Monistat 1 (miconazole nitrate)
Vaginal Antifungal Agents Vaginal Ointment With Prefilled Applicator
Last reviewed · Source: First Databank (FDB) drug data
Overview
Miconazole nitrate, an imidazole derivative, a synthetic azole antifungal agents.
USES: This medication is used to treat vaginal yeast infections. Miconazole reduces vaginal burning, itching, and discharge that may occur with this condition. This medication is an azole antifungal.
It works by stopping the growth of yeast (fungus) that causes the infection. The vaginal product comes in 2 forms (a vaginal cream or tablet). Some products also come with a skin cream to be applied to the area around the outside of the vagina.
Ask your doctor before using this medication for self-treatment if this is your first vaginal infection. This medication only works for vaginal fungal infections. You may have a different type of infection (such as bacterial vaginosis) and may need a different medication.
If you have fever, chills, flu-like symptoms, stomach/abdominal pain, or a bad-smelling vaginal discharge, do not use this medication. Contact your doctor right away because these may be signs of a more serious infection.
Generic name: miconazole nitrate
Pronunciation: (mye-KON-a-zole NYE-trate)
Drug class: Vaginal Antifungal Agents
Therapeutic class: Vaginal Products
Reference product & biosimilars
No reference, biosimilar or interchangeable associated with this drug.
Today’s intelligence on Monistat 1
Indications
The following indications are listed for Monistat 1:
- Vulvovaginal Candidiasis
Also known as: Vaginal Candidiasis, Vulvovaginal Candidosis, Vulvovaginal Moniliasis.
Dosing
No dosing information is available for this tab.
Miconazole nitrate is administered topically as a cream, powder, or aerosol powder or tincture, or intravaginally as a vaginal cream or suppository. Miconazole powder or aerosol powder are not recommended for use on the scalp or nails.
| Drug label | Dosing type | Instructions |
|---|---|---|
| Monistat 1 6.5% Ointment | Maintenance | Insert 1 applicatorful (4.6 gram) by vaginal route once daily just prior to bedtime. |
| Drug label | Dosing type | Instructions |
|---|---|---|
| Tioconazole 1 6.5% Ointment | Maintenance | Insert 1 applicatorful (4.6 gram) by vaginal route once daily just prior to bedtime. |
| Tioconazole-1 6.5% Ointment | Maintenance | Insert 1 applicatorful (4.6 gram) by vaginal route once daily just prior to bedtime. |
| Eql Tioconazole-1 6.5% Oint | Maintenance | Insert 1 applicatorful (4.6 gram) by vaginal route once daily just prior to bedtime. |
| Cvs Tioconazole-1 6.5% Ointmnt | Maintenance | Insert 1 applicatorful (4.6 gram) by vaginal route once daily just prior to bedtime. |
| Ft Tioconazole-1 6.5% Ointment | Maintenance | Insert 1 applicatorful (4.6 gram) by vaginal route once daily just prior to bedtime. |
| Eq Tioconazole-1 6.5% Ointment | Maintenance | Insert 1 applicatorful (4.6 gram) by vaginal route once daily just prior to bedtime. |
Drug interactions
There is no enhanced messaging for this drug.
There are no contraindication interactions for this drug.
There are no severe interactions for this drug.
There are no moderate interactions for this drug.
Contraindications
There is no enhanced messaging for this drug.
There are no contraindication contraindications for this drug.
There are no severe contraindications for this drug.
- No disease contraindications
Adverse reactions
There is no enhanced messaging for this drug.
Rare or Very Rare
- Abnormal vaginal bleeding
- Anaphylaxis
- Angioedema
- Bronchospastic pulmonary disease
- Dyspnea
- Toxic epidermal necrolysis
- Urticaria
Less Frequent
- Dysmenorrhea
- Fever
- Genital organ pruritus
- Vaginal discharge
Rare or Very Rare
- Acute abdominal pain
- Chills
- Contact dermatitis
- Cystitis
- Dizziness
- Facial edema
- Flu-like symptoms
- General weakness
- Headache disorder
- Nausea
- Pruritus of skin
- Skin rash
- Vaginal burning
- Vaginal irritation
- Vaginitis
- Vulvovaginal pain
Precautions
No enhanced messaging available.
No enhanced messaging available.
Because small amounts of miconazole nitrate are absorbed from the vagina, the manufacturer states that the vaginal preparations should not be used in the first trimester of pregnancy unless the drug is considered essential to the welfare of the patient. For self-medication, miconazole nitrate vaginal suppositories or vaginal cream should not be used in pregnant women unless otherwise instructed by a physician. Follow-up reports from clinical studies during which miconazole vaginal preparations were used for up to 14 days in pregnant women have revealed no adverse effects or complications attributable to therapy with the drug in infants born to these women. Prolonged gestation has occurred in rats, but not in rabbits, receiving oral miconazole nitrate. In addition, fetotoxicity and embryotoxicity have occurred in rats and rabbits and dystocia in rats in reproduction studies using oral miconazole nitrate dosages of 80 mg/kg and higher; these effects were not observed in rats following intravaginal administration of the drug.
It is not known whether miconazole nitrate is distributed into milk. Miconazole nitrate should be used with caution in nursing women.
No enhanced messaging available.
ICD codes
| Code | Type | Description |
|---|---|---|
| Vulvovaginal candidiasis | ||
| B37.3 | ICD10CM | Candidiasis of vulva and vagina |
| B37.31 | ICD10CM | Acute candidiasis of vulva and vagina |
| B37.32 | ICD10CM | Chronic candidiasis of vulva and vagina |
ICD code information from First Databank (FDB).
Formulary status
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Last reviewed · Source: First Databank (FDB) drug data
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