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Nystatin/Chlorhexidine acetate/Hydrocortisone 100,000 units/g/1%/1% Ointment

Last Updated on eMC 19-Jun-2017 View changes  | Typharm Limited Contact details

1. Name of the medicinal product

Nystaform HC Ointment

Nystatin/Chlorhexidine acetate/Hydrocortisone 100,000 units/g/1%/1% Ointment

2. Qualitative and quantitative composition

The product contains nystatin 100,000 I.U./g, chlorhexidine acetate 1.0% w/w and hydrocortisone 1.0% w/w in a water-repellent base.

For the full list of excipients, see section 6.1.

3. Pharmaceutical form

A yellow ointment containing a water-repellant base for topical application.

4. Clinical particulars
4.1 Therapeutic indications

Nystaform HC Ointment is indicated for the treatment of infected dermatoses where fungal (particularly monilial) and/or bacterial infections are present.

4.2 Posology and method of administration

Posology

Adults and Children:

Apply to infected areas 2-3 times daily.

Treatment should be for a maximum period of 7 days.

Method of adminstration

For topical application only.

4.3 Contraindications

Tuberculous lesions of the skin. Known hypersensitivity to the active substances, especially in those with a history of possible chlorhexidine-related allergic reactions (see sections 4.4 and 4.8), or to any of the excipients listed in section 6.1.

4.4 Special warnings and precautions for use

For external use only. Avoid contact with eyes. If sensitivity occurs, or if new infection appears, discontinue use and institute alternative therapy.

Healthcare professionals should be aware that if this product comes into contact with dressings, clothing and bedding, the fabric can be easily ignited with a naked flame. Patients should be warned of this risk and advised to keep away from fire when using this product.

Paediatric population

In infants, long-term continuous topical steriod therapy should be avoided. Adrenal suppression can occur even without occlusion. As with other topical corticosteroids, systemic absorption may occur when extensive areas are treated, particularly under occlusion.

Nystaform HC Ointment contains chlorhexidine. Chlorhexidine is known to induce hypersensitivity, including generalised allergic reactions and anaphylactic shock. The prevalence of chlorhexidine hypersensitivity is not known, but available literature suggests this is likely to be very rare. Nystaform HC Ointment should not be administered to anyone with a potential history of an allergic reaction to a chlorhexidine-containing compound (see sections 4.3 and 4.8).

4.5 Interaction with other medicinal products and other forms of interaction

None stated.

4.6 Fertility, pregnancy and lactation

Topical administration of corticosteroids to pregnant animals can cause abnormalities of foetal development including cleft palate and intra-uterine growth retardation. The relevance of this finding to humans has not been established. However, topical steroids should not be used extensively in the first trimester of pregnancy and nystatin only with caution. The use of Nystaform HC Ointment requires that the anticipated benefits outweigh the possible risks.

4.7 Effects on ability to drive and use machines

None stated.

4.8 Undesirable effects

Skin disorders

Frequency not known: Allergic skin reactions such as dermatitis, pruritus, erythema, eczema, rash, urticaria, skin irritation, and blisters.

Immune disorders

Frequency not known: Hypersensitivity including anaphylactic shock (see sections 4.3 and 4.4).

Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.

4.9 Overdose

Nystatin is poorly absorbed from the gastro-intestinal tract. In the event of accidental oral ingestion, routine measures such as gastric lavage should be performed as soon as possible after ingestion.

5. Pharmacological properties
5.1 Pharmacodynamic properties

Nystatin is a fungistatic and fungicidal antibiotic primarily effective against Candida albicans. Chlorhexidine has activity against a wide range of bacteria.

Hydrocortisone exercises a vasoconstrictive effect, thus reducing inflammation and oedema and also has an antipruritic effect.

5.2 Pharmacokinetic properties

Nystatin is poorly absorbed from the gastro-intestinal tract and is not absorbed through the skin or mucous membranes when applied topically.

Hydrocortisone is absorbed through the skin and is metabolised by the liver and most body tissues to hydrogenated and degraded forms such as tetrahydrocortisone and tetrahydrocortisol. These are excreted in the urine, mainly conjugated as glucuronides, together with a very small proportion of unchanged hydrocortisone.

5.3 Preclinical safety data

None stated.

6. Pharmaceutical particulars
6.1 List of excipients

White soft paraffin BP

6.2 Incompatibilities

None stated.

6.3 Shelf life

3 years.

6.4 Special precautions for storage

Do not store above 25°C.

6.5 Nature and contents of container

30g resin-lined aluminium tubes with polyethylene caps contained in an outer cardboard carton.

6.6 Special precautions for disposal and other handling

For external use only. Avoid contact with eyes.

7. Marketing authorisation holder

Typharm Limited

14D Wendover Road

Rackheath Industrial Estate

Norwich

NR13 6LH

8. Marketing authorisation number(s)

PL 00551/0020

9. Date of first authorisation/renewal of the authorisation

13th June 2000

10. Date of revision of the text

12/06/2017

Company contact details

Typharm Limited

Company image
Address

14D Wendover Road, Rackheath Industrial Estate, Norwich, Norfolk, NR13 6LH

Fax

+44 (0)1603 263804

Medical Information e-mail
Stock Availability

+44 (0)1603 722480

Telephone

+44 (0)1603 722480

Medical Information Direct Line

+44 (0)2037 694160

Customer Care direct line

+44 (0)1603 722480

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Active ingredients

chlorhexidine acetate, hydrocortisone, nystatin

Legal categories

POM - Prescription Only Medicine

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