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Formulas

Miconazole 20 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Miconazole Nitrate

Miconazole 20 mg/ml Oral Liquid is a specially compounded medication designed for oral use, offering a precise and accessible means of medication delivery. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing pills, such as those in pediatric and geriatric groups. The medication is indicated for the treatment of oral thrush (candidiasis), a fungal infection that occurs in the mouth and throat, and other related mucosal yeast infections caused by susceptible strains of Candida.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Miconazole Nitrate
Oral Liquid
65bbeed1c9224818d2182918
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Miconazole 20 mg/ml Oral Liquid is a specially compounded medication designed for oral use. This formulation is particularly beneficial for patients who have difficulty swallowing pills, such as children and the elderly, or for those with conditions that impair their ability to take solid dosage forms. The liquid formulation ensures that the active ingredient, miconazole, is delivered in a precise, measured dose, promoting better adherence to the prescribed treatment regimen.

Miconazole is an antifungal agent that works by inhibiting the growth of various types of fungi by interfering with the synthesis of ergosterol, a vital component of fungal cell membranes. Without ergosterol, the cell membrane becomes compromised, leading to the leakage of cellular contents and ultimately the death of the fungal cell. It is also used to manage other fungal infections in the mouth or throat.

For patients and prescribers considering Miconazole 20 mg/ml Oral Liquid, it is important to note that the medication should be used as directed by a healthcare professional. The duration of treatment may vary depending on the severity and type of infection. Patients should be advised to continue the medication for the full prescribed course, even if symptoms improve, to prevent the recurrence of infection. Potential side effects may include nausea, vomiting, or an unpleasant taste in the mouth, but these are generally mild and transient. It is also important to inform the healthcare provider of any other medications being taken, as miconazole can interact with certain drugs.

Bayview Pharmacy's team of compounding pharmacists ensures that each batch of Miconazole 20 mg/ml Oral Liquid is prepared with the highest standards of quality and precision. We are committed to providing personalized care and are available to answer any questions or concerns regarding this formulation. If you have any questions or need further information about Miconazole 20 mg/ml Oral Liquid, please do not hesitate to reach out to us.

Drug Interactions

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Miconazole is an antifungal agent commonly used to treat oral thrush and other fungal infections within the mouth and throat. When considering the use of miconazole 20 mg/ml oral liquid, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or the safety of the patient. Miconazole is metabolized by the liver enzyme CYP3A4, and thus can interact with other medications that are also metabolized by this enzyme. Concurrent use of miconazole with drugs that are CYP3A4 substrates may lead to increased plasma concentrations of these medications, potentially resulting in adverse effects or toxicity.

Particular caution should be exercised when miconazole is used alongside drugs known to prolong the QT interval, as miconazole itself can cause QT prolongation. This combination may increase the risk of cardiac arrhythmias. Patients taking medications such as certain antiarrhythmics, antipsychotics, antidepressants, and antibiotics should be monitored closely. Additionally, miconazole can enhance the anticoagulant effect of warfarin and other coumarin anticoagulants, leading to an increased risk of bleeding. Patients on anticoagulant therapy should have their prothrombin time or international normalized ratio (INR) monitored closely, and dosage adjustments may be necessary.

Oral hypoglycemic agents, such as sulfonylureas, may also interact with miconazole. The hypoglycemic effect can be potentiated, and patients with diabetes should be advised to monitor their blood glucose levels more frequently when starting or stopping miconazole treatment. Additionally, miconazole can interact with phenytoin, leading to increased serum levels of phenytoin and potential phenytoin toxicity. Monitoring of phenytoin levels and clinical signs of toxicity is recommended when used concomitantly with miconazole.

It is also important to consider the impact of miconazole on hormonal contraceptives. Miconazole may reduce the effectiveness of oral contraceptives, and additional contraceptive measures should be advised. Patients should be counseled on the importance of reporting any new medications or changes in their medication regimen to their healthcare provider, including over-the-counter drugs, herbal supplements, and vitamins, as these may also interact with miconazole.

Alcohol consumption should be avoided during treatment with miconazole oral liquid, as it may increase the risk of adverse effects such as hepatotoxicity. Patients with liver impairment should use miconazole with caution, and liver function should be monitored during treatment.

Healthcare providers should review the patient's medication profile for possible interactions and adjust therapy as needed. Patients should be advised to inform their healthcare provider of all medications they are taking and to report any unusual symptoms or side effects. If you have any questions or require further information regarding drug interactions with miconazole oral liquid, please reach out to us at Bayview Pharmacy for assistance.

How Does it Work

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Miconazole is an antifungal agent that works by inhibiting the synthesis of ergosterol, a critical component of fungal cell membranes. Without ergosterol, the cell membrane becomes permeable and leaks essential intracellular components, leading to cell death.

The Miconazole 20 mg/ml Oral Liquid formulation is designed to deliver the medication in a liquid form, which is particularly beneficial for patients who have difficulty swallowing pills or tablets, such as young children, the elderly, or those with esophageal disorders. The liquid form ensures that the medication is distributed evenly throughout the mouth, providing direct contact with the affected mucosal surfaces. This allows for effective local treatment of fungal infections within the oral cavity.

Upon administration, the Miconazole Oral Liquid should be swished around the mouth thoroughly and then swallowed, unless otherwise directed by a healthcare provider. This ensures that the medication comes into contact with all affected areas. The dosing can be accurately measured using the provided dosing device, ensuring that patients receive the correct amount of medication for their treatment. The formulation is also flavored to improve palatability, which can enhance patient compliance, especially in pediatric and geriatric populations.

This may include maintaining good oral hygiene and, in some cases, addressing underlying conditions that may predispose individuals to fungal infections. As with any medication, it is essential to follow the prescribed treatment regimen and to complete the full course of therapy, even if symptoms improve before the medication is finished, to prevent recurrence of the infection.

If you have any questions about the Miconazole 20 mg/ml Oral Liquid formulation or its use in treating oral fungal infections, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage these disease states.

Frequently Asked Questions

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What is Miconazole 20 mg/ml Oral Liquid used for?

Miconazole Oral Liquid is an antifungal medication used to treat fungal infections in the mouth and throat, such as oral thrush. It works by stopping the growth of fungi, thereby clearing up the infection.

How should I take this medication?

You should take this medication exactly as prescribed by your doctor. Typically, the medication is administered using a dropper or a syringe to measure the correct dose, and directly squirted into the mouth, followed by a glass of water to ensure all the medication is swallowed.

Can children take Miconazole Oral Liquid?

Yes, this formulation is often used for pediatric patients. However, you should consult with a pediatrician for the correct dosing and administration instructions for children.

Is Miconazole Oral Liquid suitable for elderly patients?

Yes, this oral liquid formulation is also suitable for geriatric patients, particularly those who may have difficulty swallowing tablets or capsules.

Are there any side effects of taking Miconazole Oral Liquid?

As with all medications, Miconazole Oral Liquid can cause side effects, although not everyone gets them. Common side effects may include nausea, vomiting, diarrhea, and an unpleasant taste in the mouth. If you experience severe side effects or signs of an allergic reaction, seek medical attention immediately.

Can I take this medication with food?

Yes, Miconazole Oral Liquid can be taken with or without food. However, it is best to follow your doctor's specific instructions regarding food intake while on this medication.

How should I store Miconazole Oral Liquid?

Store Miconazole Oral Liquid at room temperature away from direct sunlight and heat. Keep the bottle tightly closed when not in use. Make sure to keep this medication out of reach of children and pets.

What should I do if I miss a dose?

If you miss a dose of Miconazole Oral Liquid, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

Can Miconazole Oral Liquid interact with other medications?

Yes, Miconazole Oral Liquid can potentially interact with other medications, potentially altering their effects or increasing side effects. Always inform your healthcare provider about all the medications and supplements you are currently taking before starting this therapy.

How long does it usually take to see an improvement in symptoms?

Improvement in symptoms can typically be noticed within a few days of starting treatment with Miconazole Oral Liquid, but it is important to continue the medication for the entire duration prescribed by your healthcare provider to fully clear the infection.

Should I avoid any activities while taking Miconazole Oral Liquid?

Generally, Miconazole Oral Liquid does not affect your ability to carry out daily activities. However, if you experience side effects that may impair your reactions or concentration, such as dizziness, it would be wise to avoid activities that require full alertness, such as driving, until these effects subside.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Miconazole 20 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally

Four times daily