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Lagicam antifungal - Medication Information

Product NDC Code 50066-070
Drug Name

Lagicam antifungal

Type Brand
Pharm Class Azole Antifungal [EPC],
Azoles [CS]
Active Ingredients
Miconazole nitrate 40 mg/g
Route VAGINAL
Dosage Form CREAM
RxCUI drug identifier 998544,
1440002
Application Number ANDA076773
Labeler Name Genomma Lab USA, Inc.
Packages
Package NDC Code Description
50066-070-01 1 tube, with applicator in 1 carton (50066-070-01) / 25 g in 1 tube, with applicator
50066-070-03 1 tube, with applicator in 1 carton (50066-070-03) / 25 g in 1 tube, with applicator
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Active ingredient

A list of the active, medicinal ingredients in the drug product.
Active ingredient Miconazole Nitrate USP 4% (200 mg in each applicator)

Dosage and administration

Information about the drug product’s dosage and administration recommendations, including starting dose, dose range, titration regimens, and any other clinically sigificant information that affects dosing recommendations.
Directions before using this product, read the enclosed consumer information leaflet for complete directions and information adults and children 12 years of age and over: applicators: insert 1 applicatorful into the vagina at bedtime for 3 nights in a row. Throw applicator away after use. Children under 12 years of age: ask a doctor

Inactive ingredient

A list of inactive, non-medicinal ingredients in a drug product.
Inactive ingredients cetyl alcohol, isopropyl myristate, polysorbate 60, polysorbate 80, potassium hydroxide, propylene glycol, purified water, sorbitan monostearate and stearyl alcohol

Indications and usage

A statement of each of the drug products indications for use, such as for the treatment, prevention, mitigation, cure, or diagnosis of a disease or condition, or of a manifestation of a recognized disease or condition, or for the relief of symptoms associated with a recognized disease or condition. This field may also describe any relevant limitations of use.
Use treats vaginal yeast infections

Purpose

Information about the drug product’s indications for use.
Purpose Vaginal antifungal

Spl product data elements

Usually a list of ingredients in a drug product.
Lagicam antifungal Miconazole Nitrate Miconazole Nitrate miconazole cetyl alcohol isopropyl myristate polysorbate 60 polysorbate 80 potassium hydroxide propylene glycol water sorbitan monostearate stearyl alcohol

Package label principal display panel

The content of the principal display panel of the product package, usually including the product’s name, dosage forms, and other key information about the drug product.
PRINCIPAL DISPLAY PANEL - 25 g Tube Carton VAGINAL ANTIFUNGAL Miconazole 3 lagicam ® Miconazole Nitrate Vaginal Cream USP (4%) Vaginal Antifungal (Miconazole Nitrate 200 mg per applicator) Cures most vaginal yeast infections Relieves the symptoms 3 DAY TREATMENT 200 mg per applicator One 0.9 oz (25 g) tube of 3 Day Vaginal Cream with 3 Disposable Applicators Consumer Information Leaflet Enclosed Principal Display Panel - 25 g Tube Carton

Spl unclassified section

Information not classified as belonging to one of the other fields. Approximately 40% of labeling with effective_time between June 2009 and August 2014 have information in this field.
Drug Facts Made in Canada Distributed by: Genomma Lab USA Inc.

Ask doctor

Information about when a doctor should be consulted about existing conditions or sumptoms before using the drug product, including all warnings for persons with certain preexisting conditions (excluding pregnancy) and all warnings for persons experiencing certain symptoms. The warnings under this heading are those intended only for situations in which consumers should not use the product until a doctor is consulted.
Ask a doctor before use if you have vaginal itching and discomfort for the first time lower abdominal, back or shoulder pain, fever, chills, nausea, vomiting or foul-smelling vaginal discharge. You may have a more serious condition. vaginal yeast infections often (such as once a month or 3 in 6 months). You could be pregnant or have a serious underlying medical cause for your symptoms, including diabetes or a weakened immune system. been exposed to the human immunodeficiency virus (HIV) that causes AIDS

Ask doctor or pharmacist

Information about when a doctor or pharmacist should be consulted about drug/drug or drug/food interactions before using a drug product.
Ask a doctor or pharmacist before use if you are taking the prescription blood thinning medicine warfarin, because bleeding or bruising may occur

Do not use

Information about all contraindications for use. These contraindications are absolute and are intended for situations in which consumers should not use the product unless a prior diagnosis has been established by a doctor or for situations in which certain consumers should not use the product under any circumstances regardless of whether a doctor or health professional is consulted.
Do not use if you have never had a vaginal yeast infection diagnosed by a doctor

Instructions for use

Information about safe handling and use of the drug product.
CONSUMER INFORMATION LEAFLET VAGINAL ANTIFUNGAL Miconazole 3 lagicam ® Vaginal Antifungal Miconazole Nitrate Vaginal Cream USP (4%) (Miconazole Nitrate 200 mg per applicator) Why should I use Miconazole Nitrate Vaginal Cream USP (4%)? Miconazole Nitrate Vaginal Cream USP contains 4% miconazole nitrate cream that cures most vaginal yeast infections. Do not use miconazole nitrate vaginal cream USP (4%) if this is the first time you have vaginal discharge, itching, burning and discomfort. See your doctor or health professional first to find out the cause of your symptoms. If a doctor has told you in the past that you had a vaginal yeast infection and you have the same symptoms now (such as vaginal discharge, itching or burning), the miconazole nitrate vaginal cream USP (4%) may work for you. What is a vaginal yeast infection? A vaginal yeast infection is a common condition caused by an overgrowth of yeast (Candida) that may normally live in the vagina. Your doctor may call this infection "monilia" or "candidiasis". Some women may have a yeast infection on the skin outside of the vagina (vulva) at the same time that they have a vaginal infection. Who can get a vaginal yeast infection? You can get a vaginal yeast infection at any age. It is most common during the childbearing years. Women who are pregnant or diabetic, taking antibiotics, birth control pills or steroids, or who have a weakened immune system are more likely to get repeated yeast infections that may not clear up easily with proper treatment. Some medical conditions can weaken the body's normal ability to fight infection. One of the most serious of these conditions is infection with the human immunodeficiency virus (HIV – the virus that causes AIDS). The HIV virus causes the body to be more likely to get infections, including vaginal yeast infections that may not clear up easily with proper treatment. If you may have been exposed to HIV and get repeated vaginal yeast infections, you should see your doctor right away. For more information on HIV infection, please contact your doctor or the CDC National AIDS HOTLINE. The CDC phone number is: 1-800-232-4636 (English and Spanish), or 1-888-232-6348 (hearing impaired, TDD). How can I tell if I have a vaginal yeast infection? When you have a vaginal yeast infection, you may have one or more of the following symptoms: vaginal itching vaginal discharge that may be thick, white, and lumpy like cottage cheese vaginal soreness, irritation, or burning rash or redness on the skin outside the vagina (vulva) burning on urination painful vaginal intercourse (sex) Note: Vaginal yeast infections do NOT cause fever, chills, lower abdominal, back or shoulder pain, foul-smelling vaginal discharge, or a missed period. These may be signs of a sexually transmitted disease (STD) or a tubal pregnancy. If you have these symptoms, call your doctor right away. What are other causes of a vaginal discharge? It is normal to have a small amount of vaginal discharge at certain times of the month. This normal discharge may be clear or slightly white and does not cause itching, pain or a foul odor. The most common cause of an abnormal vaginal discharge is an infection. These infections include bacterial vaginosis (BV), trichomoniasis (Trich), gonorrhea (GC) and/or chlamydia. All of these may be transmitted sexually and are called sexually transmitted diseases (STDs). If you have more questions about sexually transmitted diseases (STDs) call the CDC STD Hotline at 1-800-232-4636. Although many of the infections mentioned above can cause symptoms similar to a vaginal yeast infection (vaginal discharge, irritation and itching), their diagnosis must be made by a doctor so that proper treatment can be given. If these infections are not properly treated or if proper treatment is delayed, serious problems, such as pelvic inflammatory disease (PID) may result, which may prevent you from having children in the future. If you are pregnant and do not get the proper treatment, the infection may be passed to your baby before or during delivery and may cause your baby to have permanent damage. If you have multiple sex partners or a new sex partner, you should also ask a doctor before use to make sure you do not have an STD. Why do women get repeated vaginal yeast infections? Women may get repeated vaginal yeast infections that may not clear up easily with proper treatment. Listed below are some of the causes of repeated yeast infections: hormonal changes occurring a few days before the monthly period use of antibiotics use of some birth control pills pregnancy diabetes ("sugar" or "high blood sugar") clothing - wearing tight layers or moist clothing in the genital area weakened immune system - some drugs (such as chemotherapy or steroids) and medical conditions can weaken the body's normal ability to fight infection. One of the most serious of these conditions is infection with the human immunodeficiency virus (HIV - the virus that causes AIDS). Infection with HIV causes the person to be more likely to get infections, including vaginal yeast infections. If you get vaginal yeast infections often (such as once a month or 3 in 6 months), you should talk to a doctor. Are vaginal yeast infections sexually transmitted? Vaginal yeast infections are usually not spread by having intercourse (sex). However, if your partner has a rash, itching or discomfort in his genital area, he should contact a doctor to find out the cause of his symptoms and tell the doctor that you are treating your vaginal yeast infection with miconazole nitrate vaginal cream USP (4%). How can I prevent repeated vaginal yeast infections? To lower your chances of getting another yeast infection: Try to keep the genital area cool and dry. Yeast grow well in warm, moist areas. The following suggestions may be helpful: (1) Wear cotton underwear and loose-fitting clothes. (2) Change out of damp clothes or a wet bathing suit as soon as possible. (3) If you use minipads when you are not having a menstrual period, change the minipads often. Talk with your doctor about any drugs you are now taking. You are more likely to get a vaginal yeast infection if you are taking certain drugs such as antibiotics, steroids, or birth control pills. Do not stop taking these drugs without first asking your doctor. A doctor may need to see you to make sure that you do not have other medical conditions such as diabetes or a weakened immune system. Can I use Miconazole Nitrate Vaginal Cream USP (4%) during my menstrual period? Yes, this product can be used during your menstrual period. In fact, many women get vaginal yeast infections just before their period because of hormonal changes. Using miconazole nitrate vaginal cream during your period will not affect how well this product works. If you have started treatment and your period occurs, you should complete the full course of treatment. Do not use tampons while using this product, because tampons may remove some of the drug from the vagina. Use deodorant-free sanitary napkins or pads instead, and change them often. Can I use other vaginal products with Miconazole Nitrate Vaginal Cream USP (4%)? This drug should not be used with other vaginal products. Douches and tampons may remove some of the cream from the vagina. Spermicides may interfere with miconazole nitrate vaginal cream USP (4%). Condoms and diaphragms may be damaged by this product and fail to prevent pregnancy or sexually transmitted diseases (STDs). How can I get the best results when treating my infection? Use 1 applicator full of vaginal cream at bedtime, even during your menstrual period for 3 nights in a row. Dry the genital area thoroughly after a shower, bath or swim. Change out of a wet bathing suit or damp clothes as soon as possible. A dry area is less likely to lead to the overgrowth of yeast. Wear cotton underwear and loose-fitting clothes. Wipe from front to back after a bowel movement or after urination. Do not douche, because douching may wash the drug out of the vagina. Do not use tampons, because they remove some of the drug from the vagina. Use deodorant-free sanitary napkins or pads as needed. Do not use spermicides, as they may interfere with miconazole nitrate vaginal cream USP (4%). Do not have vaginal intercourse while using miconazole nitrate vaginal cream USP (4%). Do not scratch the skin outside the vagina. Scratching can cause more irritation and can spread the infection. Tell your doctor about any drugs you are now taking. Certain drugs such as antibiotics, steroids, and birth control pills, may make it more likely for you to get a vaginal yeast infection. If you are taking any of these drugs do not stop taking them without first asking a doctor. If you have any other medical questions or concerns about vaginal yeast infections, call your doctor. What warnings should I know about when using Miconazole Nitrate Vaginal Cream USP (4%)? For vaginal use only. Do not use if you have never had a vaginal yeast infection diagnosed by a doctor. Ask a doctor before use if you have: vaginal itching and discomfort for the first time. You may need a different treatment. lower abdominal, back or shoulder pain, fever, chills, nausea, vomiting, or foul-smelling vaginal discharge. You could have a more serious condition. vaginal yeast infections often (such as once a month or 3 in 6 months). You could be pregnant or have a serious underlying medical cause for your symptoms, including diabetes or a weakened immune system. been exposed to the human immunodeficiency virus (HIV) that causes AIDS. Ask a doctor or pharmacist before use if you are taking the prescription blood thinning medicine, warfarin (coumadin), because bleeding or bruising may occur. When using this product: do not use tampons, douches, spermicides, or other vaginal products. Condoms and diaphragms may be damaged and fail to prevent pregnancy or sexually transmitted diseases (STDs). do not have vaginal intercourse mild increase in vaginal burning, itching or irritation may occur if you do not get complete relief ask a doctor before using another product. Stop use and ask a doctor if: symptoms do not get better in 3 days symptoms last more than 7 days you get a rash or hives, abdominal pain, fever, chills, nausea, vomiting, or foul-smelling vaginal discharge. These may be signs that this product is not working, or you may have a more serious condition or an allergic reaction. If pregnant or breast-feeding, ask a health professional before use. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away. What side effects may occur with Miconazole Nitrate Vaginal Cream USP (4%)? A mild increase in vaginal burning, itching, or irritation may occur when the applicator containing the cream is inserted. Abdominal cramping has also been reported. Stop using miconazole nitrate vaginal cream USP (4%) and consult your doctor if you have abdominal pain, hives, skin rash, or if you have severe vaginal burning, itching, or irritation or swelling. What should I do if I have questions about Miconazole Nitrate Vaginal Cream USP (4%)? Questions of a medical nature should be taken up with your doctor. If you have any other questions or need more information on this product, call toll free 1 877 99 GENOM (43666) Monday to Friday from 8 am to 6 pm. Other information: TAMPER-EVIDENT FEATURE: Seal over tube opening. Do not use if seal has been punctured. Store at 20°- 25°C (68° - 77°F). Active ingredient: miconazole nitrate USP 4% (200 mg per applicator). Inactive ingredients: cetyl alcohol, isopropyl myristate, polysorbate 60, polysorbate 80, potassium hydroxide, propylene glycol, purified water, sorbitan monostearate and stearyl alcohol. How Should I Use Miconazole Nitrate Vaginal Cream USP (4%) with Disposable Applicators? This product is for adults and children 12 years of age and over. For children under 12 years, ask a doctor. Directions for using the Vaginal Cream: Begin treatment before going to bed: 1 To open the tube, unscrew the cap. The first time the tube is opened, press the sharp point of the cap into the sealed end of the tube. Push down firmly until the seal is broken. (See pictures.) 2 Attach the applicator to the tube of cream by placing "A" end of the applicator firmly onto tube of cream. 3 Gently squeeze the cream into the applicator, continue squeezing until applicator is full. Separate the applicator from the tube. DO NOT release pressure on the tube until you have separated it from the filled applicator. After each use, replace the cap and roll up the tube from the bottom. 4 Hold the barrel as shown in the picture. 5 Gently insert the applicator into the vagina as far as it will go comfortably. This can be done while lying on your back with your knees bent (as shown in the picture), or while standing with your feet apart and your knees bent. 6 With one hand holding the barrel, use the other hand to push the plunger all the way in to place the cream as far back in the vagina as possible. Then remove both parts of the applicator from the vagina. 7 Throw away applicator after use. Do not flush in toilet. 8 Lie down as soon as possible after inserting the cream. This will reduce leakage. 9 Repeat steps 2 through 8 with a new applicator before going to bed for the next 2 days. You may want to use deodorant-free pads or pantyshields to protect your clothing during the time that you are using miconazole nitrate vaginal cream USP (4%). This is because the cream can leak or you may get some discharge. Do not use tampons, douches, spermicides, condoms, or diaphragms until after you have completed the treatment and your symptoms are gone. Made in Canada Distributed by: Genomma Lab USA Inc. Houston, TX 77027 LPK-6567-2 0518 -2 11 Figure Figure Figure Figure Figure

Keep out of reach of children

Information pertaining to whether the product should be kept out of the reach of children, and instructions about what to do in the case of accidental contact or ingestion, if appropriate.
Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

Questions

A telephone number of a source to answer questions about a drug product. Sometimes available days and times are also noted.
Questions or comments? Call toll free 1-877-994-3666 Monday to Friday from 8 am to 6 pm

Stop use

Information about when use of the drug product should be discontinued immediately and a doctor consulted. Includes information about any signs of toxicity or other reactions that would necessitate immediately discontinuing use of the product.
Stop use and ask a doctor if symptoms do not get better in 3 days symptoms last more than 7 days you get a rash or hives, abdominal pain, fever, chills, nausea, vomiting or foul-smelling vaginal discharge

When using

Information about side effects that people may experience, and the substances (e.g. alcohol) or activities (e.g. operating machinery, driving a car) to avoid while using the drug product.
When using this product do not use tampons, douches, spermicides or other vaginal products. Condoms and diaphragms may be damaged and fail to prevent pregnancy or sexually transmitted diseases (STDs) do not have vaginal intercourse mild increase in vaginal burning, itching or irritation may occur if you do not get complete relief ask a doctor before using another product.

Pregnancy or breast feeding

Pregnancy or Breast feeding
If pregnant or breast-feeding , ask a health professional before use.

Storage and handling

Information about safe storage and handling of the drug product.
Other information store at 20°-25°C (68°-77°F) do not purchase if carton is open see end flaps of carton and end of tube for lot number and expiration date the tube opening should be sealed. If seal has been broken, do not use product.

Warnings

Information about serious adverse reactions and potential safety hazards, including limitations in use imposed by those hazards and steps that should be taken if they occur.
Warnings For vaginal use only Do not use if you have never had a vaginal yeast infection diagnosed by a doctor Ask a doctor before use if you have vaginal itching and discomfort for the first time lower abdominal, back or shoulder pain, fever, chills, nausea, vomiting or foul-smelling vaginal discharge. You may have a more serious condition. vaginal yeast infections often (such as once a month or 3 in 6 months). You could be pregnant or have a serious underlying medical cause for your symptoms, including diabetes or a weakened immune system. been exposed to the human immunodeficiency virus (HIV) that causes AIDS Ask a doctor or pharmacist before use if you are taking the prescription blood thinning medicine warfarin, because bleeding or bruising may occur When using this product do not use tampons, douches, spermicides or other vaginal products. Condoms and diaphragms may be damaged and fail to prevent pregnancy or sexually transmitted diseases (STDs) do not have vaginal intercourse mild increase in vaginal burning, itching or irritation may occur if you do not get complete relief ask a doctor before using another product. Stop use and ask a doctor if symptoms do not get better in 3 days symptoms last more than 7 days you get a rash or hives, abdominal pain, fever, chills, nausea, vomiting or foul-smelling vaginal discharge If pregnant or breast-feeding , ask a health professional before use. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

Disclaimer: Do not rely on openFDA or Phanrmacy Near Me to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: OpenFDA, Healthporta Drugs API