Miconazole

what is it?

Miconazole is an over the counter azole antifungal used to treat yeast infections. Vaginal azoles are used to treat yeast (fungus) infections of the vagina. 

what is a yeast infection?

A vaginal yeast infection is a fungal infection that causes irritation, discharge and intense itchiness of the vagina and the vulva. It is also known as vaginal candidiasis and is very common. Symptoms can range from mild to severe and include vaginal burning (especially while peeing or during intercourse), vaginal itching, and extra discharge. For first-time users, make sure your doctor has checked and confirmed that you have a vaginal yeast infection before you use the vaginal azole antifungal medicines that do not require a prescription. Vaginal yeast infections can reoccur over time and, when the same symptoms occur again, self-treating with these medicines is recommended. However, you should see your doctor if the symptoms occur again within 2 months. 

what’s in it?

Active ingredient: 

Miconazole Nitrate 4% (200mg per suppository)

Inactive ingredients:

Benzoic acid, cetyl alcohol, isopropyl myristate, polysorbate 60, potassium hydroxide, propylene glycol, purified water, stearyl alcohol

who can take this medication?

People who need to treat a vaginal yeast infection and are between the ages of 18-65 can use this medication.

how do i take it? 

Insert one vaginal suppository into the vagina at bedtime for three nights in a row. Treatment may be repeated if needed.

To help clear up your infection completely, it is very important that you keep using this medicine for the full time of treatment , even if your symptoms begin to clear up after a few days. If you stop using this medicine too soon, your symptoms may return. Do not miss any doses. Also, do not stop using this medicine if your menstrual period starts during the time of treatment.

how soon can i expect to see results?

The 1- or 3-day treatments may take up to 7 days to completely clear up your infection. However, not all vaginal infections are caused by yeast. If your symptoms do not improve within 3 days or have not disappeared in 7 days, or if they become worse, check with your doctor. If symptoms occur again within 2 months, check with your doctor.

what is the success rate?

Cure rates for this treatment are in excess of 80%

where is this medication available?

This medication is available to ship to everywhere in the US.

important information

Pregnancy

This medicine is usually inserted into the vagina with an applicator. However, if you are pregnant, check with your doctor before using the applicator.

Studies have not been done in humans for use of all azole antifungals during the first trimester of pregnancy. These medicines are safe and effective when used for at least 7 days during the second and third trimesters of pregnancy. However, check with your doctor before using this medicine during the first trimester of pregnancy. Also, use of 1- and 3-day treatments may not be effective during pregnancy.

Breast Feeding

It is not known whether vaginal azoles pass into the breast milk. However, these medicines have not been shown to cause problems in nursing babies.

Precautions

Vaginal medicines usually tend to come out during treatment. To keep the medicine from getting on your clothing, wear a mini-pad or sanitary napkin. The use of non-medicated tampons (like those used for menstrual periods) is not recommended since they may soak up the medicine.

To help clear up your infection completely and to help make sure it does not return, good health habits are also required.

Wear cotton panties (or panties or pantyhose with cotton crotches) instead of synthetic (for example, nylon or rayon) panties. Wear only clean panties. If you have any questions about this, check with your health care professional.

Vaginal yeast infections are not usually spread by having sex and your sex partner does not need to be treated. However, if the sex partner has symptoms of local itching or skin irritation of the penis, he may benefit by being treated also.

If you use latex or rubber birth control devices (condoms, diaphragms, or cervical caps), you should wait 3 days after treatment with azole antifungal agents before using them again. Many brands of vaginal azoles contain oils in the product that can weaken these devices. This increases the chances of a condom breaking during sexual intercourse. The rubber in cervical caps or diaphragms may break down faster and wear out sooner. Check with your health care professional to make sure the vaginal azole product you are using can be used with latex rubber birth control devices.

Check with your doctor before douching to obtain advice about whether you may douche and, if allowed, the proper method.

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