DAKTACORT HYDROCORTISONE CREAM
Active substance: MICONAZOLE NITRATE
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Hydrocortisone acetate, miconazole nitrate
This medicine is used to treat inflamed sweat rash and Athletes Foot skin infections. This medicine is for use by adults and children aged 10years and over. Do not use this medicine: There are some people who should not use this medicine. To find out if you are one of them. See Section 2 c If you have ever had a bad reaction to any of the ingredients. For the list of ingredients. See Section 6 c Speak to your doctor: If you suffer from any of the conditions mentioned in Section 2 c If you are taking any other medicines. See Section 2 c Follow the instructions on how to use this product carefully. See Section 3 c Now read this whole leaflet carefully before you use this medicine. Keep the leaflet: you might need it again.
Athletes Foot is a fungal skin infection causing soreness, itching and flaking between the toes or on the soles or sides of the feet. If you have a fungal infection without any symptoms ofinflammation, an antifungal medication without hydrocortisone acetate may be more appropriate. Ask your doctor or pharmacist if you are in doubt. This medicine is for use in adults and children aged 10years and over.
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Talk to your doctor or pharmacist if you are taking
Oral anticoagulants (drugs used to thin the blood, such as warfarin). If you are not sure about any of the medicines you are taking, show the bottle or pack to your pharmacist.
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If you are pregnant or breast-feeding
Ask your doctor or pharmacist for advice before using this medicine if you are pregnant or breast-feeding.
2 Before using this medicine
X Do not use this medicine
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Special warnings about this medicine
This medicine is suitable for most adults and children but afew people should not use it. If you are in any doubt, talk toyour doctor or pharmacist.
Do not let the cream get into your eyes. Rinse with water straight away. If you experience any irritation or sensitivity to the cream, stop using this medicine. Do not use for more than 7 days.
1 What the medicine is for
Daktacort Hydrocortisone Cream is a medicine which is used to treat inflamed sweat rash or Athletes Foot. The cream contains the following ingredients: Hydrocortisone acetate is a mild topical steroid which reduces inflammation, swelling, redness and itching of the skin. Miconazole nitrate is an antifungal which works by destroying both the fungus that causes the infection and some of the associated bacteria which may also be present. Sweat rash (candida intertrigo, or thrush of the skin folds) is a sore, itchy red rash found in areas where the skin rubs together e.g. below or between the breasts, underarms, tops of legs or the groin or other skin areas.
If you have ever had a bad reaction to any of the ingredients. If you have any other skin problems such as cold sores, acne, herpes, chicken pox, or shingles. If your skin is broken. On large areas of your body or under dressings. For more than 7 days. On your face, eyes or mucous membranes. On the anal or genital area, unless your doctor has told you to. If it is for a child under 10 years of age, unless your doctor has told you to. To treat ringworm, unless your doctor has told you to. To treat any other infections which occur as a result of your original infection, unless your doctor has told you to. If this applies to you, get advice from a doctor or pharmacist without using Daktacort HydrocortisoneCream.
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Some of the ingredients can cause problems
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Benzoic acid (E210) can mildly irritate the skin, eyes and mucosal membranes. Butylated hydroxyanisole (E320) may cause local skin reactions (e.g. contact dermatitis), or irritation to the eyes and mucous membranes.
3 How to use this medicine
Check the table that follows to see how much medicine to use. For topical use only, which means it is applied directly to the affected area of skin. Do not use more than the stated dose shown in the table.
How to apply the cream
Wash the infected area and dry it well. As many skin conditions are contagious, you should keep a towel and flannel for your own use and not share it so that you do not infect anyone else.
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This leaflet was revised February 2011. Daktacort is a registered trade mark.
7 Facts about Athletes Foot:
How do you catch Athletes Foot?
Apply the cream onto the infected area and surrounding skin. Unless the infected skin is on your hands, wash your hands carefully after applying the cream to avoid spreading the infection to other parts of the body or to other people. Similarly, clothing which comes into contact with the infected areas, such as socks, should be washed and changed frequently.
i Adults and children aged 10 years and over
Age Adults and children aged 10 years and over
Dose Put a small amount of the cream on the affected area twice daily. Rub it in gently until the cream has disappeared.
If you experience any of the following, stop using the medicine and talk to your doctor: Uncommon (affects fewer than 1 in 100 people): Skin irritation, burning sensation, itchy skin, hives (also known as nettle rash or urticaria). Frequency not known: Sensitivity reactions at the site of application, skin rash, redness, inflammation or lighter patches of skin. Other effects which occur are listed below: Uncommon: Irritability in children. If you experience any side-effects not included in this leaflet or are not sure about anything, talk to your doctor or pharmacist.
Do not use for more than 7 days. If symptoms persist talk to your doctor.
5 Storing this medicine
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If anyone has swallowed this product
If anyone accidentally swallows Daktacort Hydrocortisone Cream, contact a doctor or your nearest Accident and Emergency department (Casualty), taking this leaflet and pack with you.
Keep the product out of the reach and sight of children. Do not use your medicine after the date shown as the expiry date on the packaging.
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6 Further information
If you forget to use the medicine
Its extremely infectious so anyone can pick it up, especially people sharing communal changing rooms and showers. Once the fungal spores have been transferred onto the feet, they thrive in the warm, moist areas between the toes. The skin soon becomes inflamed and itchy with flaking or cracking occurring. The infected flakes of skin are then shed onto the floor or into the socks and shoes by walking or friction. Someone else will be easily infected if they step on these flakes, or if they share towels or footwear with someone who has already got Athletes Foot. What is more, even if youve already got rid of your Athletes Foot, its very easy to re-infect yourself. The spores can live on or in your shoes or socks and if you dont change them regularly, or treat them with antifungal powders or spray powders, the Athletes Foot soon returns.
If you forget to use a dose, use the next dose when needed. Do not use a double dose.
Whats in this medicine?
How to prevent re-infection
4 Possible side-effects
Daktacort Hydrocortisone Cream can have side-effects, like all medicines, although these dont affect everyone and are usually mild.
The active ingredients in 1 g of Daktacort Hydrocortisone Cream are: Miconazole nitrate 20 mg and Hydrocortisone acetate equivalent to 10 mg of hydrocortisone. Other ingredients are: Macrogol 6-32 stearate, glycol stearate, oleoyl macrogolglycerides, liquid paraffin, butylhydroxyanisole, benzoic acid, disodium edetate, sodium hydroxide and purified water.
If you experience any of the following, stop using the medicine and seek immediate medical help:
What the medicine looks like
Frequency not known: Severe allergic reactions including swelling of the face, lips, tongue or throat. Light headedness, generalised itch, wheezing or difficulty in breathing.
Daktacort Hydrocortisone Cream is a white cream available in a 15 g tube. Product Licence holder: McNeil Products Ltd, Maidenhead, Berkshire, SL6 3UG, UK. Manufacturer: Janssen Pharmaceutica NV, Turnhoutseweg 30, B2340, Beerse, Belgium.
If you want to avoid the vicious circle of re-infection, here are afew helpful hints. Spray inside your shoes and socks with fungicidal powder before putting them on. Dont wear the same pair of shoes every day. This helps reduce the build-up of sweat which provides the moisture on which the fungus thrives. Avoid synthetic footwear. Choose cotton socks and leather shoes which allow your feet to breathe. Avoid sharing towels or footwear. Avoid walking barefoot in changing rooms. Dry thoroughly between your toes and keep toenails short as this reduces the number of places fungi can grow.
GB - AW_66408 11/0038
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

