Miconazole Vaginal: MedlinePlus Drug Information (2023)

pronounced as (mi kon'a zole)

  • Why is this drug prescribed?
  • How should this remedy be used?
  • Other uses of this medicine
  • What special precautions should I take?
  • What special dietary guidelines should I follow?
  • What should I do if I miss a dose?
  • What side effects can this medicine cause?
  • What should I know about storing and disposing of this medicine?
  • In case of emergency/overdose
  • What other information should I know?
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Why is this drug prescribed?

Vaginal miconazole is used to treat vaginal yeast infections in adults and children 12 years of age and older. Miconazole belongs to a class of antifungal drugs called imidazoles. It works by preventing the growth of fungi that cause infections.

How should this remedy be used?

Vaginal miconazole is presented as a cream or suppository for insertion into the vagina. The cream can also be applied to the skin around the vagina. Suppositories are used in a single dose (Monistat 1) or once a day before bedtime for 3 consecutive days (Monistat 3). The vaginal cream is used once a day at bedtime for 7 consecutive days (Monistat 7). The cream is used twice a day for up to 7 days on the skin around the vagina. Carefully follow the instructions on the package or as directed by your doctor and ask your doctor or pharmacist to explain any part you don't know. they understand. Use miconazole exactly as directed. Do not use more or less or use more often than directed on the package or prescribed by your doctor.

Vaginal miconazole is available over-the-counter (over-the-counter). If this is the first time you experience vaginal itching and discomfort, talk to a doctor before using miconazole. If a doctor has already told you that you had a yeast infection and you have the same symptoms again, use the vaginal cream or suppositories as directed on the package.

Avoid vaginal contact or use other vaginal products (such as tampons, douches, or spermicides) during treatment.

You should start to feel better within the first three days of taking miconazole. Call your doctor if your symptoms don't improve or get worse.

To apply miconazole topical cream, use your finger to apply a small amount of cream to the affected area of ​​skin on the outside of the vagina.

To use miconazole vaginal cream or suppositories, read the instructions that come with the medication and follow the steps below:

  1. Fill the special applicator that comes with the cream to the indicated level, or unroll a suppository and place it in the applicator as indicated in the instructions.
  2. Lie on your back with your knees lifted and apart or stand up straight with your feet apart and your knees bent.
  3. Carefully insert the applicator into the vagina and push the plunger to release the medicine.
  4. Remove the applicator.
  5. Discard applicator if single use. If the applicator is reusable, remove it and clean it with soap and warm water after each use.
  6. Wash your hands immediately to avoid spreading the infection.

The dose should be applied when you lie down to sleep. It works best if you don't get up after applying it other than washing your hands. You can use a pad when using the suppository or vaginal cream to protect your clothes from stains. Continue to use miconazole vaginal cream or suppositories even if you are menstruating during treatment.

Other uses of this medicine

This medicine may be prescribed for other purposes. Ask your doctor or pharmacist for more information.

What special precautions should I take?

Before using miconazole vaginally,

  • Tell your doctor and pharmacist if you are allergic to miconazole, any other medication, or any of the ingredients in miconazole topical cream, vaginal cream, or suppositories. Ask your pharmacist for an ingredient list.
  • tell your doctor and pharmacist what prescription and nonprescription drugs, vitamins, supplements, and herbal products you are taking or plan to take. Be sure to mention the following: warfarin (Coumadin, Jantoven). Your doctor may need to change the dose of your medication or monitor you carefully for side effects.
  • Tell your doctor if you have pain in your lower abdomen, back, or shoulders. fever, chills, nausea, vomiting, or foul-smelling vaginal discharge. have been exposed to or have human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS); or have had frequent vaginal yeast infections (once a month or 3 or more infections in 6 months).
  • Tell your doctor if you are pregnant, planning to become pregnant or if you are breast-feeding. If you become pregnant while using miconazole, contact your doctor.
  • you should be aware that condoms and diaphragms may weaken if used during vaginal miconazole treatment. Because of this, these devices may not be effective in preventing pregnancy or sexually transmitted diseases if you use them during treatment.

What special dietary guidelines should I follow?

Unless your doctor tells you otherwise, continue with your normal diet.

What should I do if I miss a dose?

Use the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not use a double dose to make up for a forgotten dose.

What side effects can this medicine cause?

Miconazole can cause side effects. Tell your doctor if any of these symptoms are severe or persist:

  • increased burning, itching, or irritation of the vagina

Some side effects can be serious. If you experience any of the following symptoms, stop using miconazole and contact your doctor immediately:

  • urticaria
  • rash

If you experience a serious side effect, you or your doctor can submit an online report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting Program (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).

What should I know about storing and disposing of this medicine?

Keep this medicine in the container it came in, tightly closed and out of the reach of children. Store at room temperature and away from excessive heat and moisture (not in the bathroom).

It is important to keep all medicines out of the sight and reach of children, as many containers (such as weekly pill containers and containers for eye drops, creams, patches, and inhalers) are not child-resistant and young children may open them. them easily. . To protect young children from poisoning, always close the safety caps and immediately put the medicine in a safe place - somewhere out of sight and out of sight.http://www.upandaway.org

Unused medicines must be disposed of in a special way to ensure that pets, children and other people cannot ingest them. However, you should not flush this medicine down the toilet. Instead, the best way to dispose of your medications is through a medication withdrawal program. Talk to your pharmacist or contact your local waste/recycling department to learn more about take-back programs in your community. Consult the FDA website for safe disposal of medications (http://goo.gl/c4Rm4p) for more information if you don't have access to a return program.

In case of emergency/overdose

If someone swallows miconazole vaginally, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

What other information should I know?

Keep all appointments with your doctor.

Ask your pharmacy questions about miconazole.

If you still have symptoms of infection 7 days after starting treatment with miconazole, contact your doctor.

It is important that you keep a written list of all prescription and over-the-counter (over-the-counter) medications you take, as well as any products such as vitamins, minerals, or other dietary supplements. You should take this list with you whenever you see a doctor or if you are admitted to a hospital. It is also important information to have with you in case of an emergency.


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Last revision -15/11/2018

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