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Nystatin 10/000 IU/mL Otic Liquid

FDA-approved generic
Dose form
Otic Solution
Active ingredients
Nystatin

Nystatin 10,000 IU/mL Otic Liquid is a specially formulated antifungal medication intended for the treatment of fungal infections in the ear canal. This liquid solution is designed to deliver a high concentration of Nystatin directly to the affected area, providing relief from conditions such as otomycosis. The formulation is administered using a dropper or applicator to ensure precise dosing and targeted application, promoting an optimal environment for healing and symptom alleviation. Patients are advised to use this medication as directed by a healthcare professional to effectively manage and treat fungal ear infections.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Nystatin
Otic Solution
65c3d8e56403d37c60b146cd
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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Nystatin 10,000 IU/mL Otic Liquid is a specially compounded formulation intended for the treatment of fungal infections within the ear canal. This antifungal medication works by binding to sterols in the cell membrane of susceptible fungi, altering the permeability of the cell membrane and resulting in the leakage of essential intracellular components. As a result, Nystatin disrupts the growth and replication of the fungal cells, effectively treating the infection.

The liquid dosage form is designed for otic use, meaning it is to be administered directly into the ear canal, allowing for direct contact with the site of infection. This targeted approach ensures that the medication is delivered where it is most needed, potentially reducing systemic absorption and associated side effects. The formulation is typically dispensed with a dropper or other appropriate applicator, which facilitates accurate dosing and ease of administration for the patient or caregiver.

Conditions that may be treated with Nystatin 10,000 IU/mL Otic Liquid include otomycosis, a fungal infection of the ear canal, often caused by Candida or Aspergillus species. Symptoms of otomycosis can include itching, redness, discomfort, swelling, and discharge. By eradicating the fungal infection, Nystatin can alleviate these symptoms and prevent the spread of the infection to other areas.

For optimal results, patients should follow the dosing instructions provided by their healthcare provider, which typically involve instilling a specified number of drops into the affected ear(s) several times a day for a duration determined by the severity of the infection. It is important to complete the full course of treatment to ensure the infection is fully resolved and to prevent recurrence.

Patients and prescribers should be aware that while Nystatin is generally well-tolerated, some individuals may experience side effects such as local irritation, burning, or itching. If any severe or persistent adverse reactions occur, it is important to contact a healthcare professional. Additionally, this medication should be used with caution in patients with a known hypersensitivity to Nystatin or any of the formulation's components.

Bayview Pharmacy is committed to providing high-quality, customized medications to meet the specific needs of our patients. Our team of knowledgeable compounding pharmacists is available to answer any questions or concerns regarding Nystatin 10,000 IU/mL Otic Liquid or any other compounded medications. If you have questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Nystatin is an antifungal medication that is used to treat fungal infections of the ear, such as otomycosis. When formulated as a 10,000 IU/mL otic liquid, it is intended for direct instillation into the ear canal. As a topical treatment, nystatin is not known to have systemic absorption in significant amounts, which generally results in minimal drug interactions. However, it is important to consider the potential for interactions with other topical ear preparations.

Patients should be advised to inform their healthcare provider of all the medications they are currently using, including over-the-counter drugs, prescription medications, and herbal supplements. This is particularly important if they are using other topical ear medications, as the concurrent use of multiple otic preparations may alter the efficacy of nystatin by diluting the product or changing the ear canal environment.

Additionally, if the patient is using corticosteroids in the ear, either systemically or topically, it is important to monitor for overgrowth of non-susceptible fungi or bacteria. Therefore, the use of combination therapy should be carefully considered and monitored by a healthcare provider.

It is also worth noting that while systemic interactions are unlikely with topical nystatin, patients with perforated eardrums should use this medication with caution. In such cases, there is a potential for the medication to pass into the middle ear, which could lead to systemic absorption. Although systemic effects are rare, they could theoretically interact with other medications the patient is taking.

For patients with a known hypersensitivity to nystatin or any component of the formulation, this medication should not be used. Additionally, if irritation or sensitivity develops during the course of treatment, use of the medication should be discontinued and appropriate therapy instituted.

In conclusion, while nystatin otic liquid is generally safe with minimal risk for drug interactions, it is important for patients and prescribers to consider the potential interactions with other otic preparations and the patient's overall medication regimen. If you have any questions or concerns regarding the use of nystatin otic liquid or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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When formulated as a 10,000 IU/mL otic liquid, it is intended for direct application into the ear canal. This high concentration ensures that a sufficient dose of the medication reaches the site of infection, which is essential for the treatment of fungal infections in the ear, such as otomycosis. The liquid formulation allows for the medication to coat the ear canal evenly, providing comprehensive contact with the infected area.

The way Nystatin works is by binding to sterols in the cell membrane of susceptible fungi, primarily ergosterol, which is a key component of fungal cell membranes. By binding to ergosterol, Nystatin disrupts the integrity of the fungal cell membrane, creating pores that lead to leakage of cellular contents and ultimately causing the death of the fungal cell.

For patients and prescribers considering this formulation, it is important to understand that Nystatin otic liquid is specifically designed for otic use and should not be used in other areas of the body. The liquid is typically administered using a dropper or an applicator, which allows for precise dosing and minimizes the risk of contamination. The number of drops and the frequency of application will depend on the severity of the infection and the specific instructions provided by the healthcare provider. It is crucial to follow the prescribed regimen to ensure the best possible outcome and to prevent the development of drug-resistant fungal strains.

Patients should be advised to keep the ear clean and dry during treatment and to avoid inserting any objects into the ear that could cause injury or further infection. If there is no improvement in symptoms after a prescribed period, or if symptoms worsen, patients should contact their healthcare provider for further evaluation. Additionally, patients should be informed about potential side effects, which may include ear irritation or sensitivity, and to report any adverse reactions.

For prescribers, it is important to consider the patient's medical history, including any known allergies to antifungal medications, before prescribing Nystatin otic liquid. Monitoring the patient's response to treatment and adjusting the regimen as necessary is also crucial for successful management of the infection.

If you have any questions about the Nystatin 10,000 IU/mL otic liquid formulation or its use in treating ear infections, please reach out to us at Bayview Pharmacy.

Other Uses

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The Nystatin 10,000 IU/mL Otic Liquid formulation, while primarily prescribed to treat yeast and fungal infections within the ear canal, may have additional applications beyond these primary uses. Due to nystatin's antifungal properties, this formulation might occasionally be considered for off-label use in other areas of the body where candida (a type of yeast) infections occur, as long as the areas are amenable to topical liquid application. Careful consideration and consultation with a healthcare provider are essential before using it for other purposes. Furthermore, some clinicians might explore its use to manage select dermatological conditions caused by yeast that are located near the ear or in regions where the liquid formula can be safely applied without causing irritation or harm.

In some cases, this Nystatin otic suspension may be utilized for moist, chafed skin susceptible to yeast overgrowth, particularly in skin folds. However, its use should always be guided by a healthcare provider's recommendation due to the specifics of concentration and vehicle designed for otic use, which might not be appropriate for other skin locations. The applicator design for otic administration is optimized for delivering medication into the ear, so alternative delivery methods should be considered for other affected areas.

It is of utmost importance that Nystatin stays within the scope of antifungal treatments, and it is generally not employed for bacterial or viral infections unless combined with other agents that possess the necessary antimicrobial spectrum. Patients or prescribers considering Nystatin 10,000 IU/mL Otic Liquid for alternative uses must engage in a thorough risk-benefit analysis, taking into account the individual patient's condition, the severity of the infection, and the suitability of the otic liquid formulation for the intended site. Off-label use should be closely monitored for effectiveness and potential adverse reactions attributable to the use of this formulation outside its typical indications.

For any inquiries or further guidance regarding the extended uses of Nystatin 10,000 IU/mL Otic Liquid, please reach out to us at Bayview Pharmacy. Our compounding pharmacists can provide comprehensive information on possible applications and appropriate administration methods tailored to individual patient needs. Patient safety and efficacy of treatment are paramount, and we are here to assist healthcare professionals and patients with making informed decisions about medication therapy.

Frequently Asked Questions

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What is Nystatin 10,000 IU/mL Otic Liquid used for?

Nystatin 10,000 IU/mL Otic Liquid is a medication used for treating fungal infections within the ear canal. It works by eliminating the fungus responsible for the infection and providing relief from the associated symptoms.

How is Nystatin Otic Liquid applied?

The liquid is administered directly into the ear canal using a specific ear dropper or applicator that may be provided with the medication. It's important to follow the prescribing physician's instructions for correct dosage and application frequency.

How often should I use Nystatin Otic Liquid?

The frequency of use for Nystatin Otic Liquid can vary based on the severity of the ear condition and your physician’s instructions. Typically, it is used several times a day as prescribed. Always follow the specific instructions provided with your prescription.

Can I use Nystatin Otic Liquid for a swimmer's ear?

Although Nystatin Otic Liquid is primarily used for fungal infections, it's essential to consult with your doctor to determine whether this medication is appropriate for treating swimmer's ear, which can also be caused by bacteria or other factors.

Are there any side effects when using Nystatin for ear infections?

Side effects with Nystatin are generally minimal, but some individuals may experience mild itching, redness, or a sensation of fullness in the ear. Report any severe or persistent side effects to your healthcare provider immediately.

What should I do if I miss a dose of Nystatin Otic Liquid?

If you miss a dose, apply the medication as soon as you remember unless it’s almost time for your next scheduled dose. Do not double up on doses to make up for the one missed, and return to the regular dosing schedule after application.

Can I use Nystatin Otic Liquid if I have a perforated eardrum?

Using otic preparations when there is a perforated eardrum can be risky, and therefore, it is crucial to inform your physician if you suspect you have a perforation. Your physician will determine the best treatment approach for your condition.

How long does treatment with Nystatin Otic Liquid usually last?

The duration of treatment with Nystatin Otic Liquid depends on the type and severity of the ear infection. Your doctor will provide you with a treatment plan, but typical courses may range from a few days to several weeks.

Can Nystatin Otic Liquid be used in both adults and children?

Yes, Nystatin Otic Liquid can be used by both adults and children, but the dose may vary depending on age and weight. Always follow the pediatrician's or healthcare provider's instructions for dosing in children.

Should I avoid any activities while undergoing treatment with Nystatin Otic Liquid?

Generally, normal activities can be maintained while using Nystatin Otic Liquid. However, it is advisable to avoid getting the treated ear(s) wet during the treatment period and to protect the ear from dust and other contaminants. If you are unsure about any activity, consult your healthcare provider.

How should I store Nystatin Otic Liquid?

Store Nystatin Otic Liquid at room temperature away from light and moisture, and out of reach of children and pets. Do not store it in the bathroom and be sure to keep the bottle properly sealed when not in use.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Nystatin 10/000 IU/mL Otic Liquid
Otic Solution
15 mL
controlled

Place drops into affected ear(s)

Twice daily