Daktarin 2% Oral Gel

A free online consultation is required before this treatment can be supplied.

Daktarin Oral Gel is used to treat superficial fungal infections in the mouth and throat (such as oral thrush caused by Candida) in adults and in children aged 4 months and older.

It can be used by:

• Adults
• Children aged 2 years and above.
• Infants 4 to 24 months, only if their swallowing reflex is properly developed
  

Not for:

• Babies under 4 months
• Babies or children with poorly developed swallowing
• Anyone allergic to miconazole or the ingredients
• People with liver problems

Use the gel for at least one week after symptoms have gone to fully clear the infection. If you wear dentures, remove them at night and brush them with the gel.

Yes — especially between 4 months and 2 years.
To reduce choking risk:

• Never put the gel at the back of the throat.
• Always split the dose into small parts.
• Apply with a clean finger.
• Watch the child during and after the application/
• Never apply the gel on a breastfeeding nipple.
• Sources

No.
Daktarin Oral Gel must not be used if you take warfarin.
It can dangerously increase the effect of warfarin and may cause serious bleeding.

Sources

Do not use it with medicines broken down by CYP3A4 or CYP2C9, including:

• Medicines that prolong the QT interval (e.g. astemizole, cisapride, pimozide, quinidine, terfenadine, etc.).
• Ergot alkaloids.
• Statins such as simvastatin or lovastatin.
• Triazolam or oral midazolam.
• Warfarin

Your doctor may need to monitor or adjust doses for:

• Phenytoin
• Sulphonylurea diabetes tablets
• Some HIV medicines (e.g., saquinavir)
• Some cancer medicines (vinca alkaloids, docetaxel, busulfan)
• Certain calcium channel blockers
• Certain immunosuppressants (cyclosporine, tacrolimus, sirolimus)
• Others, such as carbamazepine, alfentanil, sildenafil, methylprednisolone, etc.

Use should be avoided during pregnancy unless a doctor advises otherwise. If breastfeeding, speak to a doctor or pharmacist first — because small amounts of certain ingredients (such as benzyl alcohol) can build up in the body.

No, it does not affect alertness or your ability to drive.

• Keep below 30°C
• Shelf life before opening: 3 years
• After opening: discard when your treatment course for this infection is finished.

Yes — it is sugar-free. However, it may increase the effect of some diabetes tablets (sulphonylureas), so monitoring may be needed.

Yes — very small amounts:

• Ethanol (alcohol): less than 1 ml of beer/wine per dose
• Benzyl alcohol: may cause irritation or allergic reactions
• Benzyl benzoate: may cause allergic reactions
• Polysorbate: may cause allergic reactions
• The small amount of alcohol does not cause noticeable effects.

Stop and get urgent medical advice if you notice:

• Severe rash or peeling skin.
• Swelling of the lips, tongue, or face.
• Difficulty breathing.
• Blood in stools, vomiting blood, or unusual bruising (especially if on blood thinners).