Miconazole Topical

By Kayla Hyland, DVM

What is miconazole topical?

Miconazole topical is an antifungal used in the treatment of surface skin infections caused by yeast in cats and dogs. It may be specially compounded and/or combined into a formulation with other medications.

It may be used “off label” or “extra label” in other animals or for other conditions in cats and dogs. Many drugs are commonly prescribed for off-label use in veterinary medicine. In these instances, follow your veterinarian’s directions and cautions carefully.

How do I give my pet miconazole topical?

Miconazole topical comes in ointment, cream, lotion, gel, liquid spray, shampoo, mousse, and wipe forms.

  • All forms are applied topically directly to the skin. 
  • Clean the affected area as directed by your veterinarian before applying the medication. 
  • This medication needs at least 10 minutes of contact time with the affected area for it to be effective. Do not let your pet scratch or groom the affected areas for at least 30 minutes after applying.
  • Wash your hands after application and avoid contact with eyes.
  • Give this medication to your pet for the entire time prescribed by your veterinarian, even if it appears that your pet is feeling better.

What if I miss giving my pet the medication?

If you miss a dose, give it as soon as you remember, and then continue with the regular dosing schedule. However, if it is almost time for the next dose, skip the missed dose and resume the regular dosing schedule. Do not give the pet two doses at once.

Are there any potential side effects from miconazole topical?

Miconazole topical may cause the following side effects:

  • redness, itching, and/or irritation at site of application

The following reactions are rare, but if they occur, contact your veterinarian immediately:

  • an allergic reaction such as irregular breathing, rash, fever, puffiness and swelling around the face

Drug sensitivities can develop over time with repeated exposure. Your pet may have no reaction after the first few doses, but may develop a sensitivity later. It is important to watch for signs of an allergic reaction over the entire course of treatment.

Other side effects may occur. If you notice anything unusual, contact your veterinarian immediately. This short-acting medication should stop working within 24 hours.

Are there any risk factors for this medication?

  • This medication should NOT BE USED in animals allergic to any of the components.
  • This medication should be USED WITH CAUTION in pets that have burned or ulcerated skin.

Are there any drug interactions I should be aware of?

Certain medications should be USED WITH CAUTION when given with miconazole topical, including:

  • warfarin

Be sure to tell your veterinarian about any medications (including vitamins, supplements, or herbal therapies) that your pet is taking before starting any new treatment.

Is any monitoring needed with this medication?

Your veterinarian may schedule a follow-up visit for after the course of medication is complete to ensure the infection has been cleared and/or do additional testing to ensure this is the right medication for the type of infection that is present. In this case, follow your veterinarian’s directions.

How do I store miconazole topical?

  • Store the medication in its original container, protected from light, at room temperature. 
  • Keep the cap tightly closed.
  • If your veterinarian or pharmacist has made a special (compounded) formulation for your pet, follow the storage recommendations and expiration date for the product.
  • Keep medication out of reach of children and pets.

What should I do in case of emergency?

If you suspect an overdose or an adverse reaction to the medication, call your veterinary office immediately. If they are not available, follow their directions in contacting an emergency facility.

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