Label: NYAMYC- nystatin powder

  • NDC Code(s): 0832-0465-15, 0832-0465-30, 0832-0465-60
  • Packager: Upsher-Smith Laboratories, LLC
  • Category: HUMAN PRESCRIPTION DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: Abbreviated New Drug Application

Drug Label Information

Updated June 18, 2020

If you are a consumer or patient please visit this version.

  • SPL UNCLASSIFIED SECTION

    100,000 units per gram
    Rx only

    FOR TOPICAL USE ONLY • NOT FOR OPHTHALMIC USE

  • DESCRIPTION

    Nystatin is a polyene antifungal antibiotic obtained from Streptomyces nursei.

    Chemical Structure

    Nyamyc® (Nystatin Topical Powder, USP) is for dermatologic use.

    Nyamyc® (Nystatin Topical Powder, USP) contains 100,000 USP nystatin units per gram dispersed in talc.

  • CLINICAL PHARMACOLOGY

    Pharmacokinetics

    Nystatin is not absorbed from intact skin or mucous membrane.

    Microbiology

    Nystatin is an antibiotic which is both fungistatic and fungicidal in vitro against a wide variety of yeasts and yeast-like fungi, including Candida albicans, C. parapsilosis, C. tropicalis, C. guilliermondi, C. pseudotropicalis, C. krusei, Torulopsis glabrata, Tricophyton rubrum, T. mentagrophytes.

    Nystatin acts by binding to sterols in the cell membrane of susceptible species resulting in a change in membrane permeability and the subsequent leakage of intracellular components. On repeated subculturing with increasing levels of nystatin, Candida albicans does not develop resistance to nystatin. Generally, resistance to nystatin does not develop during therapy. However, other species of Candida (C. tropicalis, C. guilliermondi, C. krusei, and C. stellatoides) become quite resistant on treatment with nystatin and simultaneously become cross resistant to amphotericin as well. This resistance is lost when the antibiotic is removed.

    Nystatin exhibits no appreciable activity against bacteria, protozoa, or viruses.

  • INDICATIONS AND USAGE

    Nyamyc® (Nystatin Topical Powder, USP) is indicated in the treatment of cutaneous or mucocutaneous mycotic infections caused by Candida albicans and other susceptible Candida species.

    Nyamyc® (Nystatin Topical Powder, USP) is not indicated for systemic, oral, intravaginal or ophthalmic use.

  • CONTRAINDICATIONS

    Nyamyc® (Nystatin Topical Powder, USP) is contraindicated in patients with a history of hypersensitivity to any of its components.

  • PRECAUTIONS

    General

    Nyamyc® (Nystatin Topical Powder, USP) should not be used for the treatment of systemic, oral, intravaginal or ophthalmic infections.

    If irritation or sensitization develops, treatment should be discontinued and appropriate measures taken as indicated. It is recommended that KOH smears, cultures, or other diagnostic methods be used to confirm the diagnosis of cutaneous or mucocutaneous candidiasis and to rule out infection caused by other pathogens.

    INFORMATION FOR THE PATIENT

    Patients using this medication should receive the following information and instructions:

    1. The patient should be instructed to use this medication as directed (including the replacement of missed doses). This medication is not for any disorder other than that for which it is prescribed.
    2. Even if symptomatic relief occurs within the first few days of treatment, the patient should be advised not to interrupt or discontinue therapy until the prescribed course of treatment is completed.
    3. If symptoms of irritation develop, the patient should be advised to notify the physician promptly.

    Laboratory Tests

    If there is a lack of therapeutic response, KOH smears, cultures, or other diagnostic methods should be repeated.

    Carcinogenesis, Mutagenesis, Impairment of Fertility

    No long-term animal studies have been performed to evaluate the carcinogenic potential of nystatin. No studies have been performed to determine the mutagenicity of nystatin or its effects on male or female fertility.

    Pregnancy

    Teratogenic Effects

    Animal reproduction studies have not been conducted with any nystatin topical preparation. It also is not known whether theses preparations can cause fetal harm when used by a pregnant woman or can affect reproductive capacity. Nyamyc® (Nystatin Topical Powder, USP) should be prescribed for a pregnant woman only if the potential benefit to the mother outweighs the potential risk to the fetus.

    Nursing Mothers

    It is not known whether nystatin is excreted in human milk. Caution should be exercised when nystatin is prescribed for a nursing woman.

    Pediatric Use

    Safety and effectiveness have been established in the pediatric population from birth to 16 years. [see DOSAGE AND ADMINISTRATION].

    Geriatric Use

    Clinical studies with nystatin topical powder did not include sufficient numbers of subjects aged 65 years and older to determine whether they respond differently than younger subjects. Other reported clinical experience has not identified differences in responses between elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out.

  • ADVERSE REACTIONS

    The frequency of adverse events reported in patients using nystatin topical preparations is less than 0.1%. The more common events that were reported include allergic reactions, burning, itching, rash, eczema, and pain on application. [see PRECAUTIONS: General].

  • DOSAGE AND ADMINISTRATION

    Very moist lesions are best treated with the topical dusting powder.

    Adults and Pediatric Patients (Neonates and Older)

    Apply to candidal lesions two or three times daily until healing is complete. For fungal infection of the feet caused by Candida species, the powder should be dusted on the feet, as well as, in all foot wear.

  • HOW SUPPLIED

    Nyamyc® (Nystatin Topical Powder, USP) 100,000 units nystatin per gram is available as follow:

        Bottles of 15 g(NDC 0832-0465-15)
        Bottles of 30 g(NDC 0832-0465-30)
        Bottles of 60 g(NDC 0832-0465-60)

    STORAGE

    Nyamyc® (Nystatin Topical Powder, USP)

    Store at 20° to 25°C (68° to 77°F); excursions permitted to 15° to 30°C (59° to 86°F) [See USP Controlled Room Temperature]. Avoid excessive heat (40°C/104°F). Keep tightly closed. Keep out of reach of children.

    Nyamyc is a registered trademark of Upsher-Smith Laboratories, LLC.

  • SPL UNCLASSIFIED SECTION

    Manufactured by
    UPSHER-SMITH LABORATORIES, LLC
    Maple Grove, MN 55369

    Revised: 6/2020

  • PRINCIPAL DISPLAY PANEL - 15 gram Bottle Carton

    NDC 0832-0465-15
    Nyamyc®
    Nystatin Topical Powder, USP

    100,000 USP
    units per gram

    FOR TOPICAL USE ONLY.
    NOT FOR OPHTHALMIC USE.

    NET WT. 15 grams
    Rx only

    UPSHER-SMITH

    PRINCIPAL DISPLAY PANEL - 15 gram Bottle Carton
  • INGREDIENTS AND APPEARANCE
    NYAMYC 
    nystatin powder
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:0832-0465
    Route of AdministrationTOPICAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    NYSTATIN (UNII: BDF1O1C72E) (NYSTATIN - UNII:BDF1O1C72E) NYSTATIN100000 [USP'U]  in 1 g
    Inactive Ingredients
    Ingredient NameStrength
    TALC (UNII: 7SEV7J4R1U)  
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:0832-0465-151 in 1 CARTON05/03/2005
    115 g in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product
    2NDC:0832-0465-301 in 1 CARTON05/03/2005
    230 g in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product
    3NDC:0832-0465-601 in 1 CARTON03/09/2012
    360 g in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    ANDAANDA06518305/03/2005
    Labeler - Upsher-Smith Laboratories, LLC (809088862)