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|Monistat

Monistat

Generic name: Miconazole nitrate
Brand names: Monistat

Why is Monistat prescribed?

Monistat is available in several formulations, including Monistat 3 vaginal suppositories, Monistat 7 vaginal cream and suppositories, and Monistat-Derm skin cream. Monistat"s active ingredient, Miconazole, fights fungal infections.

Monistat 3 and Monistat 7 are used for vaginal yeast infections. Monistat-Derm is used for skin infections such as athlete"s foot, ringworm, jock itch, yeast infection on the skin (cutaneous candidiasis), and tinea versicolor (a common skin condition that produces patches of white, tan, or brown finely flaking skin over the neck and trunk).

Most important fact about Monistat

Keep using this medicine regularly for the full time of the treatment, even if the infection seems to have disappeared. If you stop too soon, the infections could return. You should continue using the vaginal forms of the medicine even during your menstrual period.

How should you use Monistat?

Use Monistat exactly as prescribed.

Keep all forms of this medicine away from your eyes.

Before applying Monistat-Derm to your skin, be sure to wash your hands. Massage the medication gently into the affected area and the surrounding skin.

If you are using the vaginal cream or suppository, follow these steps:

1. Load the applicator to the fill line with cream, or unwrap a tablet, wet it with warm water, and place it in the applicator as shown in the instructions you received with the product.
2. Lie on your back with your knees drawn up.
   Gently insert the application high into the vagina and push the plunger.
3. Withdraw the applicator and discard it if disposable, or wash with soap and water.

To keep the vaginal medication from getting on your clothing, wear a sanitary napkin. Do not use tampons because they will absorb the medicine. Wear cotton underwear--avoid synthetic fabrics such as rayon or nylon. Do not douche unless your doctor tells you to do so.

Dry the genital area thoroughly after a shower, bath, or swim. Change out of a wet bathing suit or damp workout clothes as soon as possible. Yeast is less likely to flourish in a dry environment.

Do not scratch if you can help it. Scratching can cause more irritation and can spread the infection.

--If you miss a dose...

Make up for it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and go back to your regular schedule.

--Storage instructions...

Store at room temperature.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor. Only your doctor can determine whether it is safe for you to continue taking Monistat.

• More common side effects may include:
  Burning sensation, cramping, headaches, hives, irritation, rash, vulval or vaginal itching

Why should Monistat not be prescribed?

If you have ever had an allergic reaction to or are sensitive to miconazole nitrate, you should not use Monistat. Make sure your doctor is aware of any drug reactions you have experienced.

Special warnings about Monistat

If symptoms persist, or if an irritation or allergic reaction develops while you are using Monistat, notify your doctor.

The hydrogenated vegetable oil base of Monistat 3 may interact with the latex in vaginal diaphragms, so concurrent use of these two products is not recommended.

Your doctor may recommend Monistat 7 Vaginal Cream if you are using a diaphragm. However, you should be aware that the mineral oil in the vaginal cream can weaken the latex in condoms and diaphragms, making them less reliable for prevention of pregnancy or sexually transmitted disease.

If you are using Monistat 3 or Monistat 7 suppositories, you should either avoid sexual intercourse or make sure your partner uses a condom.

Do not give Monistat 7 to girls less than 12 years of age. Also avoid using Monistat 7 if you have any of the following symptoms:

Fever above 100°F orally
Foul-smelling vaginal discharge
Pain in the lower abdomen, back, or either shoulder

If these symptoms develop while you are using Monistat 7, stop treatment and contact your doctor right away. You may have a more serious infection.

If the infection fails to improve or worsens within 3 days, or you do not obtain complete relief within 7 days, or symptoms return within two months, you may have something other than a yeast infection.

Possible food and drug interactions when taking Monistat

No interactions have been reported.

Special information if you are pregnant or breastfeeding

Unless you are directed to do so by your doctor, do not use Monistat during the first trimester (three months) of pregnancy because it is absorbed in small amounts from the vagina. It is not known whether miconazole appears in breast milk. If Monistat is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with Monistat is finished.

Recommended dosage

MONISTAT-7 VAGINAL CREAM

The usual daily dose is 1 applicatorful inserted into the vagina at bedtime for 7 consecutive days.

MONISTAT-7 VAGINAL SUPPOSITORIES

The usual daily dose is 1 suppository inserted into the vagina at bedtime for 7 consecutive days.

MONISTAT-DERM

For jock itch, ringworm, athlete"s foot, or yeast infection of the skin, apply a thin layer of Monistat-Derm over the affected area morning and night. For tinea versicolor, apply a thin layer over the affected area once daily.

Overdosage

Overdose of Monistat has not been reported. However any medication used in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.