavity is manifested by the appearance of ulcers with a white coating; in addition, an unpleasant odor from the mouth may appear. 5% nystatin ointment for thrush in the mouth is applied with a gauze swab. This way, the whitish coating is simultaneously removed, the ulcers are cleaned and the medicine is applied.
The procedure should be repeated twice a day. The duration of treatment depends on the condition of the oral cavity (how severely the mucous membrane is affected by the Candida fungus), as well as on how the body reacts to the drug.
Nystatin ointment is used to treat oral thrush in both children and adults. It is worth paying attention to the side effects that may appear during use:
- Vomit;
- Nausea;
- Hyperemia;
- Chills;
- Diarrhea;
- Allergy.
The appearance of such reactions is a signal that treatment with this particular medication should be stopped immediately and consult a doctor for a different medication.
In infants
Quite often, candidiasis, which is in the mother’s body, is transmitted to the child. Even if the baby did not catch this disease during childbirth (while passing through the birth canal), then during breastfeeding the fungus can still penetrate the baby’s body. Most often, the disease settles in the baby’s oral cavity.
Breastfeeding should be avoided during treatment to limit the possibility of re-infection of the baby from the mother. Nystatin is also successfully used to treat diaper rash in a child. Damaged skin areas should be treated with ointment three times a day. Relief of symptoms occurs already on the second or third day.
Prevention of re-development of thrush in infants consists of the following points:
- boiling nipples and bottles,
- ventilation of the room;
- limiting the transfer of microflora from mother to child (kissing);
- the child should spend more time without diapers;
- walks and massages.
Feedback on the use of nystatin ointment in the treatment of thrush is mostly positive; with some exceptions: for example, a greasy base sometimes stains linens or clothes. Application on the genitourinary system involves the use of panty liners. Also, online reviews note that the parasitic microorganism becomes addicted to nystatin, which means that even with the positive effectiveness of the drug for many years, sooner or later the drug will stop working and analogues will need to be prescribed for the treatment of thrush.
An indisputable advantage noted by many patients who have used Nystatin ointment is the price. Such an effective and at the same time budgetary remedy is the most popular drug against the external manifestations of thrush, both in adults and in children (infants).
Tatyana, Rostov-on-Don: any decrease in immunity is accompanied by the appearance of thrush. In these unpleasant moments, Nystatin ointment always helps. The price is good, so it is always present in my medicine cabinet.
Valentina, Omsk: the only disadvantage of Nystatin ointment for thrush is that it stains your underwear. But this drawback can be easily overcome with daily sanitary pads.
Nystatin for candidiasis in men
When treating candidiasis in men, in most cases, Nystatin ointment is used, which is applied to the head of the penis, as well as other affected areas several times a day, for a week or 10 days. Apply a small amount of ointment and rub it gently into the skin. It must be used at least 2 times a day.
Quite often a combination method of therapy is used, when local treatment is combined with the use of tablets. In case of supplementing medical therapy with tablets, Nystatin should be taken for thrush 2 to 4 times a day, in the dosage specified by the doctor. This approach significantly increases the effectiveness of treatment.
It is important to follow several rules, in particular:
- It is prohibited to drink any alcoholic beverages during the treatment period.
- During the treatment period, the consumption of spicy, very fatty, and salty foods should be avoided.
- It is necessary to stop sexual intercourse until complete recovery.
- You should more carefully observe the rules of personal hygiene, washing the genitals with special products or herbal decoctions several times a day, blotting them after the procedure with soft paper towels or napkins.
- It is important to avoid tight-fitting synthetic panties. You should (at least for the period of treatment with ointment) give preference to natural cotton loose panties.
Nystatin ointment - analogues
There are no complete analogues of Nystatin ointment (in terms of structure). There are medications with a similar mechanism of action that can be replaced, if necessary, with Nystatin cream. A full replacement is:
- Funistatin, the most effective substitute;
- Pimafucin, can replace Nystatin during pregnancy;
- Metrogil;
- Riboxin, check the dosage in the instructions.
This composition has no absolute analogues, if we take into account its composition and pronounced pharmacological action. There is a list of drugs that are similar in their composition and pharmacological effect of use.
The following substances should be included in the category of such substances:
- Metrogil;
- Pimafucin, which can be a substitute for the prescription in question during pregnancy;
- Riboxin, before its practical implementation, you should definitely clarify the principle of action in the instructions for use;
- Funistatin, which is the most effective substitute for this drug.
Compatibility with other medications and alcohol
Nystatin ointment should not be used with other local antifungal agents, especially Clotrimazole. It may reduce the therapeutic effect of these drugs.
Some patients are interested in the question: is it possible to use Nystatin and alcohol together? The compatibility of antibiotics and alcohol is poor, so it is necessary to abstain from alcoholic beverages during the course of treatment. Alcohol significantly reduces the effect of the antifungal drug. This applies to both ointments and Nystatin tablets. Side effects of the drug in the form of allergic reactions occur more often when drinking alcohol. In addition, the patient may experience a state of lethargy and drowsiness.
you can start treatment with ointment :
- for women 9 hours after drinking alcohol;
- for men 6 hours after the last dose of alcohol.
After completing the course of treatment, you must wait some time before drinking alcohol. Women can drink alcohol 12 hours after the last application of the product, and men - after 8 hours.
Price for Nystatin ointment
Despite the fact that Nystatin ranks first in the ranking for the fight against candidiasis, its price is not at all high.
As a rule, Nystatin ointment is sold in tubes weighing 15 grams. The average price per tube in Russia is about 100 rubles.
Price | Price in rubles | |
tube 15 g | tube 30 g | |
Minimum | 30.00 | 68.00 |
Average | 72.00 | 82.00 |
In online stores | 42.00 | 65.00 |
The specific cost of this product is specified upon release by the manufacturer himself. The full cost of the nystatin product is adjusted in the places of its subsequent pharmacy sale.
At the current time, the price for this medication, taking into account the existing pharmacy markup, ranges from 150 to 350 rubles per unit of packaging, depending on the specific location of the pharmacy.
Reviews and analogues
Long-term use of Nystatin ointment indicates the high effectiveness of the drug, which is reflected in positive reviews of its effectiveness as a means of external use against thrush.
They note rapid relief of itching and burning, and the absence of allergic manifestations. Many people mention the rather unpleasant smell of the ointment and the fact that when used it stains their laundry.
Unfortunately, we have to mention that over the years of using the ointment, thrush pathogens have acquired resistance to the drug, and it is effective only against sensitive forms of the fungus.
Some patients often turn to doctors with a request to prescribe them more modern medications, the use of which, in their opinion, is simpler and more convenient, and does not require a long course of use.
However, there is a large group of women who prefer Nystatin ointment.
Doctors never tire of repeating that maximum effectiveness of the drug can be expected only with a full course of treatment. You should not use it occasionally, and quit immediately as soon as the unpleasant sensations disappear. This use leads to the formation of drug-resistant forms of fungus.
There are no analogues of Nystatin for the active substance; there are drugs that are recommended for the treatment of candidiasis.
Medicines for candidiasis:
- Fungicidin
- Duphaston
- Nistafungin
- Pimafucin
- Flucostat
- Moronal
It is wrong to decide on the use of a particular drug only on the basis of positive or negative reviews. Reliable information can only be obtained from doctors.
What and how to treat candidiasis?
One of the best and most proven drugs for thrush today is Nystatin. The principle of its action is binding to sterol molecules, after which the protective membrane of the fungal cell weakens and dies. It has a particularly destructive effect on fungi of the genus Candida, which provoke candidiasis. Perhaps the only drawback of the drug is that it is poorly absorbed into the blood compared to more modern drugs. Otherwise, he is very good and quickly copes with his task. There are three types of this drug:
- Pills.
- Candles.
- Ointment.
Let's take a closer look at each of them. We will study side effects, contraindications, precautions, interactions with other medications, user reviews on the forum and average prices. Well, instructions so that you understand how to take Nystatin.