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Miconazole

Pronunciation

Generic Name: miconazole (mye-KON-a-zole)
Brand Name: Oravig

Miconazole is used for:

Treating fungal infections of the mouth and throat.

Miconazole is an azole antifungal. It works by killing sensitive fungi.

Do NOT use miconazole if:

  • you are allergic to any ingredient in miconazole or to milk protein

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

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Before using miconazole:

Some medical conditions may interact with miconazole. 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 a history of allergy to an azole antifungal (eg, ketoconazole, fluconazole)
  • if you have liver disease

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

  • Anticoagulants (eg, warfarin) because the risk of bleeding may be increased
  • Ergot alkaloids (eg, ergotamine), phenytoin, or medicine for diabetes because the risk of their side effects may be increased by miconazole

This may not be a complete list of all interactions that may occur. Ask your health care provider if miconazole 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:

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

  • An extra patient leaflet is available with miconazole. Talk to your pharmacist if you have questions about this information.
  • Use miconazole in the morning after you brush your teeth.
  • Wash your hands and dry well before handling miconazole.
  • Place the rounded side of the tablet against the upper gum just above the incisor tooth. Check with your doctor or pharmacist if you are not sure where to place miconazole.
  • Apply slight pressure over the upper lip to hold the tablet in place for 30 seconds to make sure that it stays in place. The tablet may be used if it sticks to the cheek, the inside of the lip, or the gum.
  • After you apply miconazole, allow it to dissolve slowly in your mouth. Do not chew, crush, or swallow it whole.
  • Apply your next dose to the other side of the mouth. Before you apply your next dose, rinse your mouth to be sure none of the previous tablet still remains.
  • You may eat and drink while the tablet is in place. However, do not chew gum while the tablet is in place.
  • If the tablet does not stick or falls off within the first 6 hours, replace the same tablet back against the gum immediately. If the tablet still does not stick, remove that tablet and put a new one in place.
  • If you accidentally swallow miconazole within the first 6 hours, drink a glass of water. Then put a new tablet in place. The tablet should only be replaced once. Check with your doctor or pharmacist if you accidentally swallow the tablet and you are not sure what to do.
  • If the tablet falls off or is accidentally swallowed after it has been in place for 6 hours or more, do not replace that tablet until your next regularly scheduled dose.
  • To clear up your infection completely, use miconazole for the full course of treatment. Keep using it even if your condition improves in a few days.
  • If you miss a dose of miconazole, 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.

Important safety information:

  • If you accidentally apply the flat side of the tablet to the gum, there is no cause for concern. The medicine will still be effective.
  • Avoid activities that may make the tablet fall off after it has been applied. Such activities may include touching or pressing the tablet after it is in place, wearing upper dentures, chewing gum, hitting the tablet when brushing your teeth, or rinsing the mouth with too much force.
  • Be sure to use miconazole for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The fungus could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
  • Miconazole should not be used in CHILDREN younger than 16 years old; safety and effectiveness in these children have not been confirmed. Children may have a risk of choking on miconazole.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using miconazole while you are pregnant. It is not known if miconazole is found in breast milk. If you are or will be breast-feeding while you use miconazole, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of miconazole:

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:

Diarrhea; headache; mild mouth discomfort; nausea; stomach pain; taste changes; vomiting.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); burning, pain, or swelling at the application site; sores on the mouth or tongue; unusual tiredness or weakness.

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:

Store miconazole at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep miconazole out of the reach of children and away from pets.

General information:

  • If you have any questions about miconazole, please talk with your doctor, pharmacist, or other health care provider.
  • Miconazole 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 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. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to miconazole. 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.

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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