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Nystatin Ointment side effects: what 26,052 FDA adverse event reports show

Nystatin Ointment · Nystatin · 1,211 reaction terms · 124,870 drug–reaction co-reports · data 2026-09-14
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Drug class

Polyene Antifungal

FDA label (Established Pharmacologic Class) · compare the class

Brand names

Nystatin

openFDA label

Who reports

26,052 reports · 78% serious · 3,612 with death outcome · 62% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Nystatin Ointment, USP is indicated in the treatment of cutaneous or mucocutaneous mycotic infections caused by Candidaalbicans and other susceptible Candidaspecies. Nystatin Ointment, USP is not indicated for systemic, oral, intravaginal or ophthalmic use.

FDA label, Indications and Usage

What it is

DESCRIPTION Nystatin Ointment, USP is for dermatologic use. Nystatin Ointment, USP for topical use only, contains 100,000 USP nystatin units per gram, in a white petrolatum base. Nystatin is a polyene antifungal antibiotic drug obtained from Streptomyces nursei .

FDA label, Description section

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Lab value / disease marker 1No label text to screen 39
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,171 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Salpingo-oophorectomy unilateral48623.9
427.6–910.5ROR 625.1 · calibrated p 4e-14 ✓
306.8 EB05 240.7 · IC025 +5.8
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.4)
No label text to screen
label has no adverse-reaction text
serious n=48 · ♀ 100% (drug 62%)no trial arm names this drug
Total lung capacity increased96437.5
341.1–561.1ROR 439.1 · calibrated p 5e-13 ✓
267.3 EB05 225.3 · IC025 +6.5
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.3)
No label text to screen
label has no adverse-reaction text
serious n=96 · ♀ 100% (drug 62%) · 100% clinicianno trial arm names this drug
Asthma-chronic obstructive pulmonary disease overlap syndrome96182.1
145.9–227.3ROR 182.8 · calibrated p 1e-9 ✓
144.1 EB05 121.5 · IC025 +6.1
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.3)
No label text to screen
label has no adverse-reaction text
serious n=96 · ♀ 100% (drug 62%) · 100% clinicianno trial arm names this drug
Venous pressure jugular increased3071.4
49.2–103.8ROR 71.5 · calibrated p 3e-6 ✓
63.1 EB05 46.3 · IC025 +4.4
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.6–1.5)
No label text to screen
label has no adverse-reaction text
serious n=30 · ♀ 100% (drug 62%)no trial arm names this drug
Sinusitis fungal5560.3
45.9–79.3ROR 60.4 · calibrated p 6e-6 ✓
55.1 EB05 43.9 · IC025 +4.8
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.4)
No label text to screen
label has no adverse-reaction text
serious n=55 · ♀ 100% (drug 62%)no trial arm names this drug
Trichoglossia2654.4
36.6–80.9ROR 54.4 · calibrated p 2e-5 ✓
49.2 EB05 35.3 · IC025 +4.1
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.6–1.6)
No label text to screen
label has no adverse-reaction text
serious n=25 · ♀ 0% (drug 62%) · 100% clinicianno trial arm names this drug
Jaundice cholestatic17441.5
35.7–48.4ROR 41.8 · calibrated p 4e-5 ✓
39.4 EB05 34.7 · IC025 +4.9
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.2)
No label text to screen
label has no adverse-reaction text
serious n=174 · ♀ 100% (drug 62%) · 95% clinicianno trial arm names this drug
Hypomania18141.5
35.7–48.2ROR 41.8 · calibrated p 4e-5 ✓
39.3 EB05 34.7 · IC025 +4.9
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.2)
No label text to screen
label has no adverse-reaction text
serious n=181 · ♀ 100% (drug 62%) · 94% clinicianno trial arm names this drug
Chronic kidney disease-mineral and bone disorder5140.0
30.2–53.0ROR 40.1 · calibrated p 7e-5 ✓
37.6 EB05 29.7 · IC025 +4.3
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.4)
No label text to screen
label has no adverse-reaction text
serious n=51no trial arm names this drug
Nephrogenic anaemia19635.2
30.5–40.6ROR 35.4 · calibrated p 1e-4 ✓
33.6 EB05 29.9 · IC025 +4.7
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.2)
No label text to screen
label has no adverse-reaction text
serious n=196no trial arm names this drug
Female genital tract fistula6632.0
25.1–41.0ROR 32.1 · calibrated p 2e-4 ✓
30.6 EB05 24.9 · IC025 +4.2
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.3)
No label text to screen
label has no adverse-reaction text
serious n=66 · ♀ 100% (drug 62%)no trial arm names this drug
Hyperparathyroidism secondary9531.3
25.5–38.5ROR 31.4 · calibrated p 2e-4 ✓
30.0 EB05 25.3 · IC025 +4.4
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.3)
No label text to screen
label has no adverse-reaction text
serious n=95no trial arm names this drug
Oral candidiasis (oral thrush)45529.1
26.5–32.0ROR 29.6 · calibrated p 3e-4 ✓
28.1 EB05 26.0 · IC025 +4.6
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.9–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 23.0no trial arm names this drug
Pelvic mass2727.8
18.9–40.8ROR 27.8 · calibrated p 6e-4 ✓
26.5 EB05 19.1 · IC025 +3.5
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.6–1.6)
No label text to screen
label has no adverse-reaction text
serious n=27 · 100% clinicianno trial arm names this drug
Sepsis neonatal2626.8
18.2–39.7ROR 26.9 · calibrated p 7e-4 ✓
25.6 EB05 18.3 · IC025 +3.5
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.6–1.6)
No label text to screen
label has no adverse-reaction text
serious n=26 · 100% clinicianno trial arm names this drug
Candida infection (yeast infection)51825.8
23.6–28.1ROR 26.3 · calibrated p 5e-4 ✓
25.0 EB05 23.2 · IC025 +4.5
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.9–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 19.5no trial arm names this drug
Nasal polyps14925.6
21.8–30.1ROR 25.8 · calibrated p 6e-4 ✓
24.8 EB05 21.6 · IC025 +4.3
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.2)
No label text to screen
label has no adverse-reaction text
serious n=149 · ♀ 100% (drug 62%)no trial arm names this drug
Sputum increased6525.5
19.9–32.6ROR 25.5 · calibrated p 7e-4 ✓
24.6 EB05 19.9 · IC025 +4.0
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.3)
No label text to screen
label has no adverse-reaction text
serious n=64 · ♀ 100% (drug 62%)no trial arm names this drug
Kyphosis5324.7
18.8–32.5ROR 24.8 · calibrated p 9e-4 ✓
23.9 EB05 18.9 · IC025 +3.8
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.4)
No label text to screen
label has no adverse-reaction text
serious n=52 · ♀ 100% (drug 62%)no trial arm names this drug
Rhinitis allergic13024.2
20.4–28.8ROR 24.3 · calibrated p 8e-4 ✓
23.5 EB05 20.3 · IC025 +4.1
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.2)
No label text to screen
label has no adverse-reaction text
serious n=128 · ♀ 92% (drug 62%)no trial arm names this drug
Rectal prolapse3423.3
16.6–32.8ROR 23.3 · calibrated p 0.001 ✓
22.4 EB05 16.8 · IC025 +3.5
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.5)
No label text to screen
label has no adverse-reaction text
serious n=33 · ♀ 100% (drug 62%)no trial arm names this drug
Oropharyngeal candidiasis2522.9
15.4–34.1ROR 22.9 · calibrated p 0.002 ✓
22.0 EB05 15.6 · IC025 +3.3
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.6–1.6)
No label text to screen
label has no adverse-reaction text
serious n=23 · ♀ 100% (drug 62%)no trial arm names this drug
Complications of transplanted kidney6122.6
17.5–29.1ROR 22.6 · calibrated p 0.001 ✓
21.9 EB05 17.6 · IC025 +3.8
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.4)
No label text to screen
label has no adverse-reaction text
serious n=61 · ♀ 36% (drug 62%) · 100% clinicianno trial arm names this drug
Neutropenic infection2420.5
13.6–30.7ROR 20.5 · calibrated p 0.003 ✓
19.7 EB05 13.8 · IC025 +3.2
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.6–1.6)
No label text to screen
label has no adverse-reaction text
serious n=24 · 100% clinicianno trial arm names this drug
Blood urea abnormal2320.4
13.5–30.8ROR 20.4 · calibrated p 0.003 ✓
19.5 EB05 13.6 · IC025 +3.1
3/3 methods agree
vs other Polyene Antifungals: PRR 2.0 (1.1–3.6)
Lab value / disease markerserious n=22no trial arm names this drug
Parainfluenzae virus infection3719.7
14.2–27.3ROR 19.7 · calibrated p 0.003 ✓
19.0 EB05 14.4 · IC025 +3.4
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.4)
No label text to screen
label has no adverse-reaction text
serious n=37 · 100% clinicianno trial arm names this drug
Sarcoidosis11119.2
15.9–23.2ROR 19.3 · calibrated p 0.003 ✓
18.7 EB05 16.0 · IC025 +3.8
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.3)
No label text to screen
label has no adverse-reaction text
serious n=110 · ♀ 100% (drug 62%) · 90% clinicianno trial arm names this drug
Chronic sinusitis8719.1
15.4–23.6ROR 19.2 · calibrated p 0.003 ✓
18.6 EB05 15.5 · IC025 +3.7
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.3)
No label text to screen
label has no adverse-reaction text
serious n=84 · ♀ 100% (drug 62%)no trial arm names this drug
Infection reactivation2618.7
12.7–27.5ROR 18.7 · calibrated p 0.004 ✓
18.0 EB05 12.8 · IC025 +3.1
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.6–1.6)
No label text to screen
label has no adverse-reaction text
serious n=26 · 100% clinicianno trial arm names this drug
Oral fungal infection6218.6
14.4–23.9ROR 18.6 · calibrated p 0.003 ✓
18.1 EB05 14.6 · IC025 +3.6
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.4)
No label text to screen
label has no adverse-reaction text
serious n=37no trial arm names this drug
Mucormycosis5818.5
14.3–24.0ROR 18.6 · calibrated p 0.003 ✓
18.0 EB05 14.4 · IC025 +3.5
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.4)
No label text to screen
label has no adverse-reaction text
serious n=58 · 100% clinicianno trial arm names this drug
Candidiasis9118.4
14.9–22.6ROR 18.4 · calibrated p 0.003 ✓
17.9 EB05 15.0 · IC025 +3.7
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.3)
No label text to screen
label has no adverse-reaction text
serious n=72no trial arm names this drug
Pharyngeal ulceration2917.9
12.4–25.9ROR 18.0 · calibrated p 0.004 ✓
17.3 EB05 12.5 · IC025 +3.2
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.6–1.6)
No label text to screen
label has no adverse-reaction text
serious n=26 · 100% clinicianno trial arm names this drug
Respiratory symptom6117.9
13.9–23.0ROR 17.9 · calibrated p 0.004 ✓
17.4 EB05 14.0 · IC025 +3.5
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.4)
No label text to screen
label has no adverse-reaction text
serious n=60 · ♀ 100% (drug 62%)no trial arm names this drug
Diastolic dysfunction6717.7
13.9–22.6ROR 17.8 · calibrated p 0.004 ✓
17.3 EB05 14.1 · IC025 +3.5
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.3)
No label text to screen
label has no adverse-reaction text
serious n=67 · ♀ 100% (drug 62%)no trial arm names this drug
Bk virus infection7117.4
13.8–22.0ROR 17.4 · calibrated p 0.004 ✓
17.0 EB05 13.9 · IC025 +3.5
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.3)
No label text to screen
label has no adverse-reaction text
serious n=71no trial arm names this drug
Schizophrenia24916.8
14.8–19.0ROR 16.9 · calibrated p 0.004 ✓
16.4 EB05 14.8 · IC025 +3.8
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.9–1.2)
No label text to screen
label has no adverse-reaction text
serious PRR 12.6 · ♀ 100% (drug 62%) · 95% clinicianno trial arm names this drug
Rebound acid hypersecretion6216.6
12.9–21.3ROR 16.6 · calibrated p 0.005 ✓
16.2 EB05 13.0 · IC025 +3.4
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.3)
No label text to screen
label has no adverse-reaction text
serious n=62no trial arm names this drug
Tongue ulceration6816.5
12.9–20.9ROR 16.5 · calibrated p 0.005 ✓
16.1 EB05 13.1 · IC025 +3.5
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.7–1.3)
No label text to screen
label has no adverse-reaction text
serious n=65 · ♀ 84% (drug 62%)no trial arm names this drug
Vulvovaginal candidiasis2616.0
10.8–23.5ROR 16.0 · calibrated p 0.007 ✓
15.3 EB05 10.8 · IC025 +3.0
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.6–1.6)
No label text to screen
label has no adverse-reaction text
serious n=24 · ♀ 100% (drug 62%)no trial arm names this drug

Trial evidence (ClinicalTrials.gov)

ClinicalTrials.gov returned results-bearing trials mentioning Nystatin Ointment only as a background or rescue medication (NCT04438174); no trial listing it as the tested intervention was cached, so no trial cross-check is shown.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Nausea1,9792.0
1.9–2.1ROR 2.1 · calibrated p 1.000
2.0 EB05 1.9 · IC025 +0.9
vs other Polyene Antifungals: PRR 1.0 (0.9–1.0)
No label text to screen
label has no adverse-reaction text
serious PRR 2.3no trial arm names this drug
Diarrhoea (diarrhea)1,7642.2
2.1–2.3ROR 2.3 · calibrated p 0.904
2.2 EB05 2.1 · IC025 +1.1
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.9–1.0)
No label text to screen
label has no adverse-reaction text
serious PRR 2.2no trial arm names this drug
Fatigue (tiredness)1,7591.8
1.7–1.9ROR 1.9 · calibrated p 0.879
1.8 EB05 1.8 · IC025 +0.8
vs other Polyene Antifungals: PRR 1.0 (0.9–1.0)
No label text to screen
label has no adverse-reaction text
serious PRR 1.9no trial arm names this drug
Pneumonia (lung infection)1,6344.1
3.9–4.3ROR 4.3 · calibrated p 0.328
4.1 EB05 3.9 · IC025 +1.9
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.9–1.0)
No label text to screen
label has no adverse-reaction text
serious PRR 3.1no trial arm names this drug
Dyspnoea (shortness of breath)1,4742.1
2.0–2.2ROR 2.2 · calibrated p 0.969
2.1 EB05 2.0 · IC025 +1.0
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.9–1.0)
No label text to screen
label has no adverse-reaction text
serious PRR 1.9no trial arm names this drug
Off label use (used outside approved label)1,4431.3
1.3–1.4ROR 1.4 · calibrated p 0.547
1.3 EB05 1.3 · IC025 +0.3
vs other Polyene Antifungals: PRR 1.0 (0.9–1.1)
Reporting / coding artifactserious PRR 1.4no trial arm names this drug
Vomiting1,3692.4
2.2–2.5ROR 2.4 · calibrated p 0.844
2.3 EB05 2.2 · IC025 +1.1
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.9–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 2.3no trial arm names this drug
Drug ineffective (drug did not work)1,2350.8
0.7–0.8ROR 0.7 · calibrated p 0.152
0.8 EB05 0.7 · IC025 -0.5
PRR-only: not supported by EBGM or IC
vs other Polyene Antifungals: PRR 1.0 (0.9–1.0)
Reporting / coding artifactserious PRR 1.0no trial arm names this drug
Pain1,2141.6
1.5–1.7ROR 1.6 · calibrated p 0.718
1.6 EB05 1.5 · IC025 +0.6
vs other Polyene Antifungals: PRR 1.0 (0.9–1.0)
No label text to screen
label has no adverse-reaction text
serious PRR 1.5no trial arm names this drug
Death1,1361.1
1.0–1.1ROR 1.1 · calibrated p 0.349
1.1 EB05 1.0 · IC025 -0.0
PRR-only: not supported by EBGM or IC
vs other Polyene Antifungals: PRR 1.0 (0.9–1.0)
Outcome field, not a reactionserious PRR 0.8no trial arm names this drug
Pyrexia (fever)1,1242.6
2.5–2.8ROR 2.7 · calibrated p 0.736
2.6 EB05 2.5 · IC025 +1.3
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.9–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 2.2no trial arm names this drug
Headache1,0021.3
1.2–1.4ROR 1.3 · calibrated p 0.508
1.3 EB05 1.2 · IC025 +0.3
vs other Polyene Antifungals: PRR 1.0 (0.9–1.0)
No label text to screen
label has no adverse-reaction text
serious PRR 1.4no trial arm names this drug
Cough9412.7
2.5–2.9ROR 2.8 · calibrated p 0.704
2.7 EB05 2.6 · IC025 +1.3
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.9–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 2.9no trial arm names this drug
Rash9311.7
1.6–1.8ROR 1.8 · calibrated p 0.804
1.7 EB05 1.6 · IC025 +0.7
vs other Polyene Antifungals: PRR 1.0 (0.9–1.0)
No label text to screen
label has no adverse-reaction text
serious PRR 2.0no trial arm names this drug
Acute kidney injury (sudden kidney damage)9284.9
4.6–5.2ROR 5.1 · calibrated p 0.227
4.9 EB05 4.6 · IC025 +2.2
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.9–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 3.6no trial arm names this drug

Unlabeled candidate signals

Every screened signal with n ≥ 20 was either labeled, an indication term, or an artifact pattern — no unlabeled candidate stood out in the top signals.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Nystatin Ointment?

In FDA FAERS, the most frequently co-reported reaction terms for Nystatin Ointment are nausea, diarrhoea, fatigue, pneumonia, dyspnoea, vomiting. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Nystatin Ointment have an FDA boxed warning?

No. The FDA label retrieved for Nystatin Ointment has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Nystatin Ointment causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.