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And surprisingly those OTCs have worse side effects!

How does that make any sense?

And what would you use instead of nystatin - a broad spectrum antifungal?

Mebendazole is OTC in almost all countries except the US - it's even given routinely without evidence of infection.

I guess my comment about it being OTC in other countries is that there have been plenty of drugs approved in other countries that were eventually pulled. Luckily the US never approved them.

athletes foot cream (which depending on the type there are 2-3 drugs to choose from. clotrimazole, tioconazole, Miconazole... When my husband had jock itch they just told him to use OTC athletes foot cream on it.

Nystatin is used for babies diaper rash, not athletes foot. It's a different organism - the stuff for athletes foot doesn't work as well.

There's also terbinafine which works better than the 3 you listead (but more expensive).

Diaper rash is not alway a fungal infection (and could potentially be a bacteria infection in addition to/instead of a fungal infection). It is usually a contact dermatitis and a fungal infection is only a secondary infection.

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