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1 May 2026Oral drugs

Nystatin oral

Nystatin oral suspension guidance for mild oropharyngeal candidiasis, with between-meal use and local administration advice.

This guide page is for structured reference only and does not replace a clinician, pharmacist, or emergency review. Dose choice, route choice, interactions, and safety decisions still need professional judgment.

Therapeutic action

Antifungal.

Indications

Mild oropharyngeal candidiasis.

Forms and strengths

  • 100,000 IU/ml oral suspension, bottle with calibrated dropper.

Dose and duration

The oral suspension should be retained in the mouth for a few minutes before swallowing, or, in young children, applied to the tongue and the inside of the cheeks.

  • Child and adult: 100,000 IU 4 times daily, corresponding to 1 ml of oral suspension 4 times daily, for 7 days.

Contra-indications, adverse effects, precautions

  • Take between meals, for example at least 30 minutes before eating.
  • Shake oral suspension well before using.
  • Pregnancy: no contra-indication.
  • Breast-feeding: no contra-indication.
  • For moderate to severe oropharyngeal candidiasis and oesophageal candidiasis, oral fluconazole is the first-line treatment.

Source

MSF Essential drugs practical guidelines (January 2026)

This page reproduces the structured reference information for this batch while leaving out the Storage and Remarks sections.

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