1 May 2026Drugs for external use and antiseptics
Miconazole, cream
Miconazole cream guidance for cutaneous candidiasis, candidal balanitis, and mild dermatophyte infections.
This guide page is for structured reference only and does not replace a clinician, pharmacist, or emergency review. Dose choice, route choice, interactions, and safety decisions still need professional judgment.
Therapeutic action
Antifungal.
Indications
- Cutaneous candidiasis (groin, abdominal folds, intergluteal fold, sub-mammary folds, interdigital spaces of the toes or fingers).
- Candidal balanitis.
- Mild dermatophyte infection of the glabrous skin and skin folds.
Forms and strengths
2% cream, tube.
Dose
Child and adult: one application 2 times daily, in a thin layer, to clean and dry skin.
Duration
- Cutaneous candidiasis: 2 to 4 weeks.
- Candidal balanitis: one week.
- Dermatophyte infection: 2 to 3 weeks.
Contra-indications, adverse effects, precautions
- May cause local irritation and allergic reactions.
- In the event of genital candidiasis, inform patients that the oil-based cream may damage the latex in condoms and diaphragms and reduce their effectiveness.
- Pregnancy: no contra-indication.
- Breast-feeding: no contra-indication. In the event of mammary candidiasis, clean the breast before nursing and apply cream after nursing.
- For vulvovaginal candidiasis, the cream may complement but does not replace clotrimazole vaginal tablets.
Source
MSF Essential drugs practical guidelines (January 2026)
This page reproduces the structured reference information for this batch while leaving out the Storage and Remarks sections.
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