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Micoderm oral gel is indicated for:
Miconazole exhibits antifungal activity against common dermatophytes and yeasts, and antibacterial activity against certain gram-positive bacilli and cocci. It inhibits a demethylation step in ergosterol biosynthesis, disrupting the production of ergosterol, a key component of fungal cell membranes. This disruption causes holes in the fungal cell membrane, leading to leakage of essential cell constituents and ultimately cell death.
Miconazole's oral bioavailability is low (25-30%) due to limited absorption from the intestinal tract. After administration as an oral gel, it is systemically absorbed. Absorbed miconazole binds to plasma proteins (88.2%), primarily serum albumin and red blood cells (10.6%). It is largely metabolized, with less than 1% excreted unchanged in the urine. The terminal plasma half-life is 20-25 hours, similar in renal-impaired patients.
Apply the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue your regular schedule. Do not double the dose.
For localized lesions of the mouth, apply a small amount of gel 2-4 times a day directly to the affected area with a clean finger. For best results, keep the gel in contact with the affected area as long as possible. Continue treatment for at least a week after symptoms have disappeared. For oral candidosis, remove dental prostheses at night and brush them with the gel.
There is no information regarding the safety of miconazole oral gel during pregnancy. It should be avoided in pregnant women if possible, or the potential risks should be weighed against the possible benefits. Caution should be exercised when miconazole is administered to a nursing woman as many drugs are excreted in human milk.
Keep in a dry place away from light and heat. Keep out of the reach of children.
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