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Miconazole cream

Pronunciation

Generic Name: miconazole (mi-KON-a-zole)
Brand Name: Monistat 1 Combo Pack

Miconazole cream is used for:

Treating vaginal yeast infections and relieving external vulvar itching and irritation associated with yeast infection.

Miconazole cream is an antifungal agent. It works by weakening the cell membrane of the fungus, resulting in the death of the fungus.

Do NOT use miconazole cream if:

  • you are allergic to any ingredient in miconazole cream
  • you have never had a vaginal yeast infection diagnosed by a doctor

Contact your doctor or health care provider right away if any of these apply to you.

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Before using miconazole cream:

Some medical conditions may interact with miconazole cream. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have the blood disease porphyria or a history of liver disease, or you have been exposed to HIV
  • if you have stomach, shoulder, or lower back pain; fever; chills; nausea; foul-smelling vaginal discharge; or vomiting
  • if this is the first time you have had vaginal itching and discomfort
  • if you have vaginal yeast infections often (eg, once a month or 3 in 6 months)
  • if you are taking antibiotics

Some MEDICINES MAY INTERACT with miconazole cream. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Anticoagulants (eg, warfarin) because the risk of side effects such as bruising or bleeding may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if miconazole cream may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use miconazole cream:

Use miconazole cream as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Miconazole cream comes with an additional patient leaflet. Read it carefully and reread it each time you get miconazole cream refilled.
  • Miconazole cream is for vaginal use only. Do not use in the eyes or take by mouth.
  • Suppositories - Using the applicator provided, insert the suppository high into the vagina at bedtime.
  • External cream - Squeeze a small amount of cream onto your finger and gently spread the cream onto the itchy, irritated skin outside the vagina as directed by your doctor or on the packaging.
  • Wash your hands immediately after using miconazole cream.
  • To clear up your infection completely, continue using miconazole cream for the full course of treatment.
  • If you miss a dose of miconazole cream, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use miconazole cream.

Important safety information:

  • Miconazole cream is for vaginal use only. Avoid contact with the eyes, nose, or mouth. If you get miconazole cream in your eyes, flush with a generous amount of cool water.
  • It is important to use miconazole cream for the full course of treatment. Failure to do so may decrease the effectiveness of miconazole cream and increase the risk that the fungus will no longer be sensitive to miconazole cream and will not be able to be treated by this or certain other antibiotics in the future.
  • If your symptoms do not improve within 3 days, if they last more than 7 days, or if they become worse, stop using miconazole cream and contact your health care provider at once. You may have a more serious illness.
  • Do not use miconazole cream for itching caused by other conditions.
  • Dry the outside vaginal area completely after showering, bathing, or swimming. Do not go swimming for at least 9 to 12 hours after applying miconazole cream. Change out of wet bathing suits or damp workout clothes as soon as possible.
  • Continue using miconazole cream even during your menstrual period. Do not use tampons while you are using miconazole cream or until all of your symptoms go away. Use unscented pads or pantiliners.
  • Do not have vaginal sexual intercourse while you are using miconazole cream.
  • Miconazole cream may decrease the effectiveness of condoms and diaphragms, increasing the chance of pregnancy or risk of sexually transmitted disease. Do not use these products for at least 1 day after treatment with miconazole cream.
  • Do not use tampons, douches, spermicides, or other vaginal products while using miconazole cream.
  • Overuse of topical products may worsen your condition.
  • Do not use miconazole cream in CHILDREN younger than 12 years of age unless advised to do so by your health care provider.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant while taking miconazole cream, discuss with your doctor the benefits and risks of using miconazole cream during pregnancy. It is unknown if miconazole cream is excreted in breast milk. If you are or will be breast-feeding while you are using miconazole cream, check with your doctor or pharmacist.

Possible side effects of miconazole cream:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Headache; mild vaginal burning, irritation, or itching; stomach cramps.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); fever or chills; foul-smelling vaginal discharge; nausea; severe or prolonged vaginal burning, irritation, or itching; stomach pain; swelling; vomiting.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of miconazole cream:

Store miconazole cream at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Do not use if the wrapper on the applicator or suppository is torn or damaged. Keep miconazole cream out of the reach of children and away from pets.

General information:

  • If you have any questions about miconazole cream, please talk with your doctor, pharmacist, or other health care provider.
  • Miconazole cream is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take miconazole cream or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. 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 miconazole cream. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to miconazole cream. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using miconazole cream.

Issue Date: September 3, 2014
Database Edition 14.3.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. 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 this medicine. 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 your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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