What is this medication?

MICONAZOLE (mi KON a zole) is an antifungal medicine. It is used to treat yeast infections of the vagina.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Monistat 3, Monistat 3 Vaginal Cream (Prefilled), Monistat 3 Vaginal Cream Combination Pack, Monistat 3 Vaginal Cream Combination Pack (Prefilled), Monistat 7, Monistat 7 Complete Therapy Combinatio Pack, Monistat 7 Triple Action System Combination Pack, Monistat 7 Vaginal Cream Combination Pack

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

•abdominal, back or shoulder pain

•diabetes

•fever or chills

•foul-smelling vaginal discharge

•HIV or AIDS

•immune system problems

•nausea, vomiting

•vaginal itching or discomfort for the first time

•an unusual or allergic reaction to miconazole, other medicines, foods, dyes or preservatives

•pregnant or trying to get pregnant

•breast-feeding

How should I use this medication?

This medicine is for use in the vagina. It may also be applied to the external areas of skin around the vagina to decrease itching and discomfort. Do not take by mouth. Read package directions carefully before using. Wash hands before and after use. Use this medicine at bedtime, unless otherwise directed by your doctor. Do not use your medicine more often than directed. Do not stop using this medicine except on your doctor's advice.

Talk to your pediatrician regarding the use of this medicine in children. This medicine is not approved for use in children under 13 years old.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What may interact with this medication?

•spermicides

•warfarin

Do not use any other vaginal products without telling your doctor or health care professional.

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Tell your doctor or health care professional if your symptoms do not start to get better within 3 days or if they last longer than 7 days.

It is better not to have sex until you have finished your treatment. This medicine may damage condoms or diaphragms and cause them not to work properly. It may also decrease the effect of vaginal spermicides. Do not rely on any of these methods to prevent sexually transmitted diseases or pregnancy while you are using this medicine.

Vaginal medicines usually will come out of the vagina during treatment. To keep the medicine from getting on your clothing, wear a mini-pad or sanitary napkin. The use of tampons is not recommended since they may soak up the medicine. To help clear up the infection, wear freshly washed cotton, not synthetic, underwear.

What side effects may I notice from receiving this medication?

Side effects that you should report to your doctor or health care professional as soon as possible:

•allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

•stomach pain

•vaginal pain or swelling

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

•headache

•vaginal irritation, itching or burning

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not freeze. Throw away any unused medicine after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.