Gyno-Daktarin 20 mg Vaginal Cream 78 gm

Product Description:

• Miconazole nitrate 20 mg/g vaginal cream
  This belongs to a group of medicines called ‘antifungals’.
  It is used for infections of the vagina and the skin around the vagina.
• Signs of these infections include itching, redness and white discharge.
• The cream works by destroying the fungus that causes the infection and some of the bacteria which may also be present.
• Your sexual partner may also need to be treated.
• Ask your doctor for advice About vaginal thrush.
• Vaginal thrush is a very common problem affecting women of all ages.
• It has nothing to do with poor hygiene.
• It is often caused by a fungus (Candida albicans) that is present in everybody.
• The fungus is normally kept in check by the body’s defenses.
• Sometimes the fungus can become a problem due to:
• Recent use of antibiotics
• Pregnancy
• Use of oral contraceptives
• Wearing tight clothing
• Over use of hot baths and bath additives
• You can prevent infections coming back by:
• Washing the infected area in the morning and evening with plain,warm water.
• It is important that you dry thoroughly
• Wiping backwards (away from the vagina) after visiting the toilet
• Not using medicated and perfumed bath additives
• Not wearing tight clothing.

Do not use Miconazole nitrate:

• If you are allergic to miconazole nitrate, any of the other ingredients of this
  medicine or to other similar antifungal medicines.
• Do not use this medicine if this applies to you.

Warnings and Precautions:

Talk to your doctor or pharmacist before using Miconazole nitrate cream:

• If you are using a ‘barrier’ method of contraception.
• This includes condoms or diaphragms.
• This is because Miconazole cream can damage the latex and stop them working properly.
• Talk to your doctor about using another type of contraception while you are using this medicine
  Do not allow other people to use your flannel or towel.
• This will stop them from getting your infection. Children and adolescents:
• Miconazole cream is not recommended for use in children or adolescents under the age of 18.
  Other medicines and Miconazole nitrate cream:
• Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
• This includes medicines that you buy without a prescription or herbal medicines. In particular, tell your doctor if you are taking: Medicines to thin the blood (anticoagulants) such as warfarin.
• Your doctor will need to check that the anticoagulant is working properly. Medicines for diabetes, taken by mouth
• Medicines that act on the heart and blood vessels called ‘calcium channel
  blockers’ such as dihydropyridines and verapamil.
• Medicine for epilepsy called phenytoin.
• Medicines to lower cholesterol called lovastatin or simvastatin
• Tell your doctor before taking, or if you are already taking any of the above.
  They may need to alter your treatment.
• Pregnancy and breast-feeding
• If you are pregnant or breast-feeding, think you may be pregnant or are planning
  to have a baby, ask your doctor or pharmacist for advice before using this medicine.
• You may still be able to use Miconazole nitrate cream if your doctor thinks you need.

How To Use:

• Always use this medicine exactly as your doctor has told you.
• Check with your doctor or pharmacist if you are not sure.

For Infections of The Vagina: Your doctor may suggest treatment over 7 days:

• Insert the cream into the vagina once daily before bedtime for 7 days
  Your doctor will tell you how much cream to use and for how long you should use it.

Inserting the cream into your vagina:

• Unscrew the filled applicator and replace the cap on the tube Lie down with your knees bent and spread apart.

Insert the yellow end of the applicator with the green band well into your vagina:

• Push the plunger firmly but gently.
• Empty the cream into your vagina by pushing the plunger as far as it will go
• Remove the applicator and put it in the bin with your household rubbish
• Always wash your hands with soap and water after using the cream
• The cream does not stain your skin or clothes but you may want to use a sanitary towel.

For infections outside the vagina:

• Apply the cream to the affected area twice each day.
• Lightly cover the skin around your vagina with a thin, even layer of cream.
• Always wash your hands with soap and water after using the cream.
• Keep using the cream until the course is finished, even during your period.
• Do this, even if the redness, itching and discharge go away before the end of the course.
  If you forget to use:
• Don’t worry, apply the next dose of cream as usual and keep using the
  cream as your doctor has told you.
• Do not use a double dose of cream to make up for a missed dose
• If you have any further questions on the use of this product, ask your doctor or

Possible side effects:

Like all medicines, this medicine can cause side effects, although not everybody gets them.
Stop using cream and tell your doctor straight away if you notice the following:

• Severe irritation or reddening of the skin, swelling of the face, lips, tongue or throat, light headedness, wheezing or difficulty breathing or other signs of allergy during the first few days of treatment.
• This only happens in a small number of people Other side effects:

This is much milder than an allergic reaction.

• Tell your doctor or pharmacist if these feelings continue Skin rash or hives (also known as nettle rash or urticaria).
• Stomach pain Low stomach pains (pelvic cramps).
• Infection of urine or pain in passing urine.
• Vaginal bleeding.
• Feeling sick (nausea).
• Redness of the face.
• Reporting of side effects.
• If you get any side effects, talk to your doctor, pharmacist.

How to store Miconazole cream:

• Keep this medicine out of the sight and reach of children.
• Do not store above 25°C. Do not use:
• After the expiry date which is stated on the packaging. The expiry date refers
  to the last day of that month.
• If the tube seal is missing or broken.
• If the cream is not white in color.
• Do not throw away any medicines via wastewater or household waste.
• Ask your pharmacist how to throw away medicines you no longer use.

Ingredients:

• The active substance is miconazole nitrate.