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» LymeNet Flash » Questions and Discussion » Medical Questions » Can you take nystatin and flagyl at the same time?

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Author Topic: Can you take nystatin and flagyl at the same time?
LaurenTurner
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My 4 year old son just started taking flagyl. He also has to take nystatin 2X a day. Is it okay to take the flagyl and nystatin together? I figured it was ok, but just wanted to make sure.

Thanks!!

Posts: 248 | From Tejas | Registered: Jun 2007  |  IP: Logged | Report this post to a Moderator
kgg
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I checked for a drug interaction and didn't see anything. For future help see the interactive site here: www.drugdigest.org

The only thing I can think of is that they both may upset his stomach. So you may want to separate them because of that. Otherwise, I would take them together.

Best,
Karen

Posts: 1557 | From Maine | Registered: Jun 2004  |  IP: Logged | Report this post to a Moderator
TF
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I would separate them. Here is my reasoning:

The flagyl kills everything in the stomach and intestines--both good and bad flora. All antibiotics do this (anti=against and bio=life) .

So, antibiotics kill things. They kill the germs we want them to kill and the germs in the stomach that we need to keep yeast from growing in our stomach and intestines and mouth.

When the antibiotic goes into the stomach, it kills everything. Then, the first germs to grow back are the yeast germs. We always have yeast germs in our intestines, but the good germs usually keep them under control. But now, thanks to the flagyl, the good germs are all dead.

The nystatin is for killing yeast. If you take it with the flagyl, the yeast is already killed by the flagyl. If you wait until 2 hours after the flagyl, then I would imagine the yeast is coming back and the nystatin will kill it.

In other words, it doesn't help to take both of the yeast killers at the same time. Take them at different times and you will be killing yeast 4 times per day instead of just 2.

That's my thought.

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mandy614
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My doc wanted me to take nystatin powder daily and pulse diflucan 1 x week.
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ESG
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I took them at the same time, per my LLMD Dr. H. in Hyde Park, NY - Nystatin stays in the gut and helps stop yeast in the gut only, as opposed to Diflucan which kills yeast throughout the body.

Antibiotics encourage yeast to proliferate, which is why it so important to take a good probiotic two to three hours after taking the anitbiotic, after every single dose.

Flagyl (and its cousin Tindamax) allow yeast to grow.
Tindamax, BTW, is much easier on the stomach - when I switched from Flagyl to Tindamax I had a much easier time and less nausea: something to know if you have a young child on Flagyl.

Have your child take the Nystatin and the Flagyl with a meal. Then take the probiotic 2 hours later: do get a high quality probiotic, not the cheapest thing on the shelf! Yoghurt alone is not enough - you need to add probiotics.

ESG

Posts: 424 | From Connecticut, USA | Registered: Nov 2003  |  IP: Logged | Report this post to a Moderator
   

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