Therapeutic action
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