Label: NYSTATIN suspension
- NDC Code(s): 68094-599-58, 68094-599-59, 68094-599-61, 68094-599-62
- Packager: Precision Dose, Inc.
- This is a repackaged label.
- Source NDC Code(s): 60432-537
- Category: HUMAN PRESCRIPTION DRUG LABEL
- DEA Schedule: None
- Marketing Status: Abbreviated New Drug Application
Drug Label Information
Updated January 25, 2023
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- Official Label (Printer Friendly)
- SPL UNCLASSIFIED SECTION
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DESCRIPTION
Nystatin is an antimycotic polyene antibiotic obtained from Streptomyces noursei. Structural formula:
C47H75NO17 MW 926.13
Nystatin Oral Suspension, 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.
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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.
- INDICATIONS AND USAGE
- CONTRAINDICATIONS
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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
Pregnancy Category C
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.
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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.
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OVERDOSAGE
Oral doses of nystatin in excess of five million units daily have caused nausea and gastro intestinal upset. There have been no reports of serious toxic effects of super-infections (see CLINICAL PHARMACOLOGY, Pharmacokinetics).
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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 to 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.
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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.
NDC 68094-599-61
5 mL per unit dose cup
One Hundred (100) cups per shipperNDC 68094-599-62
5 mL per unit dose cup
Thirty (30) cups per shipperSHAKE CUPS WELL BEFORE USING
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SPL UNCLASSIFIED SECTION
Rx Only
Manufactured By:
Morton Grove Pharmaceuticals, Inc.
Morton Grove, IL 60053Manufactured For:
Wockhardt USA, LLC
Parsippany, NJ 07054Packaged By:
Precision Dose, Inc.
South Beloit, IL 61080For inquiries call Precision Dose, Inc. at 1-800-397-9228 or email druginfo@precisiondose.com
LI825 Rev. 06/21
- PRINCIPAL DISPLAY PANEL - 5 mL Cup Label
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INGREDIENTS AND APPEARANCE
NYSTATIN
nystatin suspensionProduct Information Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:68094-599(NDC:60432-537) Route of Administration ORAL Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength Nystatin (UNII: BDF1O1C72E) (Nystatin - UNII:BDF1O1C72E) Nystatin 100000 [USP'U] in 1 mL Inactive Ingredients Ingredient Name Strength alcohol (UNII: 3K9958V90M) D&C yellow no. 10 (UNII: 35SW5USQ3G) FD&C red no. 40 (UNII: WZB9127XOA) glycerin (UNII: PDC6A3C0OX) magnesium aluminum silicate (UNII: 6M3P64V0NC) methylparaben (UNII: A2I8C7HI9T) DIBASIC POTASSIUM PHOSPHATE (UNII: CI71S98N1Z) propylene glycol (UNII: 6DC9Q167V3) propylparaben (UNII: Z8IX2SC1OH) water (UNII: 059QF0KO0R) sucrose (UNII: C151H8M554) Product Characteristics Color YELLOW (Light creamy yellow) Score Shape Size Flavor FRUIT Imprint Code Contains Packaging # Item Code Package Description Marketing Start Date Marketing End Date 1 NDC:68094-599-62 3 in 1 CASE 12/15/2005 04/30/2024 1 10 in 1 TRAY 1 NDC:68094-599-59 5 mL in 1 CUP, UNIT-DOSE; Type 0: Not a Combination Product 2 NDC:68094-599-61 10 in 1 CASE 12/15/2005 04/30/2024 2 10 in 1 TRAY 2 NDC:68094-599-59 5 mL in 1 CUP, UNIT-DOSE; Type 0: Not a Combination Product 3 NDC:68094-599-58 5 in 1 CASE 03/02/2006 09/30/2020 3 10 in 1 BAG 3 5 mL in 1 SYRINGE, PLASTIC; Type 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.) Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date ANDA ANDA062512 12/15/2005 04/30/2024 Labeler - Precision Dose, Inc. (035886746)