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Topical antifungal (azole)

Miconazole: uses, side effects & precautions

Also known as Daktarin, Monistat (vaginal), Micatin.

Deze informatie is uitsluitend bedoeld als algemene richtlijn en vormt geen medisch advies. Raadpleeg altijd een gekwalificeerde zorgprofessional voor persoonlijke medische vragen. Bel in geval van nood uw lokale alarmnummer.

What it is used for

  • Athlete's foot
  • Ringworm and jock itch
  • Fungal nappy/diaper rash
  • Oral thrush (oral gel form)
  • Vaginal thrush (vaginal forms)

How it works

Miconazole damages the membrane of fungal and yeast cells, stopping them from growing and helping the body clear the infection.

How it is taken

Comes as a skin cream, powder, spray, an oral gel for mouth thrush, and vaginal creams or pessaries. Apply, insert or use in the mouth exactly as the label or your clinician directs, and continue for the full course even after symptoms ease.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Mild burning, stinging or itching at the site
  • Redness or peeling of the treated skin
  • Unpleasant taste with the oral gel

Serious effects — get help

  • Severe local irritation, blistering or swelling
  • Signs of an allergic reaction such as facial swelling, widespread rash or difficulty breathing

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Can interact with certain blood-thinning medicines (such as warfarin) and some other drugs, especially with the oral gel; tell your pharmacist what else you take
  • Vaginal miconazole may weaken latex condoms and diaphragms

Who should take care

  • Tell your clinician what other medicines you take, particularly blood thinners
  • Tell your clinician if you are pregnant or breastfeeding before using vaginal or oral forms
  • For oral gel in infants, follow advice carefully on how to apply it safely
  • Seek advice if symptoms do not improve within the time on the label

Frequently asked questions

Does miconazole interact with my warfarin?
It can increase the effect of warfarin and some other medicines, especially the oral gel. Tell your pharmacist or doctor what you take before using it.
Can I use the oral gel for a baby's oral thrush?
It is sometimes used for infants, but application must follow specific advice to use it safely. Check with a pharmacist or clinician first.
Does the vaginal form affect condoms?
Yes, it can weaken latex condoms and diaphragms during treatment, so use an alternative form of protection.
How long should I keep using it?
Complete the full course on the label even after symptoms settle, to reduce the chance the infection returns.
Is Miconazole safe to take?
For most people it is safe when taken exactly as a doctor or pharmacist advises and as printed on the label. Tell your clinician about your other medicines and health conditions, and seek urgent care for any serious reaction.

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