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Miconazole (oral)

  • Oral miconazole is used for thrush in the mouth and throat.

About oral miconazole

Type of medicine Antifungal
Used for Treatment and prevention of fungal infections of the mouth, throat and gut
Also called Daktarin® Oral Gel, Loramyc®
Available as Oral gel and buccal tablets (dissolve in the mouth)

Miconazole works by killing fungi and yeasts.

Before taking oral miconazole

Before taking oral miconazole make sure your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you suffer from liver problems.
  • If you suffer from porphyria (a blood disorder).
  • If you take some medications for hayfever.
  • If you suffer from heart problems.
  • If you are taking medication for lowering your cholesterol.
  • If you are taking warfarin tablets.
  • If you have ever had an allergic reaction to this or any other medicine.
  • If you are taking any other medication, prescribed or otherwise.

How to take oral miconazole

  • Oral gel:
  • Depending on your age, the dose you need to take can vary.
  • Follow the instructions given to you by your doctor (or pharmacist if you have bought it at a pharmacy).
  • Treatment is generally continued for 2 days after your symptoms disappear.
  • Do not swallow the gel immediately, rather keep it in your mouth for as long as possible.
  • Buccal tablets:
  • Place the rounded side of the tablet in the mouth between the gum and the cheek just above the incisor tooth. Hold it in place by applying slight pressure for 30 seconds.
  • It is best to use the tablets in the morning after brushing your teeth. Use opposite sides of the mouth on alternate days.
  • Do not suck, chew or swallow the tablet, or chew gum, or touch the tablet once it is in the mouth.
  • If you accidentally swallow the tablet, don't worry, just drink a glass of water. If it is swallowed within 6 hours of it being placed in the mouth, replace it with a fresh tablet.

Getting the most from your treatment

  • Children who have been prescribed miconazole oral gel should be supervised as there is a small risk of choking.
  • If you are using the gel and wear dentures, it's best to remove them at bedtime and rub them with the gel to prevent them from becoming infected too.

Can oral miconazole cause problems

Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.

Common side-effects - these affect less than 1 in 10 people who take this medicine What can I do if I experience this
Feeling or being sick Eat little and often.
Stick to simple foods such as dry toast.
If you are sick drink plenty of liquids.
Diarrhoea (if using for a long time) Drink plenty of water to replace lost fluids.
Sore mouth, changes in taste, burning or itching in the mouth If these are troublesome, speak with your doctor

In rare cases, itching and redness may indicate an allergy to your medicine.

How to store oral miconazole

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

Important information about all medicines


  • Keep all medicines out of the sight and reach of children.
  • Make sure that the person prescribing this medicine knows about any other medicines that you are taking. This includes medicines you buy and herbal and homeopathic medicines.
  • If you buy any medicines check with a pharmacist that they are safe to take with your other medicines.
  • Before taking this medicine tell your doctor if you have ever had an allergic reaction after taking any medicine.
  • Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of this medicine go to the accident and emergency department of your local hospital at once. Always take the container with you, if possible, even if it is empty.
  • If you are having any treatment like an operation or dental treatment tell the person carrying out the treatment which medicines you are taking.
  • Always read the printed information leaflet that comes with your medicine.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out of date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.

References

  • British National Formulary; 53rd Edition (March 2007) British Medical Association and Royal Pharmaceutical Society of Great Britain. London (link to current BNF).
  • British National Formulary for Children; British Medical Association and Royal Pharmaceutical Society of Great Britain. London.
  • Summary of Product Characteristics; Daktarin Oral Gel® Janssen-Cilag Ltd, electronic Medicines Compendium. Text revised 08 June 2006, accessed September 2007
  • Manufacturer's PIL, Daktarin Oral Gel®, Janssen-Cilag Ltd, electronic Medicines Compendium. Text revised March 2002, accessed September 2007.
Comprehensive patient resources are available at www.patient.co.uk
© EMIS 2008 DocID:
3859		 DocRef:
dils3888		 Last Updated:
18 Jun 2008		 Date of Next Review:
18 Jun 2010		 Version:
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PS - Health and Poverty

Perhaps the biggest cause of ill health in the world is poverty. Help to Make Poverty History. For example, why not lend some of your money to disadvantaged communities to enable them to trade their way out of poverty through schemes such as Shared Interest.

See also MAKEPOVERTYHISTORY North East for details and links to campaigns against poverty.

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