MICONAZOLE oral gel

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    Prescription under medical supervision


    Therapeutic action

    • Antifungal

    Indications

    • Mild oropharyngeal candidiasis

    Forms and strengths

    • 2% oral gel (24 mg/ml) together with, depending on the manufacturer:
      • a 2.5 ml measuring spoon with 1.25 ml and 2.5 ml graduation
        or
      • a 5 ml measuring spoon with 2.5 ml and 5 ml graduation

    Dosage

    • Child from 6 months to 2 years: 1.25 ml 4 times daily 
    • Child over 2 years and adult: 2.5 ml 4 times daily

    ​​​​​​​

    The oral gel should be kept in the mouth 2 to 3 minutes and then swallowed, or in young children, applied to the tongue and inside of each cheek.

    Duration

    • 7 days; 14 days of treatment may be necessary.

    Contra-indications, adverse effects, precautions

    • Do not administer:
      • to children under 6 months or patients with swallowing difficulties (risk of suffocation due to oral gel form);
      • in patients with hepatic impairment.
    • Do not combine with antivitamin K agents (risk of haemorrhage), glibenclamide (increased hypoglycaemic effect), phenytoin (increased plasma concentration of phenytoin).
    • May cause: nausea, taste disturbances.
    • Pregnancy: no contra-indication
    • Breast-feeding: no contra-indication

    Remarks

    • Use the measuring spoon provided and check the graduation.
    • Administer between meals (preferably after meals).
    • In patients with dentures, clean dentures with oral gel when removed.
    • In the event of moderate or severe oropharyngeal candidiasis, use oral fluconazole.
    • Miconazole oral gel is not included in the WHO list of essential medicines.

    Storage

     
    –   Below 25 °C