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Miconazole, sold under the brand name Monistat among others, is an antifungal medication used to treat ring worm, pityriasis versicolor, and yeast infections of the skin or vagina. [2] It is used for ring worm of the body , groin (jock itch), and feet (athlete's foot). [ 2 ]
Intravaginal (vaginal suppository): butoconazole, clotrimazole, miconazole, nystatin, tioconazole, terconazole. [4] Candidal vulvovaginitis in pregnancy should be treated with intravaginal clotrimazole or nystatin for at least 7 days. [26] All are more or less equally effective. [27] By mouth: ibrexafungerp, fluconazole as a single dose. [4]
Topical clotrimazole is categorized as pregnancy category B. [15] Small amounts of clotrimazole may be absorbed systemically following topical and vaginal administration. However, topical clotrimazole is still considered safe to use to treat yeast infections in pregnant women and is a safer alternative to other antifungals. [15] [16]
Candidal skin infections in the skin folds (candidal intertrigo) typically respond well to topical antifungal treatments (e.g., nystatin or miconazole). For breastfeeding mothers topical miconazole is the most effective treatment for treating candidiasis on the breasts. [68] Gentian violet can be used for thrush in breastfeeding babies. [14]
Women should speak to their doctor or healthcare professional before starting or stopping any medications while pregnant. [1] Drugs taken in pregnancy including over-the counter-medications, prescription medications, nutritional supplements, recreational drugs, and illicit drugs may cause harm to the mother or the unborn child.
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Ketoconazole, along with miconazole, has been found to act as an antagonist of the glucocorticoid receptor. [ 45 ] [ 46 ] Ketoconazole is a racemic mixture consisting of cis -(2 S ,4 R )-(−) and cis -(2 R ,4 S )-(+) enantiomers. [ 10 ]