Micosten 2% Cream

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Micosten 2% Cream is a cream with Miconazole nitrate 2% w/w declared as its active content. It is supplied in a pack size of 15g.

This is a non-prescription product and can be purchased without a prescription. Only product, safety and handling details are published on this page.

An online consultation with a DoctorOnCall doctor or pharmacist is available for this product, and a registered pharmacist reviews each order before dispatch to Malaysia or Singapore. Follow the directions on the label and on the leaflet inside the pack.

Directions for Use

Wash and thoroughly dry the affected area before applying. Apply a thin layer of Micosten 2% Cream to cover the affected skin and a small margin of surrounding healthy skin, then gently rub it in. Use twice daily, in the morning and evening, unless a doctor or pharmacist advises otherwise, and wash your hands after application unless the hands are the area being treated. Continue using the cream for the full recommended duration even if the rash appears to clear up earlier, as stopping too soon can allow the infection to return.

Dosage

For most fungal skin infections such as ringworm, athlete’s foot, and jock itch, apply Micosten 2% Cream to the affected area twice a day for 2 to 4 weeks. For skin candidiasis, treatment is usually continued for around 2 to 3 weeks. It is advisable to keep applying the cream for a few days after the skin looks clear to reduce the chance of the infection coming back. If there is no improvement after 4 weeks of regular use, stop and consult a doctor or pharmacist.

Shelf Life

Micosten 2% Cream is generally valid for up to the expiry date printed on the tube and outer carton when stored correctly and unopened. Always check the expiry date before use and do not use the product if it has expired. Once opened, it is good practice to use the cream within the period stated on the packaging and to discard any cream that has changed in colour, smell, or texture.

Storage Instructions

Store Micosten 2% Cream below 30°C, in a cool, dry place away from direct sunlight and moisture. Keep the tube tightly closed after use. Do not store in the bathroom or near a sink where humidity is high, and do not freeze. Keep this and all medicines out of the sight and reach of children.

Side Effects

  • Skin irritation or redness at the application site
  • Itching or stinging sensation
  • Dry or peeling skin
  • Headache (for oral gel)
  • Nausea (rare for oral use)

Contraindications

  • Known hypersensitivity or allergy to miconazole, other imidazole antifungals, or any ingredient in the cream
  • Not for use in or near the eyes
  • Not intended for use inside the mouth or on mucous membranes unless a specific product for that purpose is used
  • Use with caution on broken, weeping, or severely infected skin — seek pharmacist or doctor advice first
  • Pregnant or breastfeeding women should consult a doctor or pharmacist before use
  • Not recommended for young infants without medical advice

Drug / Food Interactions

  • Topical miconazole has minimal absorption into the bloodstream, so significant drug interactions are uncommon with normal use on small areas of skin
  • Avoid applying other topical creams, ointments, or cosmetics on the same area at the same time unless advised by a pharmacist, as this may reduce effectiveness
  • If used over large areas of skin or for prolonged periods, there is a theoretical risk of interaction with oral blood-thinning medicines such as warfarin — inform your pharmacist if you take these
  • No significant food interactions are expected with topical use

Quick Tips

  • Clean and dry the affected area thoroughly before each application
  • Apply consistently twice a day for the full recommended course, even if symptoms improve early
  • Wear loose, breathable clothing over the treated area to help keep skin dry
  • Avoid sharing towels, clothing, or footwear while you have an active fungal infection
  • Wash hands before and after applying the cream (unless treating the hands)
  • See a doctor or pharmacist if the rash worsens, spreads, or does not improve after 4 weeks

Ingredients / Active Ingredients

  • Miconazole nitrate 2% w/w (active ingredient)
  • Cream base formulated for topical dermatological application
  • Emulsifying agents that give the cream its smooth, spreadable texture
  • Preservative system to maintain the product's stability during use
  • Purified water as the vehicle base
  • Other standard pharmaceutical excipients as formulated by the manufacturer

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Generally Safe

This medicine is generally safe during breastfeeding with minimal risk to the infant.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Generally Safe

Generally safe, but caution may be required in some patients.

Alcohol

Generally Safe

Consuming alcohol with this medicine is generally safe, but moderate intake is advised.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Relevant Information

Fungal skin infections are common in Malaysia’s warm, humid climate, especially in skin folds, between the toes, and areas that stay damp from sweating. Good hygiene, keeping skin dry, and wearing breathable fabrics can help prevent recurrence alongside treatment with Micosten 2% Cream. If the infection involves the scalp, nails, or a large area of the body, or if it does not respond to a full course of treatment, further assessment by a doctor may be needed as oral antifungal treatment could be required.

Frequently Asked Questions

Product Specifications

ClassificationNon-prescription
Ingredients / Active IngredientsMiconazole
Weight15g

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Important Medical Information

💊 Recommended Dosage:

For most fungal skin infections such as ringworm, athlete’s foot, and jock itch, apply Micosten 2% Cream to the affected area twice a day for 2 to 4 weeks. For skin candidiasis, treatment is usually continued for around 2 to 3 weeks. It is advisable to keep applying the cream for a few days after the skin looks clear to reduce the chance of the infection coming back. If there is no improvement after 4 weeks of regular use, stop and consult a doctor or pharmacist.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity or allergy to miconazole, other imidazole antifungals, or any ingredient in the cream
  • Not for use in or near the eyes
  • Not intended for use inside the mouth or on mucous membranes unless a specific product for that purpose is used
  • Use with caution on broken, weeping, or severely infected skin — seek pharmacist or doctor advice first
  • Pregnant or breastfeeding women should consult a doctor or pharmacist before use
  • Not recommended for young infants without medical advice
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Skin irritation or redness at the application site
  • Itching or stinging sensation
  • Dry or peeling skin
  • Headache (for oral gel)
  • Nausea (rare for oral use)
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.