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Mycamine Side Effects

Generic name: micafungin

Medically reviewed by Drugs.com. Last updated on Jul 15, 2024.

Note: This document provides detailed information about Mycamine.

Applies to micafungin: intravenous powder for solution Side Effects associated with micafungin. Some dosage forms listed on this page may not apply specifically to the brand name Mycamine.

Applies to micafungin: intravenous powder for solution.

Precautions

It is very important that your doctor check your or your child's progress closely to make sure this medicine is working properly. Blood and urine tests may be needed to check for unwanted effects.

Using this medicine while you are pregnant can harm your unborn baby. If you think you have become pregnant while receiving this medicine, tell your doctor right away.

This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Call your doctor right away if you or your child have blurred vision, chest tightness, confusion, cough, dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position, hoarseness, redness of the skin, skin rash, itching, hives or welts, sweating, swelling of your hands, face, or mouth, trouble breathing or swallowing, or unusual tiredness or weakness after you receive this medicine.

This medicine may cause blood problems (eg, hemolysis, hemolytic anemia). Check with your doctor right away if you have back, leg, or stomach pain, bleeding gums, chills, dark urine, decreased urination, fever, general body swelling, headache, loss of appetite, nausea or vomiting, nosebleeds, pale skin, sore throat, tiredness, trouble breathing, or yellow eyes or skin.

Check with your doctor right away if you or your child have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin. These could be symptoms of a serious liver problem.

This medicine may cause serious kidney problems. Check with your doctor right away if you have agitation, coma, confusion, decreased urine output, depression, dizziness, headache, hostility, irritability, lethargy, muscle twitching, nausea, rapid weight gain, seizures, stupor, swelling of the face, ankles, or hands, or unusual tiredness or weakness.

This medicine may cause infusion and injection site reactions (eg, phlebitis, thrombophlebitis), which can be life-threatening and require immediate medical attention. Tell your doctor right away if you or your child start to have changes in skin color, difficulty with swallowing, dizziness, fast heartbeat, chest tightness, flushing, sweating, swelling in your face, hands, foot, or leg, lightheadedness or faintness while you are receiving this medicine.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Serious side effects of Mycamine

Along with its needed effects, micafungin (the active ingredient contained in Mycamine) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur while taking micafungin:

More common side effects

  • anxiety
  • black, tarry, stools
  • bleeding gums
  • bloating or swelling of the face, arms, hands, lower legs, or feet
  • blurred vision
  • cold sweats
  • coma
  • confusion
  • cool, pale skin
  • cough
  • decreased frequency or amount of urine
  • depression
  • dizziness
  • fast, pounding, or irregular heartbeat or pulse
  • fever or chills
  • headache
  • increased hunger
  • increased thirst
  • loss of appetite
  • lower back or side pain
  • nausea or vomiting
  • nervousness
  • nightmares
  • numbness or tingling in the hands, feet, or lips
  • painful or difficult urination
  • pinpoint red spots on the skin
  • rapid weight gain
  • seizures
  • shakiness
  • slurred speech
  • swelling of the face, fingers, or lower legs
  • trouble breathing
  • ulcers, sores, or white spots in the mouth
  • unusual bleeding or bruising
  • unusual tiredness or weakness
  • weakness or heaviness of the legs
  • weight gain

Less common side effects

  • agitation
  • back pain
  • bone pain
  • changes in skin color, pain, tenderness, or swelling of the foot or leg
  • chest pain, discomfort, or tightness
  • dark urine
  • drowsiness
  • fainting
  • hallucinations
  • light-colored stools
  • mood or mental changes
  • muscle pain, cramps, spasms, or twitching
  • numbness or tingling in the hands, feet, or lips
  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • right upper abdominal or stomach pain and fullness
  • stiff neck
  • sweating
  • swollen glands
  • trembling
  • vomiting

Rare side effects

  • dizziness
  • headache
  • nervousness
  • pounding in the ears
  • slow or fast heartbeat
  • stomach cramps
  • weakness or heaviness of the legs

Incidence not known

  • back, leg, or stomach pain
  • bleeding, blistering, burning, coldness, discoloration of the skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site
  • blistering, peeling, or loosening of the skin
  • bloody urine
  • bruising
  • diarrhea
  • fast, weak pulse
  • feeling faint, dizzy, or lightheaded
  • flushing or redness of the skin, especially on the face and neck
  • general body swelling
  • hives or itching
  • joint pain
  • persistent bleeding or oozing from puncture sites, mouth, or nose
  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • red skin lesions, often with a purple center
  • skin rash or redness
  • vomiting of blood
  • yellow eyes or skin

Other side effects of Mycamine

Some side effects of micafungin may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common side effects

  • trouble sleeping

Less common side effects

  • feeling unusually cold or shivering

Rare side effects

  • belching
  • change in taste
  • confusion as to time, place, or person
  • difficulty having a bowel movement (stool)
  • heartburn
  • hiccups
  • sleepiness or unusual drowsiness
  • stomach discomfort or upset
  • unusual excitement, nervousness, or restlessness

For healthcare professionals

Applies to micafungin: intravenous powder for injection, intravenous solution.

General adverse events

In clinical trials with this drug, 91% of adult patients reported at least 1 side effect.

Candidemia and other Candida infections: During 1 study, side effects were reported in 92% of patients treated with 100 mg/day. These included gastrointestinal disorders (41%), metabolism and nutrition disorders (39%), general disorders/administration site conditions (30%), investigations (18%), and cardiac disorders (18%). During another study, 93% of patients treated with 100 mg/day reported side effects, including nausea, diarrhea, vomiting, abnormal liver tests, increased AST, and increased blood alkaline phosphatase.

Esophageal candidiasis: During 1 study, 78% of patients treated with 150 mg/day reported a side effect. These included gastrointestinal disorders (32%), vascular disorders (21%), general disorders/administration site conditions (20%), nervous system disorders (16%), and skin and subcutaneous tissue disorders (14%). This drug was discontinued due to side effects in 7% of patients.

Prophylaxis of Candida infections in hematopoietic stem cell transplant (HSCT) recipients: During 1 study, all adult patients who received this drug (n=382) reported at least 1 side effect. These included gastrointestinal disorders (99%), blood and lymphatic system disorders (96%), skin and subcutaneous tissue disorders (67%), nervous system disorders (65%), psychiatric disorders (61%), and cardiac disorders (35%). This drug was discontinued due to side effects in 4% of patients.[Ref]

Gastrointestinal

Diarrhea was reported during the study for prophylaxis of Candida infections in HSCT recipients (77%), the studies for candidemia and other Candida infections (up to 11%), and the study for esophageal candidiasis (10%).

Nausea was reported during the study for prophylaxis of Candida infections in HSCT recipients (71%), the studies for candidemia and other Candida infections (up to 10%), and the study for esophageal candidiasis (8%).

Vomiting was reported during the study for prophylaxis of Candida infections in HSCT recipients (66%), the studies for candidemia and other Candida infections (up to 13%), and the study for esophageal candidiasis (7%).

Abdominal pain (26%) was reported during the study for prophylaxis of Candida infections in HSCT recipients.

A 73-year-old male presented with upper abdominal tenderness after 3 weeks of treatment with this drug (150 mg/day) for pulmonary aspergillosis accompanied by Mycobacterium avium complex infection. Laboratory findings, magnetic resonance imaging, and upper abdominal tenderness were consistent with acute pancreatitis. After stopping all drugs, his symptoms improved with bowel rest and parenteral nutrition.[Ref]

Hematologic

Neutropenia (75%) and thrombocytopenia (75%) were reported during the study for prophylaxis of Candida infections in HSCT recipients.[Ref]

Nervous system

Headache was reported during the study for prophylaxis of Candida infections in HSCT recipients (44%) and the study for esophageal candidiasis (9%).[Ref]

Psychiatric

Insomnia (37%) and anxiety (22%) were reported during the study for prophylaxis of Candida infections in HSCT recipients.[Ref]

Cardiovascular

Tachycardia (26%) was reported during the study for prophylaxis of Candida infections in HSCT recipients.

Phlebitis (19%) was reported during the study for esophageal candidiasis.

Atrial fibrillation (3%) was reported during the studies for candidemia and other Candida infections.[Ref]

Dermatologic

Rash was reported during the study for prophylaxis of Candida infections in HSCT recipients (25%) and the study for esophageal candidiasis (5%).[Ref]

Other

Pyrexia (13%) was reported during the study for esophageal candidiasis.[Ref]

Metabolic

Hypoglycemia (6%), hyperkalemia (5%), and hypernatremia (4%) were reported during the studies for candidemia and other Candida infections.[Ref]

Hepatic

Increased blood alkaline phosphatase (6%), abnormal liver tests (4%), and increased AST (3%) were reported during the studies for candidemia and other Candida infections.[Ref]

Respiratory

Musculoskeletal

Hypersensitivity

Renal

In controlled trials, the incidence of drug-related renal adverse events was 0.4%.[Ref]

Local

Injection site reactions have been reported with doses of 50 to 150 mg per day. These reactions occurred more often with peripheral IV administration.[Ref]

Endocrine

Genitourinary

See also:

References

1. (2005) "Product Information. Mycamine (micafungin)." Fujisawa

2. Cerner Multum, Inc. "UK Summary of Product Characteristics."

3. Cerner Multum, Inc. "Australian Product Information."

4. Cappelletty D, Eiselstein-McKitrick K (2007) "The echinocandins." Pharmacotherapy, 27, p. 369-88

5. Sato K, Hayashi M, Utsugi M, Ishizuka T, Takagi H, Mori M (2007) "Acute pancreatitis in a patient treated with micafungin." Clin Ther, 29, p. 1468-73

6. Thompson GR 3rd, Cadena J, Patterson TF (2009) "Overview of antifungal agents." Clin Chest Med, 30, 203-15, v

Further information

Mycamine side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.