Miconazole use while Breastfeeding
Drugs containing Miconazole: Monistat, Monistat 7, Mitrazol, Zeasorb-AF, Aloe Vesta, Oravig, Micatin, Baza Antifungal, Monistat 3-Day Combination Pack, Monistat-Derm, Show all 64 »Cruex Prescription Strength, Monistat 1 Day Complete Therapy, Lotrimin AF Jock Itch Powder Spray, Lotrimin AF Athlete's Foot Powder, Secura Antifungal Extra Thick, Vusion, Rash Relief Antifungal, Monistat 3-Day Ovule Combination Pack, Lotrimin AF Athlete's Foot Spray, Yeast-X Int, Micon 7, Fungoid, Lotrimin AF Deodorant Powder Spray, Breezee Mist Antifungal, Monistat 1-Day Ovule Combination Pack, Dermagran AF, Azolen, Zeasorb-AF Drying Gel, Zeasorb-AF Lotion/Powder, M-Zole 3, Micro-Guard, Desenex AF, Secura Antifungal, DermaFungal, Monistat-1 Dual Pack, Vagistat-3, Desenex Antifungal Atheletes Foot Spray Liquid, Desenex Jock Itch, Tetterine, Triple Paste AF, Monistat 1-Day or Night Combination Pack, Micaderm, Desenex Antifungal Foot Cream, Remedy Antifungal with Olivamine, Aloe Vesta 2 in 1 Antifungal, Soothe & Cool Inzo, Lotrimin AF Athlete's Foot Powder Spray, Miranel AF, Absorbine Antifungal Foot Powder, Critic-Aid Clear AF, Zeasorb-AF Jock Itch, NuZole, Monistat 7-Day Combination Pack, Desenex Antifungal Liquid Spray, Micatin Jock Itch, Micatin Liquid Foot, Micatin Foot Powder, Desenex Prescription Strength, Micatin Foot Powder Deodorant, Fungoid Kit, Ony-Clear, M-Zole Dual Pack, Micatin Cooling Action, Daktozin
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
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