OTHER NAMES: Micatin, Miconazole, Monistat-Derm, Monistat-3, Monistat-7

Why is this drug prescribed?
Miconazole, an antifungal agent, is used for skin infections, such as athlete's foot, jock itch and vaginal infections.

When should it be used?
Miconazole is usually used once or twice a day (in the morning and evening) for one month for athlete's foot, or two weeks for other skin infections. For vaginal infections, it is used once a day at bedtime for three (Monistat-3) or seven (Monistat-7) days. Miconazole must be used regularly to be effective. Follow the instructions on the package or your prescription label carefully, and ask your doctor or pharmacist to explain any part that you do not understand. It will probably take several days for improvement to be seen in skin infections.

How should it be used?
Miconazole comes in cream, lotion, powder, spray liquid, and spray powder to be applied to the skin. It also comes in cream and suppositories to be inserted into the vagina. The skin cream is preferred for red, raised infections in skin areas subjected to rubbing. The label on the package or your prescription label tells you how much to use at each dose. Apply the topical forms of Miconazole sparingly to the infected area after thoroughly washing and drying the skin. The cream and lotion should be rubbed gently into the skin. If you are using Miconazole vaginal cream or suppositories, read the instructions provided with the medication and follow these steps:

  • Fill the special applicator that comes with the cream to the level indicated, or unwrap a suppository and place it on the applicator as shown in the accompanying instructions.
  • Lie on your back with your knees drawn upward and spread apart.
  • Gently insert the applicator into the vagina, and push the plunger to release the medication.
  • Withdraw the applicator.
  • Discard the applicator if it is disposable. If the applicator is reusable, pull it apart and clean it with soap and warm water after each use.
You may wish to wear a sanitary napkin while using the suppositories or vaginal cream to protect your clothing against stains. Do not use a tampon because it will absorb the drug. Do not douche unless we tell you to do so. Continue using Miconazole vaginal cream or suppositories even if you get your period during the time of treatment. Ask your pharmacist any questions you have about refilling your prescription.

What special instructions should I follow while using this drug?
Use all the medication prescribed, even if you think the infection has disappeared. Failure to use all the medication could allow the infection to return. If you obtained this medication without a prescription, and irritation occurs or your symptoms do not improve within four weeks (two weeks for jock itch), stop using it and consult a doctor or pharmacist. Do not swallow this medication or allow it to get into your eyes. If you have a vaginal infection, wear clean cotton panties (or panties with cotton crotches); not panties made of nylon, rayon, or other synthetic fabrics.

What should I do if I forget to take a dose?
Apply the missed dose as soon as you remember it. If you remember a missed dose at the time you are scheduled to apply the next one, omit the missed dose completely and use only the regularly scheduled dose.

What side effects can this drug cause? What can I do about them?
For burning, itching, or irritation of the skin or vagina, stop using the medication and contact us. If you experience abdominal cramps, skin rashes, hives, or headache (from the vaginal cream and suppositories), stop using the medication and contact us.

What other precautions should I follow while using this drug?
Women who are pregnant or breast-feeding should inform their doctors before using Miconazole vaginal cream or suppositories. Tell us if you become pregnant while using Miconazole vaginal cream or suppositories. Tell us if you are using a diaphragm for birth control and are being treated for a vaginal infection. Miconazole vaginal suppositories can interact with the latex in diaphragms, so you should use Miconazole vaginal cream, or use another method of birth control. If you have used all the medication prescribed and still have symptoms of the infection, contact us.