Janet, pure nystatin powder has no additives and is quite bitter (the reason the supension has so much sugar is to cover up the bitter taste). For more info on nystatin powder, read Dr. William Crook's "The Yeast Connection and The Woman." On page 453, he give several pharmacies located in the US where powdered nystatin can be obtained. Dr. Crook's book is a great resource for treatment of yeast problems of all types (except that he doesn't mention nipple/breast yeast which seems strange because he use to be on the Medical Advisory Board for LLLI). Pat Lindsey, IBCLC in Central Florida