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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