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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.
Prepared to a prescriber's order for one patient. Not FDA-approved.
Nystatin is a polyene antifungal, manufactured as oral suspension, tablets and topical products, that compounding pharmacies prepare in oral, topical and other dosage forms.
Nystatin is an antifungal in the polyene class. It binds to ergosterol, a building block of fungal cell membranes that human cells do not use, and opens pores so the fungal cell leaks and dies. It has no meaningful activity against bacteria or viruses. The manufactured oral suspension is FDA-approved for candidiasis (yeast infection) of the mouth, and LiverTox describes nystatin as a topical and oral antifungal for superficial Candida infections of skin, mucous membranes and the digestive tract. Nystatin is barely absorbed from the gut, so most of an oral dose leaves in the stool. Prescribers may order it compounded when they want a strength, base or form that is not manufactured, a sugar-free or dye-free preparation, or a combination with another topical or oral ingredient. Compounded nystatin is not FDA-approved and requires a prescription.
The manufactured oral suspension carries no boxed warning. Its label says nystatin is not for systemic (deep) fungal infections and that treatment should stop if irritation or an allergic reaction develops. The only contraindication is allergy to nystatin or another ingredient. Common side effects are diarrhea, nausea, stomach upset and bloating; mouth irritation can occur with the suspension. Rare reactions on the label include rash, hives, rapid heartbeat, wheezing and facial swelling. The label lists no drug interactions, but tell your prescriber and pharmacist about everything you take. Animal reproduction studies have not been done, so use it in pregnancy only if clearly needed. LactMed notes that because nystatin is barely absorbed by mouth, most reviewers consider it acceptable while nursing, including on the nipples, with excess cream wiped off before feeding. If side effects are severe or do not go away, talk to your prescriber or pharmacist.
Nystatin is a polyene macrolide. It binds ergosterol in the fungal membrane and forms size-selective pores, causing ion leakage, osmotic imbalance and cell death; it is fungistatic and fungicidal against many yeasts and has strong activity against Candida species. Gastrointestinal absorption is negligible, so oral dosing acts locally in the mouth and gut; measurable plasma levels have occasionally been reported in renal insufficiency or when the gut is inflamed. Nystatin oral suspension is labeled for candidiasis of the oral cavity. Published reviews describe manufactured and investigational nystatin dosage forms including powders, suppositories, ointments, tablets, vaginal products and irrigation solutions, and uses in oral, vaginal, otic and gastrointestinal candidiasis. Prescribers may order compounded nystatin in oral, topical or combination preparations for these superficial candidal indications; LactMed notes other topical agents are preferred for nipple thrush. Dosing frequency and duration per prescriber; the label advises continuing for the full prescribed course. Monitoring: clinical response, with discontinuation for sensitization or irritation. LiverTox rates nystatin an unlikely cause of clinically apparent liver injury, attributing this to its poor absorption. Not a controlled substance.
Keep the popsicle frozen until it is time for a dose and take it as your label directs. Do not share popsicles. Ask the pharmacist if you are unsure how to use it.
Store in the freezer in the original container and out of reach of children. The pharmacy sets the beyond-use date; it is printed on the label. Discard any left after that date.
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.
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.
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.
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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
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.
Eat one popsicle
