Generic Name : MICONAZOLE
Pronunciation : (mi kon' a zole)
Trade Name(s) : Canticid, Zole, Gyno-Daktarrin
Why it is prescribed: Miconazole, an antifungal agent,
is used for skin infections such as athlete's foot and jock itch
and for vaginal yeast infections.
When it is to be taken:
1. Miconazole is usually used once or twice a day in the morning
and evening for one month for athlete's foot or two weeks for
other skin infections.
2. For vaginal infections, it is used once a day at bedtime for
three or seven days. Miconazole must be used regularly to be effective.
3. Follow the instructions on the package or your prescription
label carefully, and ask your doctor to explain any part that
you do not understand.
4. It will probably take several days for improvement to be seen
in skin infections.
How it should be taken: Miconazole comes in the form of
cream, lotion, powder, spray liquid, and spray powder to be applied
to the skin. It also comes in the form of cream and suppositories
to be inserted into the vagina. The label on the package or your
prescription label tells you how much to use at each dose. Apply
the topical forms of miconazole sparingly to the infected area
after washing and drying the skin thoroughly. The cream and lotion
should be rubbed gently into the skin. Wash your hands promptly.
If you are using miconazole vaginal cream or suppositories, read
the instructions provided with the medication and follow these
steps:
1. Fill the special applicator that comes with the cream to the
level indicated, or unwrap a suppository and place it on the applicator
as shown in the accompanying instructions.
2. Lie on your back with your knees drawn upward and spread apart.
3. Gently insert the applicator into the vagina, and push the
plunger to release the medication.
4. Withdraw the applicator.
5. Discard the applicator if it is disposable. If the applicator
is reusable, pull it apart and clean it with soap and warm water
after each use.
6. Wash your hands promptly. You may wish to wear a sanitary napkin
while using the suppositories or vaginal cream to protect your
clothing against stains.
7. Do not use a tampon because it will absorb the drug.
8. Do not douche unless your doctor tells you to do so.
9. Continue using miconazole vaginal cream or suppositories even
if you get your period during the time of treatment.
Special Instruction :
1. Continue to use miconazole for as long as directed, even if
you think that the infection has disappeared. Failure to use all
of the medication could allow the infection to return. If you
have used the medication as directed and still have symptoms of
the infection, contact your doctor.
2. If you obtained the topical form of miconazole without a prescription
and your symptoms do not improve within four weeks, stop using
it and consult a doctor.
3. If this is the first time you have had vaginal itching and
discomfort, consult a doctor before using miconazole. If a doctor
has told you before that you had a yeast infection and you have
the same symptoms again, use the vaginal cream or suppositories
as directed on the package for seven consecutive days, preferably
at night.
4. If you obtained miconazole vaginal cream or suppositories without
a prescription and you do not improve within three days, or do
not get well in seven days, contact your doctor.
5. If your symptoms return in less than two months, contact your
doctor.
6. Do not use miconazole vaginally if you have abdominal, back,
or shoulder pain; fever; or foul-smelling vaginal discharge. Contact
a doctor immediately.
7. If you have a vaginal infection, wear clean cotton panties,
not panties made of nylon, rayon, or other synthetic fabrics.
8. Do not swallow this medication or allow it to get into your
eyes.
9. Apply the missed dose as soon as you remember it. If you remember
a missed dose at the time you are scheduled to apply the next
one, omit the missed dose completely and use only the regularly
dose.
Side Effects : Although side effects from miconzole are
not common, they can occur. Increased burning, itching, irritation
of the skin or vagina. Consult your doctor.
Other Precautions :
1. Women who are pregnant, plan to become pregnant, or are breast-feeding
should inform their doctors before using miconazole vaginal cream
or suppositories.
2. Tell your doctor if you are using a condom for birth control
and are being treated for a vaginal infection. Miconazole vaginal
cream and suppositories can interact with the condoms, so you
should use another method birth control.
Storage Conditions : Keep miconazole in the container it
came in and out of the reach of children. Store it at room temperature.