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Formulas

Nystatin 200 000 IU Oral Troches

Nystatin 200,000 IU Oral Troches are square-shaped solid dosage forms intended for buccal administration. These troches are formulated to dissolve slowly in the mouth, allowing for the medication to be absorbed through the oral mucosa. This delivery method provides targeted local treatment for oral candidiasis (thrush) and other fungal infections of the mouth and throat. The troches may also be used to prevent these infections in patients with compromised immune systems. By delivering nystatin directly to the site of infection, these troches help to alleviate symptoms and eradicate fungal pathogens.

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Troches
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Formula Information

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Nystatin 200,000 IU Oral Troches are square-shaped solid dosage forms specifically compounded to dissolve slowly in the mouth, providing a sustained release of the antifungal agent nystatin. This delivery method is designed to maximize the drug's contact time with the oral mucosa, allowing for efficient absorption and targeted local treatment of fungal infections. Nystatin, a polyene antifungal antibiotic, is effective against a variety of Candida species, making these troches particularly useful in the treatment of oral thrush (oropharyngeal candidiasis), a common condition characterized by the overgrowth of Candida yeast in the mouth and throat.

The slow dissolution of the troche in the oral cavity ensures a high concentration of the medication is maintained at the site of infection, which is critical for eradicating the fungal cells. By allowing for direct application to the affected areas, these troches minimize systemic absorption, thereby reducing the potential for unwanted systemic side effects. This makes them an excellent choice for patients who require localized treatment for their oral fungal infections, or for those who may not tolerate systemic antifungal therapies well.

For prescribers considering Nystatin Oral Troches for their patients, it is important to note that the dosage and frequency of administration may vary based on the severity of the infection and the patient's overall health status. Patients should be instructed to allow the troche to dissolve slowly in the mouth without chewing or swallowing whole, to ensure the medication is delivered effectively. It is also advisable to avoid eating or drinking immediately after using the troche to maintain the drug's efficacy. As with any medication, adherence to the prescribed regimen is crucial for successful treatment outcomes.

Bayview Pharmacy's team of compounding pharmacists is dedicated to providing high-quality, customized medications to meet the unique needs of each patient. Our expertise in compounding allows us to create formulations like the Nystatin 200,000 IU Oral Troches that are not readily available in commercial products. We are committed to ensuring that patients and prescribers have access to the most appropriate and effective treatments for their specific conditions. If you have any questions about this formulation or its use in treating oral fungal infections, please do not hesitate to reach out to us for more information and guidance.

Drug Interactions

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Nystatin is an antifungal medication that is used primarily to treat fungal infections in the mouth, throat, and gastrointestinal tract. As a compounding pharmacy, we have formulated Nystatin 200,000 IU oral troches to be square-shaped solid dosage forms that dissolve slowly in the mouth. This allows for the medication to be delivered through the oral mucosa, providing targeted local treatment for conditions such as oral thrush (candidiasis). While systemic absorption is minimal with this form of administration, it is important to consider potential drug interactions.

One of the key considerations when using Nystatin oral troches is their interaction with other oral medications. Since the troches are designed to dissolve slowly in the mouth, they may affect the absorption of other concurrently administered oral drugs. Patients should be advised to space out the administration of Nystatin troches and other oral medications to minimize this risk.

Although systemic absorption of Nystatin from oral troches is low, it is still important to consider the potential for systemic interactions, especially in patients with compromised liver function or those taking medications that are hepatotoxic. Nystatin is metabolized in the liver, and while interactions are rare, they can occur with drugs that affect hepatic enzyme systems. Caution should be exercised when co-administering these medications.

Patients who are on anticoagulant therapy, such as warfarin, should be monitored for changes in prothrombin time or INR, as there have been reports of antifungal agents altering the effects of anticoagulants. Although this is more commonly associated with systemic antifungals, it is prudent to be vigilant when any new medication is introduced.

It is also important to consider the impact of Nystatin on the oral microbiome. While targeting pathogenic fungi, Nystatin may also affect the balance of non-pathogenic microorganisms in the mouth. This is generally not a concern, but for patients with underlying health conditions or those who are immunocompromised, alterations in the oral flora could potentially have broader implications.

Patients with a known hypersensitivity to Nystatin or any of the excipients in the formulation should not use these troches. Additionally, patients should be advised to report any unusual symptoms or adverse reactions while using Nystatin troches, as these could indicate an interaction or sensitivity that requires medical attention.

As with all medications, it is essential for patients to provide a complete list of their current medications, including over-the-counter drugs and supplements, to their healthcare provider to ensure that Nystatin oral troches are safe to use in their specific case. If you have any questions or concerns regarding the use of Nystatin 200,000 IU oral troches or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to both patients and prescribers.

How Does it Work

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Nystatin 200,000 IU Oral Troches are square-shaped solid dosage forms that are specifically designed to dissolve slowly in the mouth. This unique formulation allows for the gradual release of the antifungal agent nystatin, which is then absorbed through the oral mucosa. The slow dissolution of the troche ensures a prolonged contact time with the affected area, providing a targeted local treatment for fungal infections within the oral cavity.

The active ingredient, nystatin, is a polyene antifungal antibiotic that binds to sterols in the cell membranes of susceptible fungi, particularly ergosterol, which is a key component of fungal cell membranes. This binding disrupts the membrane, causing leakage of cellular contents and ultimately leading to the death of the fungal cell. Nystatin has a broad spectrum of activity against many species of yeasts and fungi, including Candida albicans, which is a common cause of oral thrush and other mucocutaneous candidiasis.

By delivering nystatin directly to the site of infection, the oral troches are effective in treating local infections in the mouth, such as oral thrush. The medication works by coming into direct contact with the infected mucosal surfaces, which is why it is important for the troche to dissolve slowly and not be chewed or swallowed immediately. This allows for a higher concentration of the drug to be in contact with the infected area for a longer period, enhancing its antifungal activity.

While the primary action of Nystatin 200,000 IU Oral Troches is local, some systemic absorption may occur. However, the systemic effects of nystatin are minimal as it is poorly absorbed from the gastrointestinal tract. This makes the troches an excellent choice for treating localized oral infections without significant systemic exposure to the medication, thereby reducing the risk of systemic side effects.

For patients and prescribers considering the use of Nystatin 200,000 IU Oral Troches, it is important to note that the effectiveness of the treatment depends on consistent use as directed, usually several times a day, until the prescribed course is completed, even if symptoms improve earlier. Patients should be advised to allow the troche to dissolve slowly in the mouth and to avoid eating or drinking anything for at least 30 minutes after using the troche to ensure maximum efficacy of the medication.

If you have any questions about Nystatin 200,000 IU Oral Troches or their use in treating fungal infections of the oral cavity, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage these disease states.

Other Uses

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Nystatin oral troches are primarily prescribed for the treatment of oral candidiasis (thrush), which is a fungal infection caused by Candida species, particularly Candida albicans. These troches, while used predominantly for the local treatment of oral thrush, may also offer some additional benefits. Due to their mode of administration and the slow dissolution in the mouth, nystatin troches can help in maintaining a consistent antifungal concentration in the oral cavity for an extended period. This can potentially provide a prophylactic benefit for individuals who are at high risk of developing oral fungal infections, such as those with compromised immune systems, including patients undergoing chemotherapy, organ transplant recipients taking immunosuppressive drugs, and individuals infected with HIV.

Beyond their antifungal properties, nystatin oral troches are sometimes used to create a protective barrier on the oral mucosa. This barrier may provide symptomatic relief for patients with minor mouth irritations or lesions. Although not their primary indication, the soothing effect that comes from the troche base can be of benefit in these cases. Additionally, the troche formulation may help to improve oral hygiene in patients who have difficulty with routine dental care, as it can aid in the mechanical removal of dental plaque due to the increased saliva production and oral movement required to dissolve the troche.

It is important to note that while there may be other uses for nystatin oral troches, their effectiveness for indications other than fungal infections has not been extensively studied. Therefore, they should be used for other purposes only under the guidance of a healthcare professional. Furthermore, nystatin troches do not have systemic antifungal effects as they work locally within the oral cavity, and they are not suitable for the treatment of systemic fungal infections.

As a team of compounding pharmacists at Bayview Pharmacy, we are dedicated to providing you with personalized medication options. If you have any questions regarding nystatin 200,000 IU oral troches, or if you're considering using this formulation for a non-traditional indication, we encourage you to reach out to us. Our expertise can help guide both patients and prescribers in making informed decisions about the potential uses and benefits of this particular medication.

Frequently Asked Questions

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What are Nystatin 200 000 IU Oral Troches used for?

Nystatin oral troches are used to treat or prevent fungal infections in the mouth, throat, and esophagus, such as oral thrush. They work by slowing the growth of fungi that cause infection.

How do I use Nystatin Oral Troches?

Place the square-shaped troche in your mouth and allow it to dissolve slowly. Do not chew or swallow it whole. Follow your healthcare provider's instructions on how often to use it, usually several times a day for a prescribed duration of treatment.

How long does it take for Nystatin Oral Troches to work?

Improvements can be seen within a few days, but the full course of treatment should be completed to ensure the infection is fully cleared, even if symptoms disappear earlier. Follow your healthcare provider’s guidance.

Can I eat or drink after using a Nystatin Oral Troche?

Avoid eating or drinking anything for at least 30 minutes after using a troche to ensure the medication has time to be absorbed through the oral mucosa and is not washed away.

What are the possible side effects of Nystatin Oral Troches?

Side effects can include mouth irritation, diarrhea, nausea, stomach pain, or an unpleasant taste in the mouth. If you experience severe reactions or symptoms persist, contact your healthcare provider promptly.

Can I use Nystatin Oral Troches if I am pregnant or breastfeeding?

While Nystatin is generally considered safe, always consult your healthcare provider before using any medication if you are pregnant or breastfeeding to discuss any potential risks.

Will Nystatin Oral Troches affect my other medications?

It is unlikely, as absorption into the bloodstream is minimal. However, you should always inform your healthcare provider of all over-the-counter and prescribed medications you are taking to avoid any possible interactions.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember unless it is almost time for your next dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not double up doses to make up for a missed one.

How should I store Nystatin Oral Troches?

Store in a cool, dry place away from light and moisture. Keep the medication out of reach of children and pets. Do not use past the expiration date or if the packaging is damaged.

Can children use Nystatin Oral Troches?

Yes, but dosage and administration for children may vary from adults. It is important to follow the healthcare provider’s instructions precisely for younger patients.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.