Miconazole Nitrate (Topical)

Miconazole is an anti fungal agent belonging to the azole family, such as ketoconazole and clotrimazole. Miconazole is used topically to treat several fungal infections as vaginal yeast infection, jock itch, ringworm and athlete’s foot. It kills the yeast the cause of infection of the skin or mucosa, providing relief of the fungal infection symptoms (redness, itching and peeling ) in about 2-3 days. The complete resolution of these conditions usually occurs within 1-4 weeks of treatment with miconazole.

miconazole nitrate

How to use Miconazole Nitrate topical.

How to use miconazole depends on two factors. Ones is the type of infection to fight and the other, the product presentation. There are a wide variety of products containing miconazole nitrate, ranging from gels to sprays. So for your use you should follow the instructions of your dermatologist or failing the product’s leaflet. It may be used in adult and children more than 2 year old

As a rule, before applying the product, you must wash and dry the affected area. In case of athlete’s foot, make sure to apply the medication between the toes. Avoid bandaging the lesions unless it has been indicated by your doctor. Normally these treatments must be performed twice a day. To ensure their effectiveness they must complete the cycle. These are usually 4 weeks and their application is recommended to do in the morning and night. Stopping treatment earlier than indicated may result in the reappearance of the infection. The increase of the amount of product applied or its frequency does not shorten the time of cure. This may cause the appearance of side effects due to drug overdose.

Miconazole Contraindications.

This medication is not effective for treating fungal infections of the scalp or nails.

Topical application of miconazole is contraindicated in children younger than 2 years, unless recommended by a qualified physician. Miconazole should only be used in children, under the direct supervision of an adult.
It should not be applied in pregnant women during the first trimester of pregnancy.
Do not use this medicine if you have hypersensitivity to miconazole.

Miconazole Nitrate Topical treatments

Tinea pedis and tinea corporis:

• Apply Miconazole 2% (Lotrimin anti fungal cream) on the infected area after cleaning and drying twice a day for 4 weeks.

Inguinal ringworm:

• Apply (Miconazole Nitrate 2 % Anti fungal Cream) on the infected area after cleaning and drying twice a day for 2 weeks.

Tinea versicolor and cutaneous or mucocutaneous candidiasis:

• Apply (Miconazole Nitrate 2 % Anti fungal Cream) on the infected area after cleaning and drying twice a day for 2 weeks. An improvement begins after 2 weeks of treatment.

Seborrheic dermatitis:

• Apply (Miconazole Nitrate 2 % Anti fungal Cream) on the infected area after cleaning and drying twice a day for 4 weeks. An improvement begins after 2 weeks of treatment. In the case of seborrheic dermatitis, it is advisable to use steroid creams in conjunction with miconazole to reduce itching and inflammation.

Treatment of vaginal candidiasis:

NOTE:

  • The cream can be used topically in the affected area twice a day for a maximum of 7 days, regardless of the intravaginal regimen used.
  • Pregnant women are not recommended to self-diagnose vaginal candidiasis or use miconazole over-the-counter forms, unless specifically recommended by their health care physician.

Intravaginal dose (Monistat 1-day regimen, vaginal suppository):

• Adult and adolescent women: A 1200 mg vaginal tablet inserted during a single dose before going to bed.
• Pregnant women: one day regimens are generally not recommended in this population.

Intravaginal dose (3-day regimen, vaginal suppository or cream):

• Adults and adolescent women: A suppository of 200 mg inserted intravaginally once a day at bedtime for 3 consecutive days, or applying 5 g of the cream to 4% once a day intravaginally at bedtime during 3 consecutive days.
• Pregnant women: this population is not recommended for three-day regimens.

Intravaginal dose (7-day regimens, suppository or vaginal cream):

• Adults and adolescent women: A suppository of 100 mg inserted intravaginally once a day at bedtime, for 7 consecutive days, or applying 5 g of the cream to 2% once a day intravaginally at bedtime for 7 consecutive days.
• Pregnant women: Use under the direction of a qualified health professional Insert the 2% cream applicator intravaginally once a day, preferably at bedtime, for 7-14 days.