miconazole, Monistat, M-Zole, Micatin

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jay W. Marks, MD
    Jay W. Marks, MD

    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

  • Medical and Pharmacy Editor: Charles Patrick Davis, MD, PhD
    Charles Patrick Davis, MD, PhD

    Charles Patrick Davis, MD, PhD

    Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

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GENERIC NAME: miconazole

BRAND NAME: Monistat, M-Zole, Micatin

DRUG CLASS AND MECHANISM: Miconazole is an anti-fungal medication related to fluconazole (Diflucan), ketoconazole (Nizoral), itraconazole (Sporanox), and clotrimazole (Lotrimin, Mycelex). It is used either on the skin or in the vaginal for fungal infections. Miconazole was approved by the FDA in 1974.

GENERIC AVAILABLE: yes

PRESCRIPTION: yes, but not for some formulations

PREPARATIONS: Preparations are as follows:

  • Vaginal suppositories: 100 and 200 mg;
  • Vaginal cream: 2 and 4%;
  • Topical cream, aerosol powder, spray or tincture: 2%.
  • Combination Packs: 100, 200, or 1200 mg suppository plus 2% vaginal cream.

STORAGE: All formulations should be stored at room temperature, 15 C to 30 C (59 F TO 86 F).

PRESCRIBED FOR: Miconazole is used to treat vaginal infections due to Candida albicans (yeast) and several fungal infections of the skin, including tinea versicolor, athlete's foot (tinea pedis), jock itch (tinea cruris), and ringworm (tinea corporis).

DOSING: Miconazole vaginal cream and suppositories are for use only in the vagina. These products are not to be taken by mouth. The vaginal suppositories are inserted, one per dose, in an applicator. Alternatively, the tube containing the vaginal cream is screwed onto the end of a special applicator tube, and the tube is then squeezed to fill the applicator. The patient then lies on her back with bent knees, inserts the applicator containing either the suppository or cream so that the tip of the applicator is high in the vagina, and then pushes the plunger in to deposit the suppository or cream into the vagina. The applicator should be washed with warm soap and water after each use.

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