Micoderm 2% w/w (Cream)

10 gm tube: ৳ 40.00

Medicine Details

Category Details
Generic Miconazole nitrate
Company Drug international ltd
Also available as

Title

  • Micoderm Oral Gel

Categories

  • Oral Care
  • Antifungal Medication

Description

  • Micoderm oral gel is indicated for the treatment of oral and gastrointestinal candidiasis, eradication of fungal colonization, treatment of super infections due to gram-positive bacteria, and various dermatomycoses such as Tinea pedis, Tinea corporis, Tinea manuum, and Candidial infections.

Color Options

  • Clear gel

Function

  • Antifungal treatment
  • Bacterial infection treatment

Dosage Form

  • Oral gel
  • Cream

Age Group

  • Infants 4-24 months
  • Adults
  • Children 2 years and older

Dosage Instructions

  • Apply 4 times a day after meals for oral candidosis
  • Cover affected areas twice daily for tinea pedis, tinea cruris, tinea corporis, and cutaneous candidiasis
  • Apply once daily for tinea versicolor

Administration Method

  • Apply directly to affected area with a clean finger
  • Remove dental prosthesis at night and brush with the gel for oral candidosis

Pharmacodynamics

  • 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

Pharmacokinetics

  • Low oral bioavailability (25-30%)
  • Systemic absorption after oral gel administration
  • Plasma protein binding (88.2%)
  • Metabolism of absorbed Miconazole
  • Excretion in urine (<1%)
  • Terminal plasma half-life (20-25 hours)
  • Similar elimination half-life in renal-impaired patients

Interaction

  • Avoid concomitant treatment with Terfenadine, Astemizole, and Cisapride
  • May delay Phenytoin and Cyclosporine metabolism
  • Monitor anticoagulant effect and phenytoin plasma level when used concomitantly

Contraindications

  • Known hypersensitivity to the active ingredient

Side Effects

  • Nausea
  • Vomiting
  • Diarrhea with long-term use
  • Rare allergic reactions

Pregnancy & Lactation

  • Avoid in pregnant women if possible
  • Caution with nursing women due to potential excretion in human milk

Precautions & Warnings

  • Monitor anticoagulant effect if used concomitantly
  • Avoid obstruction of the throat in infants and young children

Overdose Effects

  • Vomiting
  • Diarrhea
  • Symptomatic and supportive treatment

Therapeutic Class

  • Aural Anti-fungal preparations

Storage Conditions

  • Dry place away from light and heat
  • Keep out of reach of children

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