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Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

Nystatin pastilles discontinued

Nystatin pastilles (Nystan®) have been discontinued for commercial reasons.

This product has been out of stock recently and supplies are already difficult to source.

Alternative products include:

  • Nystatin Oral Suspension
  • Amphotericin Lozenges
  • Miconazole Oral Gel

Action: Clinicians should make an early switch to alternative treatments to ensure that there are no delays to treatment initiation.

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20 Comments to “Nystatin pastilles discontinued”

  1. Can we use this product for candida infection on private parts?

    Comment by Namo — August 30, 2022 #
    Reply

    1. @Namo,

      If you can source it, yes, it will work for that. But here in the UK there are more easily available alternatives.

      Comment by Matthew Robinson — August 30, 2022 #
      Reply

      1. Do we get this in India or any other alternative?

        Comment by Namo — August 30, 2022 #
        Reply

        1. @Namo,

          A local healthcare professional such as a doctor or pharmacists is in a better position to answer that question for you.

          Comment by Matthew Robinson — August 31, 2022 #
          Reply

      2. @Namo and @Matthew Robinson,
        Thank you Matthew Robinson. However, there are no easily available alternatives as GPs are not allowed to prescribe Nystatin [vaginal] tablets any more. They refer patients to sexual health clinics, which are over-subscribed and overworked, with the result that patients are never seen in time to get their conditions treated when they manifest themselves. The only 'alternatives' [Canesten or Gyno-Daktarin] are not really alternatives for many Candida albicans sufferers.

        Comment by Dr Rahner — November 25, 2022 #
        Reply

        1. @Dr Rahner,

          Alternative selection when a product is unavailable or discontinued always poses challenges. Here in the UK, oral fluconazole or itraconazole are widely available and present possible alternative treatment options for Candida albicans.

          Comment by Matthew Robinson — November 26, 2022 #
          Reply

  2. I am taking the liquid. Is this safe to use daily mouth wash? Will it harm my teeth?

    Comment by Janice Derenda — August 16, 2022 #
    Reply

    1. @Janice Derenda,

      You shouldn't need to use an anti fungal mouth wash daily unless specifically advised by a healthcare professional. This product may contain sugar so over long periods may contribute to tooth decay.

      Comment by Matthew Robinson — August 18, 2022 #
      Reply

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