Cruex Prescription Strength

Miconazole is a prescription antifungal medicine used in adults to treat fungal (yeast) infections of the mouth and the throat.

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

Cruex Prescription Strength is part of the drug classes:

• Otological Antiinfectives

• Antiinfectives and antiseptics for local oral treatment

• Imidazole and triazole derivatives

Tell your doctor if you are breastfeeding or plan to breastfeed. It is not known if miconazole passes into your breast milk. Talk to your doctor about the best way to feed your baby if you use miconazole.

How to use Miconazole Tablet:

Before applying the tablet,

1.  Locate the area on the upper gum, just above either the left or the right incisor. The incisor tooth is the tooth just to the right or left of your two front teeth.

2.  Take one miconazole tablet out of the bottle. Miconazole is round on one side and flat on the other side. The tablet is marked with an “L” on the flat side.

Applying the miconazole tablet,

3.  Place the flat side of the miconazole tablet on your dry fingertip. Gently push the rounded side of the tablet against your upper gum. Push the miconazole tablet up as high as it will go on your gum. The flat side will be facing the inside of your lip.

4.  Hold the miconazole tablet in place by applying a slight pressure with your finger on the outside of your upper lip for 30 seconds. This will make the tablet stick to your gum.

5.  Leave the tablet in place until it dissolves.

6.  Before applying your next dose, be sure to clear away any remaining miconazole tablet material.

Miconazole Tablet:

• Always use miconazole exactly as your doctor tells you. Miconazole is usually applied in the morning after you brush your teeth.
• Miconazole is placed 1 time each day to your upper gum for 14 days.
• You may eat and drink while using miconazole.
• Do not crush, chew or swallow miconazole.
• You should change where you place miconazole, between the left and right side of your upper gum with each use.
• It is okay if miconazole sticks to your cheek, the inside of your lip or your gum. If miconazole does not stick or falls off of your gum within the first 6 hours, re-apply it. If it still does not stick, replace it with a new tablet.
• If you swallow miconazole within the first 6 hours of placing, drink a glass of water and place a new miconazole to your gum.
• If miconazole falls off or is swallowed after it was in place for 6 hours or more, do not apply a new miconazole. Just place your next dose at your regular time.
• Check to see if miconazole is still in place after you brush your teeth, rinse your mouth, eat, or drink.

The recommended dosing schedule for miconazole is the application of one 50 mg buccal tablet to the upper gum region once daily for 14 consecutive days.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Avoid getting this medication in your eyes, nose, or mouth.

Avoid wearing tight-fitting, synthetic clothing that doesn't allow air circulation. Wear loose-fitting clothing made of cotton and other natural fibers until the infection is healed.

• Tell all of your health care providers that you take Cruex Prescription Strength. This includes your doctors, nurses, pharmacists, and dentists.
• This medicine may cause harm if swallowed. If this medicine is swallowed, call a doctor or poison control center right away.
• Use with care in children. Talk with the doctor.
• If vaginal yeast infections happen often, talk with the doctor.
• Protect clothing and fabrics from staining.
• Do not use Cruex Prescription Strength for itching caused by a health problem other than a vaginal yeast infection. Talk with the doctor.
• Do not use this medicine if you have belly pain, fever, or bad-smelling vaginal discharge. Talk with your doctor.
• Condoms or diaphragms may not work to prevent pregnancy or stop the spread of diseases passed through sex while using Cruex Prescription Strength and for a period of time after you stop this medicine. You will need to use some other kind of birth control for some time after care ends. Be sure you know how long to do this. Talk with your doctor.
• Do not douche or use other vaginal products like tampons while you are using Cruex Prescription Strength. You may need to avoid these things for some time after care ends. Talk with your doctor.
• Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this medicine while you are pregnant.
• Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

• If your symptoms or health problems do not get better or if they become worse, call your doctor.
• Do not share your drugs with others and do not take anyone else's drugs.
• Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
• Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
• Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Cruex Prescription Strength (miconazole (vaginal)), please talk with your doctor, nurse, pharmacist, or other health care provider.
• If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Cruex Prescription Strength. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using Cruex Prescription Strength.

Review Date: October 4, 2017

Applies to miconazole topical: compounding powder, topical cream, topical gel, topical liquid, topical lotion, topical ointment, topical powder, topical spray, topical tincture, vaginal cream, vaginal cream with applicator, vaginal kit, vaginal suppository, vaginal tampon

Local

Local side effects have been reported frequently with topical miconazole therapy. When administered intravaginally or topically, itching, burning and rash have been reported. Contact dermatitis, confirmed by patch testing, has been reported.[Ref]

Nervous system

Nervous system side effects have rarely included headache.[Ref]

Genitourinary

Genitourinary side effects have included cramping, pain, and bleeding with the intravaginal use of miconazole.[Ref]

Some side effects of Cruex Prescription Strength may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.