Sometimes we get white patches inside our mouths, on our tongues, and on our cheeks, like milk glue, right? We also call this 'thrush'. This is actually a fungal infection (Fungal/Yeast Infection). Doctors prescribe various medications to treat this. Today we are going to talk about a special pill that is given for such infections, which is a tablet that is stuck on the gums.
What is this medicine called Miconazole?
Simply put, miconazole is an antifungal medication. That is, it is a medication that controls the growth of fungi in our body and destroys them. The special tablet (Buccal Tablet) that we will talk about in this article is used to treat yeast or other fungal infections that occur in the mouth. Your doctor may have prescribed it to you under the brand name ``Oravig``. The special thing about this is that it is not a medicine that you swallow, but is applied to the gums in the mouth. Then the medicine dissolves and acts directly on the infection.
Things you should tell your doctor before taking medication
Before you start using this medicine, it is very important to inform your doctor about your health condition, especially if you have any of the following conditions:
- If you have liver disease .
- If you have ever had an allergic reaction to this medicine, miconazole, or any other medicine, food, or dye.
- If you are pregnant , or are expecting a baby soon.
- If you are a breastfeeding mother .
Based on this information, your doctor will be able to decide whether this medication is right for you or not.
How exactly do you use this pill?
Since this is not like a regular pill, it is very important to know exactly how to use it. Let's see how to do it step by step.
1. Clean your hands: First, wash your hands thoroughly with soap and water, then dry them completely with a clean cloth. If you touch the tablet with wet hands, it may dissolve.
2. Stick the patch: Take the patch and stick it on your upper gum , specifically on the right or left side of your front two teeth. You want to stick it on the cheek side.
3. Press for 30 seconds: After placing the patch on your gums, press it against the outside of your upper lip for about 30 seconds . This will help the patch adhere to your gums.
4. Switch sides: Every time you apply the medicine, switch sides. For example, if you applied it on the right side today, apply it on the left side tomorrow.
5. Caution: Never cut, crush, or chew this tablet. You can eat and drink normally while the tablet is in your mouth. However, avoid chewing gum altogether .
Please note that if you wear upper dentures, this patch may be a little difficult to apply. Please consult your doctor for advice.
What should you do if the pill comes off or is swallowed?
This can happen, so don't panic. Here's what to do.
- Within the first 6 hours: If the patch falls off within the first 6 hours after applying it, try applying it again. But if it doesn't stick, remove the old patch and apply a new one. If you accidentally swallow it, drink a glass of water and apply a new patch. But you only need to apply an extra patch this way once.
- After 6 hours: If the pill falls off or is swallowed within 6 hours of taking it, do not take a new pill . Wait until your next dose is due and take the next pill as usual at the scheduled time.
Most importantly: Take the medicine for the full number of days prescribed by your doctor. Even if your symptoms have subsided and you feel better, do not stop taking the medicine without your doctor's advice. Doing so may cause the infection to come back.
Can there be problems with other medications? (Interactions)
Yes, some medications can interact with miconazole and cause problems. If you are taking any of these medications, it is important to tell your doctor.
| Type of medicine | Description and examples |
|---|---|
| Some medications for diabetes | Blood sugar levels may be affected. |
| Anticoagulant | For example, warfarin. May increase the risk of bleeding. |
| Ergot Alkaloids | These are usually given for conditions such as migraine (e.g. ergotamine). |
| Phenytoin | This is primarily a medicine for fits/seizures. |
This list is not complete. So tell your doctor about all the medications you take (including vitamins, herbal remedies, and supplements) . Also, tell your doctor if you smoke or drink alcohol.
What side effects might I experience?
Like any medicine, this can cause side effects in some people, but not everyone does.
| Types of Side Effects | |
|---|---|
| If you experience these symptoms, tell your doctor immediately . | |
| |
| If these side effects persist or become bothersome, tell your doctor. | |
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If you experience any other unusual symptoms not mentioned in this list, talk to your doctor about them as well.
What if I take too much medicine by mistake? (Overdose)
If you think you have accidentally taken too much medicine, do not panic and immediately call the National Poisons Information Centre at the Colombo National Hospital . Or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
Take-Home Message
- Miconazole Buccal Tablet is a special tablet that is placed on the upper gum for fungal infections in the mouth.
- Never chew, crush, or cut this tablet. Use it exactly as your doctor has told you.
- Before you start taking the medication, tell your doctor about all your medical conditions and all other medications you are taking.
- If you experience a severe allergic reaction, such as facial swelling or skin rash, seek medical advice immediately.
- Even if you feel well, finish taking the medicine for the full number of days prescribed by your doctor.
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