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Two medicines, side by side

Clotrimazole vs nystatin

Clotrimazole and nystatin are both labeled for fungal infections. Drugs@FDA records approvals of clotrimazole since 1975 and of nystatin since 1971. Pharmacies paid $0.133 per gram (Clotrimazole 1% topical cream) and $0.175 per gram (Nystatin 100,000 unit/g cream) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, clotrimazole is an azole antifungal and nystatin a polyene antifungal.

Check it at the source: the clotrimazole FDA label on DailyMed (effective January 30, 2026); the nystatin FDA label on DailyMed (effective May 1, 2026).

Highlights of the clotrimazole record

Clotrimazole (Cvs) · label of January 30, 2026

Used for

From the label: indications

Clotrimazole cream USP is indicated for the topical treatment of candidiasis due to Candida albicans and tinea versicolor due to Malassezia furfur. […]

On the market

Earliest approval on file
February 3, 1975
Generic labelers
24 labelers
Pharmacy cost
$0.133 per gram

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the nystatin record

Nystatin (Klayesta) · label of May 1, 2026

Used for

From the label: indications

Nystatin cream is indicated in the treatment of cutaneous or mucocutaneous mycotic infections caused by Candida albicans and other susceptible Candida species. This cream is not indicated for systemic, oral, intravaginal or ophthalmic use.

On the market

Earliest approval on file
April 14, 1971
Generic labelers
40 labelers
Pharmacy cost
$0.175 per gram

Supply and safety

Shortage
No current entry
Recalls
18

Source: FDA drug labels via openFDA (Clotrimazole label of January 30, 2026, Nystatin label of May 1, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do clotrimazole and nystatin differ on the record?

In FDA's classes, clotrimazole is an azole antifungal and nystatin a polyene antifungal.

Generics: clotrimazole since 1993; nystatin since 1964 (Drugs@FDA).

ClotrimazoleNystatin
Labeled forFungal infectionsFungal infections
Pharmacologic classAzole AntifungalPolyene Antifungal
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)February 3, 1975April 14, 1971
First generic approvedJuly 16, 1993July 8, 1964
Generic labelers (NDC)24 labelers40 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.133 per gram (Clotrimazole 1% topical cream)$0.175 per gram (Nystatin 100,000 unit/g cream)
12-month price change-6%-3%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded018
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)12,23027,281
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

Do their labels mention each other?

Clotrimazole label, drug interactions

Drug Interactions Synergism or antagonism between clotrimazole and nystatin, or amphotericin B, or flucytosine against strains of C. albicans has not been reported.

Source: FDA drug labels via openFDA

What next?

Alternatives to clotrimazole
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