Miconazole use while Breastfeeding
Drugs containing Miconazole: Monistat, Monistat 7, Monistat 3-Day Combination Pack, Vusion, Zeasorb-AF, Lotrimin AF Athlete's Foot Powder, Secura Antifungal, Aloe Vesta 2 in 1 Antifungal, Mitrazol, Aloe Vesta, Show all 62 »Micro-Guard, Monistat 1-Day Ovule Combination Pack, Miranel AF, Zeasorb-AF Drying Gel, Micatin, Micaderm, DermaFungal, Fungoid, Baza Antifungal, Critic-Aid Clear AF, Oravig, Ony-Clear, Desenex Jock Itch, M-Zole 3, Desenex Antifungal Foot Cream, Desenex Antifungal Atheletes Foot Spray Liquid, Monistat 3-Day Ovule Combination Pack, Triple Paste AF, Tetterine, Cruex Prescription Strength, Azolen, Desenex Prescription Strength, Monistat-Derm, NuZole, Dermagran AF, Micon 7, Remedy Antifungal with Olivamine, Soothe & Cool Inzo, Zeasorb-AF Lotion/Powder, Daktozin, Monistat 1-Day or Night Combination Pack, Lotrimin AF Deodorant Powder Spray, Absorbine Antifungal Foot Powder, Secura Antifungal Extra Thick, Desenex AF, Micatin Jock Itch, Vagistat-3, Monistat-1 Dual Pack, Lotrimin AF Athlete's Foot Spray, Rash Relief Antifungal, Micatin Cooling Action, Desenex Antifungal Liquid Spray, Breezee Mist Antifungal, Monistat 7-Day Combination Pack, Zeasorb-AF Jock Itch, Lotrimin AF Jock Itch Powder Spray, Yeast-X Int, Micatin Liquid Foot, Fungoid Kit, Micatin Foot Powder Deodorant, Micatin Foot Powder, M-Zole Dual Pack
Miconazole Levels and Effects while Breastfeeding
Summary of Use during Lactation
Because miconazole has poor oral bioavailability, it is unlikely to adversely affect the breastfed infant, including topical application to the nipples. However, miconazole ointment appears to have no advantage over lanolin for treating sore nipples during breastfeeding and a survey of members of the Academy of Breastfeeding Medicine found topical miconazole is rarely prescribed to nursing mothers to treat thrush. Any excess cream or ointment should be removed from the nipples before nursing. Only water-miscible cream or gel products should be applied to the breast because ointments may expose the infant to high levels of mineral paraffins via licking.
Maternal Levels. Relevant published information was not found as of the revision date.
Infant Levels. Relevant published information was not found as of the revision date.
Effects in Breastfed Infants
Relevant published information was not found as of the revision date.
Effects on Lactation and Breastmilk
In a randomized, double-bind trial, lanolin was compared to an all-purpose nipple ointment containing mupirocin 1%, betamethasone 0.05%, and miconazole 2% for painful nipples while nursing in the first 2 weeks postpartum. The two treatments were equally effective in reducing nipple pain, nipple healing time, breastfeeding duration, breastfeeding exclusivity rate, mastitis and nipple symptoms, side effects or maternal satisfaction with treatment.
Alternate Drugs to Consider
1. Dennis CL, Schottle N, Hodnett E, McQueen K. An all-purpose nipple ointment versus lanolin in treating painful damaged nipples in breastfeeding women: A randomized controlled trial. Breastfeed Med. 2012;7:473-9. PMID: 22428572
2. Brent NB. Thrush in the breastfeeding dyad: results of a survey on diagnosis and treatment. Clin Pediatr (Phila). 2001;40:503-6. PMID: 11583049
3. Noti A, Grob K, Biedermann M et al. Exposure of babies to C(15)-C(45) mineral paraffins from human milk and breast salves. Regul Toxicol Pharmacol. 2003;38:317-25. PMID: 14623482
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LactMed Record Number
Last Revision Date
Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.