Mitigal 2% w/w (Cream)

10 gm tube: ৳ 30.00

Medicine Details

Category Details
Generic Miconazole nitrate
Company Ad din pharmaceuticals ltd

Indications

  • Treatment of oral and gastrointestinal candidiasis
  • Eradication of fungal colonization in the mouth and gastrointestinal tract
  • Treatment of super infections due to gram-positive bacteria
  • Treatment of dermatomycoses such as Tinea pedis, Tinea corporis, Tinea manuum, Candidial infections, Tinea versicolor, intertrigo, perianal infections, stomatitis angularis, balanoposthitis, otitis externa

Pharmacology

  • Antifungal activity against common dermatophytes and yeasts
  • Antibacterial activity against certain gram-positive bacilli and cocci
  • Inhibition of demethylation step in ergosterol biosynthesis
  • Disruption of fungal cell membrane leading to cell death
  • Low oral bioavailability (25-30%)
  • Systemic absorption after oral gel administration
  • Binding to plasma proteins (88.2%)
  • Metabolism of absorbed portion
  • Excretion in urine (less than 1%)
  • Terminal plasma half-life (20-25 hours)

Dosage

  • Oral gel dosage for infants, adults, and children
  • Gastrointestinal tract candidosis dosage for infants, children, and adults
  • Application of missed dose
  • Cream application for various fungal infections
  • Duration of treatment for different infections

Administration

  • Application frequency for localized mouth lesions
  • Instruction for keeping gel in contact with affected area
  • Removal and brushing of dental prosthesis for oral candidosis

Interaction

  • Avoidance of concomitant treatment with specific drugs
  • Potential delay of certain drugs' metabolism leading to toxicity

Contraindications

  • Hypersensitivity to the active ingredient

Side Effects

  • Occasional nausea and vomiting
  • Diarrhea with long term use
  • Rare allergic reactions

Pregnancy & Lactation

  • Caution in pregnant women due to lack of safety information
  • Exercise caution when administered to nursing women

Precautions & Warnings

  • Monitoring of anticoagulant effect if used concomitantly
  • Monitoring of phenytoin plasma level when used concomitantly
  • Caution in infants and young children to prevent throat obstruction

Overdose Effects

  • Symptomatic and supportive treatment for accidental overdose
  • No specific antidote available

Therapeutic Class

  • Aural Anti-fungal preparations

Storage Conditions

  • Storage in dry place away from light and heat
  • Keep out of the reach of children

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