Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Fluconazole (Diflucan) and nystatin (Nystop, Nyamyc, Klayesta) are both antifungal medications, but they have some key differences. Fluconazole is an azole antifungal that can be taken orally or by injection to treat various *Candida* infections, including vaginal yeast infections, oral thrush, and even serious infections like cryptococcal meningitis. It is usually taken once daily and is available as a lower-cost generic. On the other hand, nystatin is used topically to treat fungal skin infections, such as diaper rash, and comes in forms like cream, ointment, and powder. Nystatin is applied multiple times a day and is also available as a lower-cost generic. While fluconazole can cause side effects like headache and nausea and has a rare risk of liver problems, nystatin is generally well-tolerated but can cause local irritation like burning and itching. Additionally, fluconazole is not recommended during pregnancy due to potential risks, whereas the safety of nystatin during pregnancy or breastfeeding is not clearly established.
Fluconazole (Diflucan)
Nystatin topical
Fluconazole (Diflucan)
Nystatin topical
Summary of Diflucan vs. Nyamyc
Summary for Antifungal
Prescription only
Fluconazole (Diflucan) is an azole antifungal. It's used to treat different types ofCandida infections, such as vaginal yeast infections and oral thrush. It can also treat a serious brain infection called cryptococcal meningitis. Oral fluconazole (Diflucan) is available as a tablet and suspension. It's taken by mouth as a one-time dose for vaginal yeast infections; it's typically taken once daily for other types of infections. Fluconazole (Diflucan) is generally well-tolerated, but some people can experience side effects like headache, nausea, and stomach pain. Fluconazole (Diflucan) can raise the risk of liver problems, so you're recommend to avoiding drinking alcohol while taking this medication.
Summary for Antifungal
Prescription only
Nystatin topical is a prescription antifungal you use on your skin to treat certain fungal skin infections, like yeast infections. It's safe for all ages, even babies with diaper rash. Nystatin topical comes as a cream, ointment, or powder. You usually apply it to the affected skin 2 to 3 times a day. Sometimes, it can cause mild side effects like itching or burning where you put it on.