Miconazole

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Generic Name: Miconazole Brand Name(s): Generics only. No brands available.

Uses

What is Miconazole used for?

Miconazole is used to treat skin infections such as athlete’s foot, jock itch, ringworm, and other fungal skin infections (candidiasis). This medication is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Miconazole is an azole antifungal that works by preventing the growth of fungus.

How should I take Miconazole?

Use this medication on the skin only. Clean and thoroughly dry the area to be treated. Apply this medication to the affected skin, usually twice a day or as directed by your doctor. If you are using the spray form, shake the bottle well before applying. Dosage and length of treatment depends on the type of infection being treated. Do not apply this more often than prescribed. Your condition will not clear faster, but side effects may be increased.

Apply enough medication to cover the affected area and some of the surrounding skin. After applying this medication, wash your hands. Do not wrap, cover or bandage the area unless directed to do so by your doctor.

Do not apply this medication in the eyes, nose, mouth, or vagina.

Use this medication regularly in order to get the most benefit from it. Remember to use it at the same times each day.

Continue to use this medication until the full prescribed amount is finished, even if symptoms disappear after starting miconazole. Stopping the medication too early may allow the fungus to continue to grow, which may result in a relapse of the infection.

Inform your doctor if your condition persists or worsens.

How do I store Miconazole?

Miconazole is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Miconazole in the bathroom or the freezer. There may be different brands of Miconazole that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Miconazole down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Miconazole?

Before using miconazole, tell your doctor or pharmacist if you are allergic to it; or to other azole antifungals such as clotrimazole, econazole, or ketoconazole; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

Is it safe during pregnancy or breast-feeding?

There are no adequate studies in women for determining risk when using this Miconazole during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Miconazole. Miconazole is pregnancy risk category N according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk,
  • B=No risk in some studies,
  • C=There may be some risk,
  • D=Positive evidence of risk,
  • X=Contraindicated,
  • N=Unknown

Side effects

What side effects can occur from Miconazole?

Burning, stinging, swelling, irritation, redness, pimple-like bumps, tenderness, or flaking of the treated skin may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if any of these unlikely but serious side effects occur: blistering, oozing, open sores.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Miconazole?

Miconazole may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Miconazole?

Miconazole may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Miconazole?

Miconazole may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using this Miconazole.

What is the dose of Miconazole for an adult?

Usual Adult Dose for Vaginal Candidiasis

Vaginal suppository:

1 day therapy: Insert 1200 mg suppository intravaginally at bedtime for 1 day.

3 day therapy: Insert 200 mg suppository intravaginally at bedtime for 3 days.

7 day therapy: Insert 100 mg suppository intravaginally at bedtime for 7 days.

Vaginal cream:

Intravaginally:

2% cream: Insert one applicatorful intravaginally at bedtime for 3 to 7 days.

4% cream: Insert one applicatorful intravaginally at bedtime for 3 days.

Topically: Apply to external vulvar area twice a day for up to 7 days, as needed.

Usual Adult Dose for Tinea Corporis

Topical cream, ointment, powder, spray, or tincture: Apply a thin layer to affected areas twice a day for 4 weeks.

Usual Adult Dose for Tinea Pedis

Topical cream, ointment, powder, spray, or tincture: Apply a thin layer to affected areas twice a day for 4 weeks.

Usual Adult Dose for Cutaneous Candidiasis

Topical cream, ointment, powder, or spray: Apply a thin layer to affected areas twice a day for 2 weeks.

Usual Adult Dose for Tinea Cruris

Topical cream, ointment, powder, or spray: Apply a thin layer to affected areas twice a day for 2 weeks.

Usual Adult Dose for Tinea Versicolor

Topical cream: Apply a thin layer to affected areas once a day.

Clinical and mycological clearing usually occur after 2 weeks of therapy.

Precautions

Patients should be advised to notify their physician if symptoms have not improved after completion of the treatment period and to discontinue use if increased signs of irritation or sensitivity (e.g., redness, itching, burning, blistering, swelling, oozing) develop.

Patients should be reevaluated and the diagnosis reconsidered if no improvement is noted after completion of the treatment period.

Patients should not use miconazole vaginal cream or suppositories if they have abdominal pain, fever, or offensive-smelling vaginal discharge.

Other Comments

A physician should be consulted before initiating treatment of a vaginal condition. Some vaginal conditions have symptoms similar to a yeast infection, such as sexually transmitted disease (STD) or a tubal pregnancy.

In patients with frequent recurrent candidal vaginitis, it is important to consider factors that predispose to infection (other drugs and/or the use tight-fitting garments).

Patients should avoid sexual intercourse during use of intravaginal miconazole suppositories.

What is the dose of Miconazole for a child?

Usual Pediatric Dose for Vaginal Candidiasis

12 years or older:

Vaginal suppository:

1 day therapy: Insert 1200 mg suppository intravaginally at bedtime for 1 day.

3 day therapy: Insert 200 mg suppository intravaginally at bedtime for 3 days.

7 day therapy: Insert 100 mg suppository intravaginally at bedtime for 7 days.

Vaginal cream:

Intravaginally:

2% cream: Insert one applicatorful intravaginally at bedtime for 3 to 7 days.

4% cream: Insert one applicatorful intravaginally at bedtime for 3 days.

Topically: Apply to external vulvar area twice a day for up to 7 days, as needed.

Usual Pediatric Dose for Tinea Corporis

2 years or older:

Topical cream, ointment, powder, spray, or tincture: Apply a thin layer to affected areas twice a day for 4 weeks.

Usual Pediatric Dose for Tinea Pedis

2 years or older:

Topical cream, ointment, powder, spray, or tincture: Apply a thin layer to affected areas twice a day for 4 weeks.

Usual Pediatric Dose for Cutaneous Candidiasis

2 years or older:

Topical cream, ointment, powder, or spray: Apply a thin layer to affected areas twice a day for 2 weeks.

Usual Pediatric Dose for Tinea Cruris

2 years or older:

Topical cream, ointment, powder, or spray: Apply a thin layer to affected areas twice a day for 2 weeks.

Precautions

Safety and effectiveness of the topical cream, topical ointment, topical powder, topical spray, and topical tincture have not been established in pediatric patients less than 2 years of age. Safety and effectiveness of the vaginal cream and vaginal suppository have not been established in pediatric patients less than 12 years of age.

How is Miconazole available?

Miconazole is available in the following dosage forms and strengths:

  • Topical ointment,
  • Topical spray,
  • Topical cream,
  • Topical powder,
  • Vaginal cream with applicator,
  • Vaginal kit,
  • Vaginal suppository,
  • Vaginal tampon,
  • Topical gel,
  • Topical lotion,
  • Topical liquid,
  • Compounding powder,
  • Vaginal cream,
  • Topical tincture.

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Miconazole, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: March 29, 2018 | Last Modified: March 29, 2018

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