Miconazole Buccal

Miconazole Buccal
Miconazole Buccal


Buccal miconazole is used to treat yeast infections of the mouth and throat in adults and children 16 years of age and older. Miconazole buccal is in a class of medications called imidazoles. It works by stopping the growth of fungi that cause infection.

Side Effects Of Miconazole Buccal

Miconazole may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

  • diarrhea
  • headache
  • nausea
  • vomiting
  • upper stomach pain
  • change in or loss of taste
  • dry mouth
  • toothache
  • cough

Some side effects can be serious. If you experience any of these symptoms, stop using miconazole and call your doctor immediately or get emergency medical treatment:

Miconazole buccal may cause other side effects. Call your doctor if you have any unusual problems while using this medication.

Warnings & Precautions

Before using buccal miconazole:

  • tell your doctor and pharmacist if you are allergic to miconazole, milk protein concentrate, any other medications, or any of the ingredients in buccal miconazole. Ask your pharmacist for a list of the ingredients.
  • tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: ergot medications such as dihydroergotamine (D.H.E. 45, Migranal), ergoloid mesylates (Hydergine), ergonovine (Ergotrate), ergotamine (Ergomar, in Cafergot, in Migergot, others), and methylergonovine (Methergine); oral medications for diabetes; phenytoin (Dilantin, Phenytek); and warfarin (Coumadin, Jantoven). Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Many other medications may also interact with miconazole, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list.
  • tell your doctor if you have or have ever had liver disease.
  • tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while using buccal miconazole, call your doctor.

Dosage Of Miconazole Buccal

Buccal miconazole comes as a tablet to apply to the upper gum of the mouth. It is usually applied once a day in the morning, after you brush your teeth, for 14 days. Use buccal miconazole at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use miconazole exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.

Do not swallow, chew, or crush the tablet.

You may eat and drink while the tablet is in place.

To use buccal miconazole, follow these steps:

  • Find the area on the upper gum above your left and right incisor teeth (the teeth just to the left and right of your two front teeth). Alternate placement between the right and left side of the mouth, each time a tablet is used.
  • With dry hands, remove one tablet from the bottle.
  • Gently apply the rounded side of the tablet to the upper gum area as high as it will go on your gum above one of your incisor teeth.
  • Hold the tablet in place for 30 seconds by gently pressing on the outside of the upper lip over the tablet.
  • If the tablet does not stick to your gum or it sticks to your cheek or the inside of your lip, reposition it to stick to your gum.
  • Leave the tablet in place until it dissolves.
  • Clear away any remaining tablet material before applying your next tablet.
  • Do not interfere with the placement of the tablet. Check to see if the tablet is still in place after eating, drinking, rinsing your mouth, or brushing your teeth. Avoid the following while you are using miconazole buccal.
  • Do not touch or press on the tablet once it has been applied.
  • Do not wear upper dentures.
  • Do not vigorously rinse your mouth.
  • Do not hit the tablet when brushing your teeth.
  • Do not chew gum when the tablet is in place.
  • If the tablet comes off within the first 6 hours of application, reapply the same tablet. If it still will not stick, then apply a new tablet. If you accidentally swallow the tablet within the first 6 hours of application, drink a glass of water and place a new tablet on your gum. If the tablet falls off or is swallowed 6 or more hours after application, do not apply a new tablet until your next regular time.

Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient.


Keep all appointments with your doctor.

Do not let anyone else use your medication. Your prescription is probably not refillable. If you still have symptoms of infection after you finish the buccal miconazole, call your doctor.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.


All information has been provided courtesy of MedLinePlus from the National Library of Medicine and from the FDA.