Macnaz (20Mg/Ml) 20Ml Oral Drops

Overview

Macnaz (20mg/ml) 20ml Oral Drops is an oral antifungal medicine containing miconazole, an imidazole antifungal ingredient used for fungal infections involving the mouth, throat and, where clinically appropriate, the gastrointestinal tract. It is supplied as a 20ml drop formulation, which can be useful where a liquid oral preparation is preferred. This product should be used exactly according to the pack insert or the instructions given by a doctor, dentist or pharmacist, especially in children, older adults, people with liver problems, and people taking anticoagulant medicines.

Miconazole acts locally and, to a limited extent, systemically after oral use to help control susceptible fungal growth. In oral fungal infections, treatment aims to reduce fungal burden, support healing of irritated oral tissues, and relieve symptoms such as soreness, coating, redness or discomfort when these symptoms are caused by Candida or other susceptible fungi. Correct use is important because stopping too early may allow symptoms to return, while using more than directed can increase the chance of side effects or interactions.

Benefits

• Helps control susceptible fungal growth in the mouth or throat when used appropriately.
• Liquid oral form may be easier to administer than solid dosage forms for some patients.
• Supports relief of fungal symptoms such as oral soreness, irritation or coating when these are due to Candida infection.

Key Features

• Contains miconazole 20mg/ml.
• Oral drops dosage form.
• 20ml pack size.
• Antifungal medicine for oral use.
• Manufactured by Opal Laboratories (Pvt.) Ltd. as listed by pharmacy product sources.

Dosage and How to Use

• How to use: Measure carefully with the supplied dropper or measuring device if provided. Use orally as directed, avoid contaminating the dropper tip, and complete the recommended course unless advised otherwise.
• Administration: Oral use only. Do not apply to the eyes, nose, ears or broken skin.
• Recommended dose: Use the dose and duration advised by a doctor, dentist, pharmacist or the official product leaflet. Do not exceed the recommended amount.
• Pediatric use: Use in infants and children only with professional guidance because dosing, swallowing ability and administration technique require extra care.
• Elderly use: Older adults should seek advice before use, particularly if they take warfarin, other anticoagulants, diabetes medicines, epilepsy medicines or multiple long-term medicines.
• When to take: Take at the times advised by a healthcare professional or product leaflet. Do not change the schedule without advice.
• Missed dose: Use the missed dose when remembered unless it is almost time for the next dose. Do not double the dose.
• Overdose: If too much is used or swallowed accidentally, contact a doctor, pharmacist or poison information service promptly, especially if vomiting, dizziness, unusual bleeding, severe drowsiness or other concerning symptoms occur.

Specifications

Side Effects

Common side effects

• Nausea
• Vomiting
• Abdominal discomfort
• Diarrhoea
• Altered taste
• Mouth irritation or burning sensation
• Mild gastrointestinal upset

Serious side effects (seek medical help)

• Severe allergic reaction
• Breathing difficulty or swelling of the face, lips, tongue or throat
• Unexplained bruising or bleeding, especially with anticoagulants
• Severe rash or blistering
• Signs of liver problems such as yellowing of skin or eyes, dark urine or severe abdominal pain

Allergic reaction

Stop use and seek urgent help for rash, swelling of the face or throat, breathing difficulty, severe itching, dizziness or signs of anaphylaxis.

Safety and Precautions

• Do not use if allergic to miconazole or other imidazole antifungals.
• Use with warfarin or similar anticoagulants may increase bleeding risk and needs medical supervision.
• Seek medical advice if symptoms persist, worsen, recur frequently or are associated with fever, severe pain, difficulty swallowing or spreading infection.
• Tell a healthcare professional about all current medicines before use.
• Use extra caution in liver disease, pregnancy, breastfeeding, infants, young children and elderly patients.
• Do not share the dropper or bottle with others.

When not to use

Known hypersensitivity to miconazole, imidazole antifungals or any formulation ingredient. | Concurrent warfarin use unless specifically prescribed and monitored by a healthcare professional. | Significant liver dysfunction unless a clinician decides the benefit outweighs the risk.

Special populations

• Pregnancy: Use during pregnancy only after advice from a qualified healthcare professional.
• Breastfeeding: Use while breastfeeding only after professional advice, particularly before treating infants or applying medicine near areas that may contact the baby.
• Liver: People with liver disease or abnormal liver function should seek medical advice before use.
• Driving: Not expected to impair driving for most users; avoid driving if you feel dizzy, unwell or experience an allergic reaction.

Interactions

Drugs:

• Warfarin and other oral anticoagulants may have increased anticoagulant effect and bleeding risk.
• Medicines affected by CYP2C9 or CYP3A4 metabolism may require pharmacist or doctor review.
• Tell a healthcare professional about diabetes medicines, epilepsy medicines, certain statins, sedatives and all prescription or non-prescription products before use.

Conditions:

• Liver dysfunction may increase safety concerns.
• Swallowing difficulties, very young age or poor swallowing reflex may increase administration risk.
• Recurrent oral thrush may be associated with diabetes, immune suppression, denture irritation, antibiotic use or inhaled corticosteroid use and should be assessed.

Storage and Disposal

• Store according to the product label, away from excessive heat, moisture and direct sunlight. Keep the bottle tightly closed.
• Keep out of reach and sight of children.
• Do not use after expiry. Dispose of unused or expired medicine through a pharmacy take-back route where available or follow local medicine disposal guidance.

Disclaimer

This information is educational and is not a substitute for medical advice. Use only as directed by the label, package insert or a qualified healthcare professional.