Drugs Q & A

Can I Use Nystatin And Triamcinolone Cream For Vaginal Yeast Infection?

What is a vaginal yeast infection?

A vaginal yeast infection, also known as candidiasis, is a common condition. A healthy vagina contains bacteria and some yeast cells. But when the balance of bacteria and yeast changes, the yeast cells can multiply.

Things like hormones, medicines, or changes in the immune system can make infection more likely. Other names for this infection are vaginal candidiasis, vulvovaginal candidiasis, or candidal vaginitis.

The symptoms of vaginal candidiasis include:

  • Abnormal vaginal discharge
  • Pain during sexual intercourse
  • Pain or discomfort when urinating
  • Vaginal itching or soreness

Vaginal candidiasis is often mild. However, some women can develop severe infections involving redness, swelling, and cracks in the wall of the vagina. Treating a vaginal yeast infection can relieve symptoms within a few days. In more severe cases, it may take longer.

What Is Nystatin And Triamcinolone Acetonide Cream Used To Treat?

Nystatin and triamcinolone acetonide cream is an antifungal medicine used to treat skin infections caused by fungus or yeast. Cutaneous Candidiasis is fairly common. It can involve almost any skin on the body, but most often it occurs in warm, moist, creased areas such as the armpits and groin. The fungus that most often causes cutaneous candidiasis is Candida albicans.

Candidiasis of the skin often causes a red, itchy rash to form, most commonly in the folds of the skin. This rash may also spread to other areas of the body. While the symptoms are often bothersome, they can usually be treated with improved hygiene and antifungal creams or powders.

Nystatin is in a class of antifungal medications called polyenes. It works by stopping the growth of fungi that cause infection. Triamcinolone on the other hand is in a class of medications called corticosteroids. It works by activating natural substances in the skin to reduce swelling, redness, and itching. In combination, these two medications work in synergy to treat candidiasis of the skin.

What Is Nystatin And Triamcinolone Acetonide Cream Used To Treat
candidiasis of the skin

How should I use nystatin and triamcinolone acetonide cream?

The combination of nystatin and triamcinolone comes in ointment and cream to be applied to the skin. This medication usually is applied twice a day for no longer than 2 weeks. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use nystatin and triamcinolone exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.

Wash the affected area thoroughly. Apply a small amount of cream or ointment and gently and thoroughly massage it into your skin.

If you use this medication on your face, keep it out of your eyes.

If you are using this medication on a child’s diaper area, do not place tightly fitting diapers or plastic pants on the child. They can increase the absorption of triamcinolone, which can affect the child’s growth.

How long does it take for nystatin and triamcinolone acetonide cream to work?

Nystatin and triamcinolone acetonide cream usually start to work within1-2 days, but it may take up to 1 week before the full benefit of this drug takes effect.

Can I use nystatin and triamcinolone cream for vaginal yeast infection?

No, nystatin and triamcinolone cream is for dermatological use only, do not use it for vaginal yeast infection, on your face, groin, or underarms unless directed to do so by your doctor.

If you have a vaginal yeast infection discuss it with your doctor or consult a gynecologist. Keep this medication away from your eyes, mouth, or vagina.

Nystatin and triamcinolone acetonide cream side effects

Side effects that you should report to your doctor or health care professional as soon as possible:

•          blurred vision,

•          tunnel vision,

•          eye pain,

•          seeing halos around lights,

•          nausea,

•          vomiting,

•          loss of appetite,

•          weight gain or loss,

•          muscle weakness,

•          worsening tiredness,

•          lightheadedness,

•          anxiety,

•          depression,

•          irritability,

•          slow wound healing,

•          severe skin irritation where the medication was applied, and

•          signs of skin infection (swelling, redness, warmth, oozing)

Get medical help right away, if you have any of the symptoms listed above.

The most common side effects of nystatin and triamcinolone acetonide cream include:

•          increased hair growth,

•          burning or itching of treated skin,

•          skin dryness or irritation,

•          acne,

•          skin rash,

•          redness or crusting around your hair follicles,

•          lightened color of treated skin,

•          stretch marks, and

•          white or “pruned” appearance of the skin (caused by leaving wound dressings on for long periods of time)

Tell the doctor if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of nystatin and triamcinolone acetonide cream. For more information, ask your doctor or pharmacist. This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Can children use nystatin and triamcinolone acetonide cream?

Yes, children can use nystatin and triamcinolone acetonide cream but under the supervision of a pediatrician. This is because the medication can affect your child’s growth and development. Since children have smaller bodies than adults, the same amount of medication for an adult could cause more side effects in a child. In clinical studies of a limited number of pediatric patients ranging from two months through 12 years, nystatin and triamcinolone acetonide cream formulation cleared or significantly ameliorated the disease state in most patients.

Where can I buy nystatin and triamcinolone acetonide cream?

Nystatin-triamcinolone acetonide cream is a prescription medication, meaning you need a prescription in order to purchase it because you can not buy it over the counter. Nystatin and triamcinolone acetonide cream is available in most community pharmacies and clinics. Discuss with your doctor or healthcare provider before using this medication.

Important Warnings About Nystatin And Triamcinolone Acetonide Cream

Nystatin and triamcinolone acetonide cream may weaken your immune system. It can make you more prone to getting an infection.

Don’t take this medication if you have an infection. Try to avoid people who have an infection.

Don’t take live vaccines during the time you’re using nystatin and triamcinolone acetonide cream. Ask your doctor for information.

Contact your doctor immediately if you have signs of infection such as fever, chills, and body aches.

Nystatin and triamcinolone acetonide cream can cause a severe allergic reaction in some people. Let your doctor know if you’ve ever had a reaction to corticosteroids.

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Dr. Oche Otorkpa PG Cert, MPH, PhD

Dr. Oche is a seasoned Public Health specialist who holds a post graduate certificate in Pharmacology and Therapeutics, an MPH, and a PhD both from Texila American University. He is a member of the International Society of Substance Use Professionals and a Fellow of the Royal Society for Public Health in the UK. He authored two books: "The Unseen Terrorist," published by AuthorHouse UK, and "The Night Before I Killed Addiction."
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