This is topic Why WOULDN'T one take Nystatin from day 1 of abx treatment? in forum Medical Questions at LymeNet Flash.

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Posted by bcb1200 (Member # 25745) on :
So...I'm in my 7th month of abx treatment. I have been on 2 pills of Nystatin 2x / day since day 1 of treatment.

It is gentle, safe to use long term, and cheap. It only stays in the GI tract, but that is where most yeast starts anyway.

Given how many people have yeast issues / concerns while on Abx, why wouldn't one take Nystatin?

The only argument I have heard is you can't take Florastore, but my LLMD says you can as long as it is 3 hours before / after Nystatin and Abx.

Nystatin has helped me. I ususally have a good diet, but do "cheat" ocasionally, like on Friday's when I have Pizza and Ice Cream with my family to keep my sanity. So far so good. (knock on wood)
Posted by BackinStOlaf (Member # 23725) on :
Off topic but I remember when you were first starting abx. Can't believe 7 months passed already..
Posted by bcb1200 (Member # 25745) on :
Yup...just hit my 6 month anniversary 2 days ago. Now in month 7.

Was hoping to be done by now. If only I can clear the mild tinnitus, calf twitching, left foot pain, mild jaw stiffness and GI/ Reflux. Probably Bart.

Just started Bactrim and will watch for Stevens Johnson Syndrome like a hawk. If all goes well, will add Rifabutin in 10 days. Want to nuke this for good.
Posted by Hoosiers51 (Member # 15759) on :
I wonder the same thing.

It seems like a lot of LLMD's do keep their patients on Nystatin for the duration of treatment.

When I hear of people who aren't on it, I wonder why.
Posted by INEBG (Member # 27690) on :
Does it work better as a preventive than a treatment? When I develop yeast issues, nystatin does not help. I'd sure be willing to take it long-term if it would keep me from developing a problem.
Posted by Lymetoo (Member # 743) on :
Good question!

Yes, it works better as a preventative. And yes, everyone should work hard to prevent yeast. It is a booger to get rid of once you get it.
Posted by nefferdun (Member # 20157) on :
i don't know why I was not given it until I had yeast. It seems like a good idea to take it all along.

I had to quit abx Oct 27 to try to get rid of my black tongue. I have been taking nystatin and really being strict with my diet. Things are getting back to normal. Go to the LLMD next week end.
Posted by nonnie26 (Member # 27952) on :
I'm going to ask my doc about this--prescription only? I have been on abx about 6 months but I think I've had chronic yeast for years. I recently learned all my bladder and odd sweating issues were caused by yeast.
Posted by Lymetoo (Member # 743) on :
Prescription only.
Posted by pj1954 (Member # 11722) on :
my llmd has had me on nystantin since day 5 on abx not sure why all llmds dont put lymies on it.

I have had no yeast issues or c diff symptoms ever !
Posted by FYRECRACKER (Member # 28568) on :
I felt great on Diflucan at the start of my lyme tx last month. I keep hearing Diflucan is MORE gentle on the liver than Nystantin, but then recently I heard the exact opposite?

I've been on it in years past and it seemed to be ok, my doc wants to probably have me on a few pills of Diflucan off and on to help with the yeast... is Nystantin "better"?
Posted by bcb1200 (Member # 25745) on :
Nystatin stays in the GI tract and doesn't touch the liver.

Difulcan is hard on the liver
Posted by METALLlC BLUE (Member # 6628) on :
To be honest, that's a great question and it's something I think every patient should know. Use it from the get go.
Posted by Haley (Member # 22008) on :
My doctor told me that it can cause inflammation. I have not had that problem. I do think it can cause mild constipation with me but that's about it.

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