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Drug · FAERS side-effect profile with label screen

Nystatin side effects: what 27,174 FDA adverse event reports show

Nystatin · 1,204 reaction terms · 129,528 drug–reaction co-reports · data 2026-09-14
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Drug class

Polyene Antifungal

FDA label (Established Pharmacologic Class) · compare the class

Who reports

27,174 reports · 77% serious · 3,736 with death outcome · 63% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Nystatin Tablets are intended for the treatment of non-esophageal mucus membrane gastrointestinal candidiasis.

FDA label, Indications and Usage

What it is

DESCRIPTION Nystatin is an antimycotic polyene antibiotic obtained from Streptomyces noursei . Its structural formula: C 47 H 75 NO 17 M.W. 926.13 Nystatin tablets are for oral administration and contain 500,000 units of nystatin per tablet.

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

No label text to screen 40
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). 1,164 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 unilateral48598.2
409.9–872.9ROR 599.2 · calibrated p 6e-14 ✓
295.7 EB05 231.9 · 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 63%)not reported in cached trials
Total lung capacity increased96419.4
327.0–537.9ROR 420.9 · calibrated p 7e-13 ✓
256.8 EB05 216.5 · 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 63%) · 100% cliniciannot reported in cached trials
Asthma-chronic obstructive pulmonary disease overlap syndrome96174.6
139.9–217.9ROR 175.2 · calibrated p 2e-9 ✓
138.3 EB05 116.6 · IC025 +6.0
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 63%) · 100% cliniciannot reported in cached trials
Venous pressure jugular increased3068.5
47.1–99.5ROR 68.6 · calibrated p 4e-6 ✓
60.6 EB05 44.5 · 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 63%)not reported in cached trials
Sinusitis fungal5659.0
44.9–77.4ROR 59.1 · calibrated p 7e-6 ✓
53.8 EB05 43.0 · 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 63%)not reported in cached trials
Trichoglossia2652.1
35.1–77.6ROR 52.2 · calibrated p 2e-5 ✓
47.3 EB05 33.9 · IC025 +4.0
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=25 · ♀ 0% (drug 63%) · 100% cliniciannot reported in cached trials
Chronic kidney disease-mineral and bone disorder5440.7
31.0–53.5ROR 40.8 · calibrated p 6e-5 ✓
38.2 EB05 30.4 · IC025 +4.4
3/3 methods agree
vs other Polyene Antifungals: PRR 1.1 (0.8–1.5)
No label text to screen
label has no adverse-reaction text
serious n=54not reported in cached trials
Jaundice cholestatic17439.8
34.2–46.4ROR 40.1 · calibrated p 6e-5 ✓
37.8 EB05 33.3 · IC025 +4.8
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 63%) · 95% cliniciannot reported in cached trials
Hypomania18139.8
34.3–46.2ROR 40.0 · calibrated p 6e-5 ✓
37.7 EB05 33.3 · 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 63%) · 94% cliniciannot reported in cached trials
Nephrogenic anaemia19934.3
29.7–39.5ROR 34.5 · calibrated p 1e-4 ✓
32.7 EB05 29.1 · IC025 +4.7
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 n=199not reported in cached trials
Female genital tract fistula6630.7
24.0–39.3ROR 30.8 · calibrated p 3e-4 ✓
29.3 EB05 23.9 · 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 63%)not reported in cached trials
Hyperparathyroidism secondary9630.4
24.8–37.2ROR 30.5 · calibrated p 3e-4 ✓
29.1 EB05 24.5 · IC025 +4.3
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=96not reported in cached trials
Oral candidiasis (oral thrush)45828.1
25.6–30.8ROR 28.6 · calibrated p 3e-4 ✓
27.1 EB05 25.1 · 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 22.3NCT01427738: 26/111 (23.4%) on Nystatin
Pelvic mass2726.7
18.2–39.1ROR 26.7 · calibrated p 7e-4 ✓
25.4 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=27 · 100% cliniciannot reported in cached trials
Sepsis neonatal2625.7
17.4–38.0ROR 25.8 · calibrated p 9e-4 ✓
24.5 EB05 17.6 · IC025 +3.4
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% cliniciannot reported in cached trials
Candida infection (yeast infection)52224.9
22.8–27.1ROR 25.4 · calibrated p 6e-4 ✓
24.1 EB05 22.4 · IC025 +4.4
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 19.0not reported in cached trials
Nasal polyps15024.7
21.0–29.1ROR 24.9 · calibrated p 7e-4 ✓
23.9 EB05 20.9 · IC025 +4.2
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=150 · ♀ 100% (drug 63%)not reported in cached trials
Sputum increased6524.4
19.1–31.3ROR 24.5 · calibrated p 9e-4 ✓
23.6 EB05 19.1 · IC025 +3.9
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 63%)not reported in cached trials
Rhinitis allergic13424.0
20.2–28.5ROR 24.1 · calibrated p 9e-4 ✓
23.2 EB05 20.1 · IC025 +4.1
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=131 · ♀ 92% (drug 63%)not reported in cached trials
Kyphosis5323.7
18.1–31.2ROR 23.8 · calibrated p 0.001 ✓
22.9 EB05 18.2 · 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 63%)not reported in cached trials
Rectal prolapse3422.3
15.9–31.4ROR 22.4 · calibrated p 0.002 ✓
21.5 EB05 16.1 · 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 63%)not reported in cached trials
Oropharyngeal candidiasis2522.0
14.8–32.7ROR 22.0 · calibrated p 0.002 ✓
21.1 EB05 14.9 · 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 63%)not reported in cached trials
Complications of transplanted kidney6121.7
16.8–27.9ROR 21.7 · calibrated p 0.002 ✓
21.0 EB05 16.9 · 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=61 · ♀ 36% (drug 63%) · 100% cliniciannot reported in cached trials
Parainfluenzae virus infection3919.9
14.5–27.4ROR 19.9 · calibrated p 0.003 ✓
19.3 EB05 14.7 · IC025 +3.4
3/3 methods agree
vs other Polyene Antifungals: PRR 1.1 (0.7–1.6)
No label text to screen
label has no adverse-reaction text
serious n=39 · 100% cliniciannot reported in cached trials
Neutropenic infection2419.6
13.1–29.4ROR 19.6 · calibrated p 0.003 ✓
18.8 EB05 13.2 · 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=24 · 100% cliniciannot reported in cached trials
Chronic sinusitis8818.5
15.0–22.9ROR 18.6 · calibrated p 0.003 ✓
18.0 EB05 15.1 · 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=85 · ♀ 100% (drug 63%)not reported in cached trials
Sarcoidosis11118.4
15.3–22.2ROR 18.5 · calibrated p 0.003 ✓
18.0 EB05 15.3 · 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 63%) · 90% cliniciannot reported in cached trials
Infection reactivation2617.9
12.1–26.4ROR 17.9 · calibrated p 0.005 ✓
17.2 EB05 12.2 · 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% cliniciannot reported in cached trials
Candidiasis9217.8
14.5–21.9ROR 17.9 · calibrated p 0.004 ✓
17.4 EB05 14.6 · 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=73NCT01427738: 1/110 (0.9%) on Nystatin (serious AE)
Oral fungal infection6217.8
13.8–22.9ROR 17.8 · calibrated p 0.004 ✓
17.3 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=37not reported in cached trials
Mucormycosis5817.8
13.7–23.0ROR 17.8 · calibrated p 0.004 ✓
17.3 EB05 13.8 · 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% cliniciannot reported in cached trials
Diastolic dysfunction6817.3
13.6–21.9ROR 17.3 · calibrated p 0.004 ✓
16.8 EB05 13.7 · IC025 +3.5
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.4)
No label text to screen
label has no adverse-reaction text
serious n=68 · ♀ 100% (drug 63%)not reported in cached trials
Pharyngeal ulceration2917.2
11.9–24.8ROR 17.2 · calibrated p 0.005 ✓
16.6 EB05 12.0 · 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% cliniciannot reported in cached trials
Respiratory symptom6117.1
13.3–22.1ROR 17.2 · calibrated p 0.004 ✓
16.7 EB05 13.4 · 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=60 · ♀ 100% (drug 63%)not reported in cached trials
Bk virus infection7116.7
13.2–21.1ROR 16.7 · calibrated p 0.005 ✓
16.3 EB05 13.3 · 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=71not reported in cached trials
Rebound acid hypersecretion6316.2
12.6–20.7ROR 16.2 · calibrated p 0.006 ✓
15.7 EB05 12.7 · IC025 +3.4
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (0.8–1.4)
No label text to screen
label has no adverse-reaction text
serious n=63not reported in cached trials
Schizophrenia24916.1
14.2–18.2ROR 16.2 · calibrated p 0.005 ✓
15.8 EB05 14.2 · IC025 +3.7
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 12.2 · ♀ 100% (drug 63%) · 95% cliniciannot reported in cached trials
Chronic respiratory failure2415.9
10.6–23.7ROR 15.9 · calibrated p 0.008 ✓
15.2 EB05 10.4 · IC025 +2.9
3/3 methods agree
vs other Polyene Antifungals: only this drug
No label text to screen
label has no adverse-reaction text
serious n=24not reported in cached trials
Tongue ulceration6815.8
12.4–20.1ROR 15.8 · calibrated p 0.006 ✓
15.4 EB05 12.5 · 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=65 · ♀ 84% (drug 63%)not reported in cached trials
Vulvovaginal candidiasis2615.3
10.4–22.6ROR 15.3 · calibrated p 0.008 ✓
14.6 EB05 10.2 · IC025 +2.9
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 63%)not reported in cached trials

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Nystatin as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (2 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

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
Nausea2,0602.0
1.9–2.1ROR 2.1 · calibrated p 0.998
2.0 EB05 1.9 · IC025 +0.9
vs other Polyene Antifungals: PRR 1.0 (1.0–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 2.3not reported in cached trials
Fatigue (tiredness)1,8501.8
1.8–1.9ROR 1.9 · calibrated p 0.888
1.8 EB05 1.8 · IC025 +0.8
vs other Polyene Antifungals: PRR 1.1 (1.0–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 1.9not reported in cached trials
Diarrhoea (diarrhea)1,8402.2
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 (1.0–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 2.2NCT01427738: 6/111 (5.4%) on Nystatin
Pneumonia (lung infection)1,6854.0
3.9–4.2ROR 4.2 · calibrated p 0.336
4.0 EB05 3.9 · IC025 +1.9
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (1.0–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 3.1NCT01427738: 1/111 (0.9%) on Nystatin (serious AE)
Dyspnoea (shortness of breath)1,5372.1
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 (1.0–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 1.9not reported in cached trials
Off label use (used outside approved label)1,4771.3
1.2–1.4ROR 1.3 · calibrated p 0.529
1.3 EB05 1.3 · IC025 +0.3
vs other Polyene Antifungals: PRR 1.0 (1.0–1.1)
Reporting / coding artifactserious PRR 1.4not reported in cached trials
Vomiting1,4052.3
2.2–2.4ROR 2.4 · calibrated p 0.863
2.3 EB05 2.2 · IC025 +1.1
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (1.0–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 2.2not reported in cached trials
Drug ineffective (drug did not work)1,2900.8
0.7–0.8ROR 0.7 · calibrated p 0.153
0.8 EB05 0.7 · IC025 -0.5
PRR-only: not supported by EBGM or IC
vs other Polyene Antifungals: PRR 1.0 (1.0–1.1)
Reporting / coding artifactserious PRR 1.0not reported in cached trials
Pain1,2791.6
1.5–1.7ROR 1.6 · calibrated p 0.728
1.6 EB05 1.5 · IC025 +0.6
vs other Polyene Antifungals: PRR 1.1 (1.0–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 1.5NCT01427738: 10/111 (9.0%) on Nystatin
Death1,2201.1
1.0–1.2ROR 1.1 · calibrated p 0.371
1.1 EB05 1.0 · IC025 +0.0
vs other Polyene Antifungals: PRR 1.1 (1.0–1.1)
Outcome field, not a reactionserious PRR 0.8NCT01427738: 1/111 (0.9%) on Nystatin (serious AE)
Pyrexia (fever)1,1452.6
2.4–2.7ROR 2.6 · calibrated p 0.762
2.5 EB05 2.4 · 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 2.2NCT01427738: 9/111 (8.1%) on Nystatin
Headache1,0561.3
1.2–1.4ROR 1.3 · calibrated p 0.517
1.3 EB05 1.2 · IC025 +0.3
vs other Polyene Antifungals: PRR 1.1 (1.0–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 1.4not reported in cached trials
Rash9901.8
1.7–1.9ROR 1.8 · calibrated p 0.825
1.8 EB05 1.7 · IC025 +0.7
vs other Polyene Antifungals: PRR 1.1 (1.0–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 2.0not reported in cached trials
Cough9712.7
2.5–2.9ROR 2.7 · calibrated p 0.715
2.7 EB05 2.5 · IC025 +1.3
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (1.0–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 2.9NCT01427738: 9/111 (8.1%) on Nystatin
Acute kidney injury (sudden kidney damage)9714.9
4.6–5.3ROR 5.1 · calibrated p 0.225
4.9 EB05 4.7 · IC025 +2.2
3/3 methods agree
vs other Polyene Antifungals: PRR 1.0 (1.0–1.1)
No label text to screen
label has no adverse-reaction text
serious PRR 3.7not reported in cached trials

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?

In FDA FAERS, the most frequently co-reported reaction terms for Nystatin are nausea, fatigue, diarrhoea, 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 have an FDA boxed warning?

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

Do FAERS signals prove that Nystatin 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.