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Mykacet (Generic Nystatin and Triamcinolone)

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Why is this medication prescribed?

Nystatin and triamcinolone together are used to treat fungal skin infections. It reduces pain, irritation, and scratching.

How should this medicine be used?

Here are some general guidelines on how Nystatin and triamcinolone should be used, but it’s essential to follow your doctor’s specific instructions:

  • Follow your doctor’s instructions: Always use the medication exactly as prescribed by your healthcare provider. The dosage and duration of treatment may vary based on the specific condition being treated and its severity.
  • Clean and dry the affected area: Before applying the medication, wash the affected area gently with mild soap and water. Pat it dry thoroughly.
  • Apply a thin layer: Apply a thin layer of the medication to the affected area and the surrounding skin. Avoid using excessive amounts, as it won’t improve the effectiveness but may increase the risk of side effects.
  • Wash hands after application: After applying the medication, wash your hands to avoid inadvertently spreading it to other areas of the body or transferring it to other people.
  • Avoid contact with eyes, mouth, and open wounds: Be careful to avoid getting the medication in your eyes, mouth, or open wounds, as it may cause irritation.
  • Use for the prescribed duration: Complete the full course of treatment prescribed by your doctor, even if you start feeling better before it’s finished. Stopping the medication prematurely could allow the infection to return or worsen.
  • Consult your doctor: If you experience any adverse reactions or if the condition does not improve after the prescribed treatment period, consult your healthcare provider.

Remember, Nystatin and Triamcinolone are prescription medications, so never use them without proper medical supervision. If you have any questions or concerns about the use of this medication, discuss them with your healthcare provider.

Other uses for this medicine

Some off-label uses of Nystatin and Triamcinolone may include the treatment of certain inflammatory skin conditions, such as seborrheic dermatitis or lichen planus. However, the appropriateness of such use should be determined by a doctor based on the patient’s specific condition, medical history, and overall health.

What special precautions should I follow?

Special precautions for using Nystatin and Triamcinolone:

  • Allergies: Before using this medication, inform your doctor about any known allergies to Nystatin, Triamcinolone, or other antifungal or corticosteroid medications. If you have experienced allergic reactions in the past, your doctor may recommend an alternative treatment.
  • Medical history: Make sure to provide your healthcare provider with a comprehensive medical history, including any past or current medical conditions, especially related to the skin, as well as any ongoing treatments or medications you are taking.
  • Pregnancy and breastfeeding: If you are pregnant or breastfeeding, inform your doctor before using Nystatin and Triamcinolone. The potential risks and benefits of using the medication during pregnancy or while nursing should be carefully considered by your healthcare provider.
  • Children and elderly: The safety and efficacy of Nystatin and Triamcinolone in children and the elderly may vary. Dosing adjustments or special precautions might be necessary for these age groups, so it’s important to follow your doctor’s recommendations.
  • Avoid contact with the eyes: Do not apply Nystatin and Triamcinolone to the eyes or use it internally (e.g., for vaginal infections) unless specifically instructed to do so by your doctor.
  • Discontinue if irritation occurs: If you experience severe skin irritation, burning, itching, or any unexpected side effects after using the medication, stop using it immediately and contact your healthcare provider.
  • Follow the prescribed dosage and duration: Stick to the exact dosage and treatment duration recommended by your doctor. Do not use more or less of the medication, and avoid using it for a more extended period than advised.
  • Drug interactions: Inform your doctor about all the medications, supplements, or herbal products you are currently using, as some drugs may interact with Nystatin and Triamcinolone, potentially affecting their effectiveness or causing adverse reactions.
  • Avoid sharing medication: Nystatin and Triamcinolone are prescribed specifically for your condition. Avoid sharing the medication with others, even if they have similar symptoms.

Always rely on the professional advice of your healthcare provider regarding the proper use of Nystatin and Triamcinolone, as well as any precautions or potential side effects associated with their use.

What special dietary instructions should I follow?

Special dietary instructions for Nystatin and Triamcinolone are generally not required. However, it’s always a good idea to maintain a healthy and balanced diet to support overall well-being and to aid in the healing process if you are dealing with a fungal infection or skin condition.

What should I do if I forget a dose?

If you miss an application of Nystatin and Triamcinolone, apply it as soon as you remember. However, if it is almost time for your next scheduled application, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for the missed one, as it may increase the risk of side effects.

What side effects can this medication cause?

Nystatin and Triamcinolone, like all medications, can potentially cause side effects. Not everyone will experience these side effects, and the severity and likelihood of occurrence can vary from person to person. Some of the common side effects associated with the use of Nystatin and Triamcinolone include:

  • Skin irritation: Mild skin irritation, such as redness, itching, or burning sensation at the application site, may occur. This is more common with long-term or excessive use of the medication.
  • Allergic reactions: Some individuals may experience an allergic reaction to Nystatin and Triamcinolone, which can manifest as hives, rash, itching, swelling of the face, tongue, or throat, severe dizziness, or difficulty breathing. If you notice any signs of an allergic reaction, seek immediate medical attention.
  • Skin thinning: Prolonged use of Triamcinolone, especially in high doses or over large areas of the body, may lead to thinning of the skin, making it more susceptible to injuries and bruises.
  • Changes in skin pigmentation: Triamcinolone may cause changes in skin color, such as darkening or lightening of the skin, particularly with prolonged use.
  • Skin infections: In some cases, the use of corticosteroids like Triamcinolone can increase the risk of secondary skin infections or worsen existing infections.
  • Adrenal suppression: Prolonged use of high doses of corticosteroids, especially if absorbed into the bloodstream (e.g., with excessive application on large areas or broken skin), may suppress the body’s natural production of cortisol, a hormone produced by the adrenal glands. This can lead to adrenal insufficiency or adrenal crisis, a severe condition that requires immediate medical attention.
  • Vision problems: If the medication comes into contact with the eyes, it may cause irritation and potentially lead to vision problems.
  • Swelling: Rarely, Nystatin and Triamcinolone may cause localized swelling, usually in the face, lips, tongue, or throat, which may be a sign of an allergic reaction.

It’s important to note that not all individuals will experience these side effects, and many people tolerate Nystatin and Triamcinolone well when used as prescribed by a healthcare professional. If you experience any unexpected or severe side effects while using this medication, contact your healthcare provider promptly.

It’s crucial to follow your doctor’s instructions carefully, use the medication as prescribed, and inform your healthcare provider about any pre-existing medical conditions, allergies, or other medications you are taking to minimize the risk of potential side effects.

What should I know about storage and disposal of this medication?

Storage and disposal of Nystatin and Triamcinolone:


  • Store Nystatin and Triamcinolone at room temperature, away from direct sunlight and moisture.
  • Keep the medication out of reach of children and pets.
  • Avoid storing it in the bathroom, as the humidity may affect its effectiveness.


  • Do not flush Nystatin and Triamcinolone down the toilet or drain unless instructed to do so by local guidelines.
  • If you have unused or expired medication, consult with your pharmacist or local waste disposal facility on the appropriate disposal method. They can provide guidance on how to dispose of it safely and responsibly.

In case of emergency/overdose

If you suspect an overdose or experience severe adverse reactions after taking “Mykacet” or any other medication, seek emergency medical attention immediately. If possible, have the medication’s packaging or label information on hand to provide important details to healthcare professionals.

What other information should I know

  • Follow the prescribed dosage and treatment duration recommended by your healthcare provider. Do not alter the dose or duration without consulting them first.
  • Do not share the medication with others, even if they have similar symptoms. This medication is prescribed for your specific condition and should not be used by anyone else.
  • Inform your healthcare provider about any pre-existing medical conditions, especially related to the skin, and any other medications or supplements you are taking. Some medications may interact with Nystatin and Triamcinolone, potentially affecting their effectiveness or increasing the risk of side effects.
  • Avoid getting the medication in your eyes, mouth, or open wounds. If accidental contact occurs, rinse thoroughly with water.
  • If you are using Nystatin and Triamcinolone for oral thrush, avoid eating or drinking for at least 30 minutes after application to allow the medication to work effectively.
  • If your symptoms do not improve or worsen after the prescribed treatment period, consult your healthcare provider for further evaluation and management.

Remember, Nystatin and Triamcinolone are prescription medications, and it’s essential to use them only under the guidance of a qualified healthcare professional. If you have any questions or concerns about the medication, contact your doctor or pharmacist for clarification and advice.

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