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Mikonazol för vaginal svampinfektion

Clinical author's note Michael Stewart 12/10/2023: Gyno-Daktarin® vaginal cream was discontinued in the UK in March 2023. At the time of review, there are no products containing miconazole for vaginal thrush available in the UK. Equivalent products may still be available in other countries. Miconazole products for treating fungal skin and nail infections and for treating oral thrush are still available in the UK. This medicine leaflet is based on medical information available in the UK at the time of writing and is left here for reference purposes. Please also refer to the manufacturer's information supplied with your medicine.

Vaginal thrush is a common problem affecting women.

Miconazole is an antifungal medicine. Side-effects are unlikely but may include mild skin irritation or itching.

Remember to complete the course of treatment. If your symptoms recur, speak with your doctor as a repeat course of treatment may be needed.

At a glance

  • Miconazole is an antifungal medicine used to treat vaginal thrush.

  • It works by killing the yeast fungus that causes the infection.

  • Vaginal cream is inserted high into the vagina, usually once daily at bedtime for seven days.

  • Miconazole can damage latex contraceptives, so use an alternative or avoid sex during treatment.

  • Contact a doctor if your symptoms do not improve within a week of using miconazole.

Fortsätt läsa nedan

About miconazole for vaginal thrush

Typ av medicin

An antifungal

Används för

Vaginal thrush

Även kallad

Gyno-Daktarin® (discontinued)

Tillgänglig som

Vaginal cream

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

Miconazole vaginal cream is usually inserted high into the vagina using an applicator. It can also be applied to the area around the outside of the vagina to relieve itching and soreness.

Other forms of miconazole are available but these are used to treat fungal skin infections elsewhere on the body. There are separate medicine leaflets called Mikonazol för svampinfektioner i hud och naglar och Mikonazol för muntorsk which give more information about these.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start using miconazole it is important that your doctor knows:

  • If you are pregnant. It is important that you tell your doctor if you are expecting a baby, as you may need to use miconazole for a longer period of time during pregnancy than is usually recommended.

  • If you are under 18 years of age.

  • If you are taking any other medicines. This includes any medicines you are taking which are available to buy without prescription, as well as herbal and complementary medicines. It is particularly important if you are taking warfarin or medicines for high cholesterol (statins) because miconazole can alter the way these medicines work.

  • Om du någonsin har haft en allergisk reaktion mot en medicin.

Fortsätt läsa nedan

  • Before starting this treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about how to use the miconazole preparation you have been given.

  • If you have been prescribed Gyno-Daktarin® cream for internal use, you should use it once daily at bedtime for seven days. Pierce the seal on the tube and attach one of the disposable applicators to the tube. Squeeze the cream into the applicator until the plunger reaches the 'stop' mark. Remove the applicator from the tube, and then insert the cream-filled end of the applicator into your vagina as high as it is comfortable for you. Push the plunger to release the cream into your vagina. Throw away the applicator after use.

  • If you have been told to use Gyno-Daktarin® cream only on the area around the outside of your vagina, apply it twice each day and rub it in gently.

  • Use miconazole exactly as your doctor tells you to. Remember to complete the course of treatment (even if you are having your period) as this will help to prevent the infection from coming back. If your symptoms do recur, go back to see your doctor for further advice, as you may need to repeat the course of treatment.

  • Miconazole can damage the latex in condoms and diaphragms so do not rely on these forms of contraception. Use an alternative method of contraception (or do not have sex) while you are using miconazole. Please also keep in mind that having vaginal sex while you have thrush could infect your partner.

  • If your symptoms do not improve within a week of using miconazole, contact your doctor for further advice. An alternative treatment could be more suitable for you.

Fortsätt läsa nedan

Miconazole is unlikely to cause any serious side-effects, although it can cause mild irritation and itching in some women. If you experience any other symptoms, speak with your doctor or pharmacist for further advice.

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Viktig information om alla läkemedel

If you buy any medicines, always check with a pharmacist that they are safe to take with your other medicines.

Om du ska genomgå en operation eller tandbehandling, informera den som utför behandlingen om vilka mediciner du tar.

Om du misstänker att någon har svalt något av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.

Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.

Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.

Om du har några frågor om denna medicin, fråga din apotekare.

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Vanliga frågor

What is vaginal thrush and what causes it?

Vaginal thrush is a common infection caused by a yeast fungus called Candida spp., primarily Candida albicans. It results in symptoms like itching, soreness, redness around the vagina, and a thick, creamy white, odourless vaginal discharge.

How does miconazole work to treat vaginal thrush?

Miconazole is an antifungal medicine that treats vaginal thrush by killing the yeast fungus responsible for the infection.

Are there different ways to use miconazole for vaginal thrush?

Yes, miconazole can be used in two ways. It is usually inserted high into the vagina using an applicator to treat the internal infection. It can also be applied to the skin around the outside of the vagina to help relieve itching and soreness in that area.

How long should I use miconazole cream if I am pregnant?

If you are pregnant, it's important to tell your doctor. You may need to use miconazole for a longer duration than is typically recommended for non-pregnant individuals.

Can miconazole affect my contraception?

Yes, miconazole can damage the latex in condoms and diaphragms, making them unreliable as a form of contraception. You should use an alternative method of contraception or avoid sexual intercourse while you are using miconazole. It's also important to remember that vaginal sex while you have thrush could infect your partner.

What should I do if my thrush symptoms don't get better after using miconazole?

If your symptoms do not improve within a week of using miconazole, you should contact your doctor for advice. They may suggest an alternative treatment that could be more suitable for you.

Can I use miconazole if I am taking other medicines or have certain health conditions?

It's important to tell your doctor about any other medicines you are taking, including over-the-counter, herbal, and complementary medicines, as miconazole can alter how some medicines work, especially warfarin or statins for high cholesterol. You should also inform your doctor if you are under 18 years of age or if you have ever had an allergic reaction to any medicine.

Vidare läsning och referenser

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About the authorView full bio

Author image

Michael Stewart, MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewer

Author image

Sid Dajani

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

Artikelhistorik

Informationen på denna sida är skriven och granskad av kvalificerade kliniker.

  • Nästa granskning: 16 okt 2026
  • 17 Oct 2023 | Senaste versionen

    Senast uppdaterad av

    Michael Stewart, MRPharmS

    Granskad av

    Sid Dajani
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