Nystatin and triamcinolone topical
Name: Nystatin and triamcinolone topical
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What is nystatin and triamcinolone?
Nystatin is an antifungal medicine that fights infections caused by fungus.
Triamcinolone is a steroid. It reduces the actions of chemicals in the body that cause inflammation.
Nystatin and triamcinolone topical (for the skin) is a combination medicine used to treat skin infections caused by fungus or yeast.
Nystatin and triamcinolone topical may also be used for purposes not listed in this medication guide.
Nystatin and triamcinolone side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Topical steroid medicine can be absorbed through the skin, which may cause steroid side effects throughout the body. Stop using this medicine and call your doctor if you have:
blurred vision, tunnel vision, eye pain, or seeing halos around lights;
nausea, vomiting, loss of appetite;
weight gain or loss;
muscle weakness, worsening tiredness;, a light-headed feeling (like you might pass out);
anxiety, depression, irritability; or
slow wound healing.
Also stop using nystatin and triamcinolone topical and call your doctor at once if you have:
severe skin irritation where the medicine was applied; or
signs of skin infection (swelling, redness, warmtth, oozing).
Common side effects may include:
increased hair growth;
burning or itching of treated skin;
skin dryness or irritation;
acne, skin rash;
folliculitis (redness or crusting around your hair follicles);
lightened color of treated skin;
stretch marks; or
white or "pruned" appearance of the skin (caused by leaving wound dressings on for long periods of time).
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect nystatin and triamcinolone?
It is not likely that other drugs you take orally or inject will have an effect on topically applied nystatin and triamcinolone. But many drugs can interact with each other. Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.
Before Using nystatin and triamcinolone
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For nystatin and triamcinolone, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to nystatin and triamcinolone or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Children may be especially sensitive to the effects of topical nystatin and triamcinolone combination. This may increase the chance of side effects during treatment. Therefore, it is especially important that you discuss with your child's doctor the good that nystatin and triamcinolone may do as well as the risks of using it.
Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing use of topical nystatin and triamcinolone combination in the elderly with use in other age groups, nystatin and triamcinolone is not expected to cause different side effects or problems in older people than it does in younger adults.
|All Trimesters||C||Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.|
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Interactions with Medicines
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking nystatin and triamcinolone, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using nystatin and triamcinolone with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
- Rotavirus Vaccine, Live
Using nystatin and triamcinolone with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using nystatin and triamcinolone with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Interactions with Food/Tobacco/Alcohol
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of nystatin and triamcinolone. Make sure you tell your doctor if you have any other medical problems, especially:
- Vaccinia (cowpox)
- Varicella (chickenpox)
- Other virus infections of the skin—Triamcinolone may speed up the spread of virus infections
- Tuberculosis (TB) of the skin—Triamcinolone may make a TB infection worse
Proper Use of nystatin and triamcinolone
Do not use nystatin and triamcinolone in or around the eyes.
Check with your doctor before using nystatin and triamcinolone on any other skin problems. It should not be used on bacterial or virus infections. Also, it should only be used on certain fungus infections of the skin.
Apply a thin layer of nystatin and triamcinolone to the affected area and rub in gently and thoroughly.
The use of any kind of airtight covering over nystatin and triamcinolone may increase absorption of the medicine and the chance of irritation and other side effects. Therefore, do not bandage, wrap, or apply any airtight covering or other occlusive dressing (for example, kitchen plastic wrap) over nystatin and triamcinolone unless directed to do so by your doctor. Also, wear loose-fitting clothing when using nystatin and triamcinolone on the groin area. When using nystatin and triamcinolone on the diaper area of children, avoid tight-fitting diapers and plastic pants.
To help clear up your infection completely, keep using nystatin and triamcinolone for the full time of treatment, even if your symptoms have disappeared. Do not miss any doses. However, do not use nystatin and triamcinolone more often or for a longer time than your doctor ordered. To do so may increase absorption through your skin and the chance of side effects. In addition, too much use, especially on thin skin areas (for example, face, armpits, groin), may result in thinning of the skin and stretch marks.
The dose of nystatin and triamcinolone will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of nystatin and triamcinolone. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
- For fungus infections:
- For cream dosage form:
- Adults and children—Apply to the affected area(s) of the skin two times a day, morning and evening
- For ointment dosage form:
- Adults and children—Apply to the affected area(s) of the skin two or three times a day.
- For cream dosage form:
If you miss a dose of nystatin and triamcinolone, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
For Healthcare Professionals
Applies to nystatin / triamcinolone topical: topical cream, topical ointment
Dermatologic side effects associated with topical corticosteroids have included burning, itching, irritation, dryness, folliculitis, hypertrichosis, acneiform eruptions, hypopigmentation, perioral dermatitis, allergic contact dermatitis, skin maceration, secondary infection, skin atrophy, striae, and miliaria.
Irritation may occur rarely with nystatin, which is nonsensitizing and virtually nontoxic.
One case (1% of cases studied) of acneiform eruption has been reported with the use of the nystatin-triamcinolone topical combination.[Ref]
Endocrine side effects associated with triamcinolone preparations have included adrenal suppression, hyperglycemia, and glycosuria in some individuals.[Ref]
Some side effects of nystatin / triamcinolone topical may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.