About miconazole for thrush

Many women have an occasional bout of vaginal thrush. It is due to infection caused by the Candida yeast fungus. Most cases of thrush are caused by Candida albicans but sometimes other types of Candida are the cause. Common symptoms of thrush are itching, soreness, and redness around the outside of the vagina and a thick, creamy white, odourless vaginal discharge.

Miconazole is a treatment which is usually inserted into the vagina, although it can also be used as a cream around the outside of the vagina.

Miconazole works by killing the Candida fungus.

Before using miconazole for thrush

To make sure this is the right treatment for you, before you start using miconazole for thrush, make sure your doctor or pharmacist knows:

• If you are pregnant.
• If you are taking other medicines, including those available to buy without a prescription, herbal and complementary medicines. This is important because miconazole can alter the way medicines such as warfarin work.
• If you have ever had an allergic reaction to this or to any other medicine.

How to use miconazole for thrush

• Before starting this treatment, read the manufacturer's printed information leaflet from inside the pack. The leaflet will give you more information about how to use the miconazole preparation you have been given.
• If you are using the vaginal capsule, you will have been given a single dose to use before going to bed. Remove the ovule from the packaging and push it gently into your vagina as high as possible using your finger, then wash your hands.
• If you are using the cream, pierce the seal on the tube and attach one of the disposable applicators, then squeeze the cream into the tube until the plunger reaches the 'stop' mark. Remove the applicator and insert it into your vagina. Press the plunger to release the cream, throw away the used applicator and wash your hands. You will have been asked to use the cream once a day for 10-14 days or twice a day for 7 days. If you are unsure, check with your doctor.
• If you have been asked to use the cream on the area around the outside of your vagina and back passage only, apply it twice daily.

Getting the most from your treatment

• Miconazole may reduce the effectiveness of condoms and diaphragms. Consequently, you should use an alternative method of contraception (or avoid sexual intercourse) while you are being treated with miconazole.
• If you are using the vaginal capsule, this will dissolve in the vaginal fluid. You may notice some leakage as it melts but this is nothing to worry about.
• If you are using the cream, remember to complete the course, even if your symptoms have improved. This will help to prevent your infection from coming back.
• If your symptoms do not improve after using miconazole, go back to see your doctor for further advice.
• Other things that may help to relieve the symptoms of thrush include avoiding wearing tight-fitting underwear and clothing, and avoiding using perfumed products, such as soaps and shower gels, around the vaginal area.

Can miconazole for thrush cause problems?

Miconazole is unlikely to cause any unwanted symptoms, although it may occasionally cause irritation. If you experience any other symptoms, ask your doctor or pharmacist for advice.

How to store miconazole for thrush

• Keep all medicines out of the reach and sight of children.
• Store in a cool, dry place, away from direct heat and light.

Important information about all medicines