Miconazole use while Breastfeeding
Drugs containing Miconazole: Monistat, Monistat 7, Monistat 3-Day Combination Pack, Baza Antifungal, Zeasorb-AF, Oravig, Micatin, Monistat 1-Day or Night Combination Pack, Desenex Antifungal Foot Cream, Monistat 7-Day Combination Pack, Show all 64 »Monistat 1-Day Ovule Combination Pack, Aloe Vesta, Mitrazol, Zeasorb-AF Lotion/Powder, Vusion, Daktozin, Monistat 3-Day Ovule Combination Pack, Desenex Antifungal Atheletes Foot Spray Liquid, Secura Antifungal, Rash Relief Antifungal, Aloe Vesta 2 in 1 Antifungal, Azolen, Monistat 1 Day Complete Therapy, Cruex Prescription Strength, Yeast-X Int, Monistat-Derm, Lotrimin AF Deodorant Powder Spray, DermaFungal, Micatin Jock Itch, Desenex Jock Itch, M-Zole 3, Micro-Guard, Desenex AF, Secura Antifungal Extra Thick, Vagistat-3, Zeasorb-AF Drying Gel, Micatin Cooling Action, Lotrimin AF Athlete's Foot Powder, Tetterine, Lotrimin AF Athlete's Foot Spray, Triple Paste AF, Micaderm, Monistat-1 Dual Pack, Fungoid Kit, M-Zole Dual Pack, Dermagran AF, Lotrimin AF Athlete's Foot Powder Spray, Miranel AF, Lotrimin AF Jock Itch Powder Spray, Absorbine Antifungal Foot Powder, Critic-Aid Clear AF, Zeasorb-AF Jock Itch, NuZole, Soothe & Cool Inzo, Ony-Clear, Breezee Mist Antifungal, Fungoid, Desenex Antifungal Liquid Spray, Micon 7, Micatin Liquid Foot, Micatin Foot Powder, Desenex Prescription Strength, Micatin Foot Powder Deodorant, Remedy Antifungal with Olivamine
Medically reviewed on Oct 31, 2018
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
CAS Registry Number
LactMed Record Number
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