Miconazole Topical

Miconazole belongs to the group of medicines called antifungals. Topical miconazole is used to treat some types of fungus infections.

Some of these preparations may be available without a prescription.

Keep miconazole away from the eyes.

Apply enough miconazole to cover the affected area, and rub in gently.

To use the aerosol powder form of miconazole:

• Shake well before using.
• From a distance of 6 to 10 inches, spray the powder on the affected areas. If it is used on the feet, spray it between the toes, on the feet, and in the socks and shoes.
• Do not inhale the powder.
• Do not use near heat, near open flame, or while smoking.

To use the aerosol solution form of miconazole:

• Shake well before using.
• From a distance of 4 to 6 inches, spray the solution on the affected areas. If it is used on the feet, spray it between the toes and on the feet.
• Do not inhale the vapors from the spray.
• Do not use near heat, near open flame, or while smoking.

To use the powder form of miconazole:

• If the powder is used on the feet, sprinkle it between the toes, on the feet, and in the socks and shoes.

When miconazole is used to treat certain types of fungus infections of the skin, an occlusive dressing (airtight covering, such as kitchen plastic wrap) should not be applied over miconazole. To do so may cause irritation of the skin. Do not apply an occlusive dressing over miconazole unless you have been directed to do so by your doctor.

To help clear up your infection completely, keep using miconazole for the full time of treatment, even if your condition has improved. Do not miss any doses.

Dosing

The dose of miconazole will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of miconazole. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For aerosol powder, aerosol solution, cream , and powder dosage forms:
  • For fungus infections:
    • Adults and children—Apply to the affected area(s) of the skin two times a day, morning and evening.
• For cream and lotion dosage forms:
  • For sun fungus:
    • Adults and children—Apply to the affected area(s) of the skin once a day.

Missed Dose

If you miss a dose of miconazole, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep miconazole inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

If your skin problem does not improve within 4 weeks, or if it becomes worse, check with your health care professional.

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• Blistering, burning, redness, skin rash, or other sign of skin irritation not present before use of miconazole

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

• Miconazole Nitrate

Hypersensitivity to miconazole or any component of the formulation

Tinea corporis: Topical: Apply twice daily for 4 weeks

Tinea pedis: Topical: Apply twice daily for 4 weeks

Effervescent tablet: Dissolve 1 tablet in ~1 gallon of water; soak feet for 15 to 30 minutes; pat dry

Tinea cruris: Topical: Apply twice daily for 2 weeks

Vulvovaginal candidiasis: Intravaginal:

Cream, 2%: Insert 1 applicatorful at bedtime for 7 days

Cream, 4%: Insert 1 applicatorful at bedtime for 3 days

Suppository, 100 mg: Insert 1 suppository at bedtime for 7 days

Suppository, 200 mg: Insert 1 suppository at bedtime for 3 days

Suppository, 1,200 mg: Insert 1 suppository (a one-time dose); may be used at bedtime or during the day

Note: Many products are available as a combination pack, with a suppository for vaginal instillation and cream to relieve external symptoms. External cream may be used twice daily, as needed, for up to 7 days.

There are no dosage adjustments provided in the manufacturer’s labeling.

Store at room temperature.

Miconazole topical is an antifungal medication. Miconazole topical prevents fungus from growing on your skin.

Miconazole topical (for the skin) is used to treat skin infections such as athlete's foot, jock itch, ringworm, tinea versicolor (a fungus that discolors the skin), and yeast infections of the skin.

Miconazole topical may also be used for purposes not listed in this medication guide.

If someone swallows miconazole topical, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.