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of one Miconazole use while Breastfeeding Drugs containing Miconazole: Monistat, Aloe Vesta, Monistat 7, Zeasorb-AF, Mitrazol, Lotrimin AF Athlete's Foot Powder, Micatin, Monistat 3-Day Combination Pack, Baza Antifungal, Azolen, Show all 64 Vusion, Yeast-X Int, Lotrimin AF Athlete's Foot Spray, Vagistat-3, Oravig, Monistat 3-Day Ovule Combination Pack, Cruex Prescription Strength, Aloe Vesta 2 in 1 Antifungal, Micro-Guard, Micon 7, Breezee Mist Antifungal, Soothe & Cool Inzo, Monistat 1-Day Ovule Combination Pack, Fungoid, Monistat 1 Day Complete Therapy, DermaFungal, Desenex Jock Itch, Desenex Antifungal Foot Cream, Zeasorb-AF Lotion/Powder, M-Zole 3, Desenex AF, Secura Antifungal, Secura Antifungal Extra Thick, Desenex Antifungal Atheletes Foot Spray Liquid, Zeasorb-AF Drying Gel, Monistat-1 Dual Pack, Tetterine, Triple Paste AF, Monistat 1-Day or Night Combination Pack, Micaderm, Daktozin, Micatin Cooling Action, Micatin Jock Itch, Dermagran AF, M-Zole Dual Pack, NuZole, Lotrimin AF Athlete's Foot Powder Spray, Monistat-Derm, Miranel AF, Lotrimin AF Jock Itch Powder Spray, Absorbine Antifungal Foot Powder, Critic-Aid Clear AF, Zeasorb-AF Jock Itch, Monistat 7-Day Combination Pack, Ony-Clear, Remedy Antifungal with Olivamine, Lotrimin AF Deodorant Powder Spray, Desenex Antifungal Liquid Spray, Micatin Liquid Foot, Micatin Foot Powder, Desenex Prescription Strength, Micatin Foot Powder Deodorant, Fungoid Kit, Rash Relief Antifungal Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings Breastfeeding Warnings User Reviews Support Group Q & A Miconazole Levels and Effects while Breastfeeding Summary of Use during Lactation Because miconazole has poor oral bioavailability, it is unlikely to adversely affect the breastfed infant, including topical application to the nipples. However, miconazole ointment appears to have no advantage over lanolin for treating sore nipples during breastfeeding[1] and a survey of members of the Academy of Breastfeeding Medicine found topical miconazole is rarely prescribed to nursing mothers to treat thrush.[2] Any excess cream or ointment should be removed from the nipples before nursing. Only water-miscible cream or gel products should be applied to the breast because ointments may expose the infant to high levels of mineral paraffins via licking.[3] Drug Levels Maternal Levels. Relevant published information was not found as of the revision date. Infant Levels. Relevant published information was not found as of the revision date. Effects in Breastfed Infants Relevant published information was not found as of the revision date. Effects on Lactation and Breastmilk In a randomized, double-bind trial, lanolin was compared to an all-purpose nipple ointment containing mupirocin 1%, betamethasone 0.05%, and miconazole 2% for painful nipples while nursing in the first 2 weeks postpartum. The two treatments were equally effective in reducing nipple pain, nipple healing time, breastfeeding duration, breastfeeding exclusivity rate, mastitis and nipple symptoms, side effects or maternal satisfaction with treatment.[1] Alternate Drugs to Consider Clotrimazole , Fluconazole , Nystatin References 1. Dennis CL, Schottle N, Hodnett E, McQueen K. An all-purpose nipple ointment versus lanolin in treating painful damaged nipples in breastfeeding women: A randomized controlled trial. Breastfeed Med. 2012;7:473-9. PMID: 22428572 2. Brent NB. Thrush in the breastfeeding dyad: results of a survey on diagnosis and treatment. Clin Pediatr (Phila). 2001;40:503-6. PMID: 11583049 3. Noti A, Grob K, Biedermann M et al. Exposure of babies to C(15)-C(45) mineral paraffins from human milk and breast salves. Regul Toxicol Pharmacol. 2003;38:317-25. PMID: 14623482 Miconazole Identification Substance Name Miconazole CAS Registry Number 22916-47-8 Drug Class Antifungal Agents Dermatologic Agents Administrative Information LactMed Record Number 368 Last Revision Date 20130907 Disclaimer Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site. Print this page Disclaimer: This information is not intended as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. Use of this website signifies your agreement to the Terms of Use and Online Privacy Policy. More about miconazole Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Interactions Support Group En Español 0 Reviews Add your own review/rating Drug class: azole antifungals Related treatment guides Oral Thrush Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Miconazole Rating No Reviews - Be the first! No Reviews - Be the first! Not Rated - Be the first! Drug Class Azole antifungals employer


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