2011
DOI: 10.1111/j.1365-2710.2011.01246.x
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Miconazole and nystatin used as topical antifungal drugs interact equally strongly with warfarin

Abstract: Miconazole oral gel and topically applied nystatin solution have equally strong effects on warfarin activity and can provoke major bleeding. Prospective evaluation of this effect is called for. However, based on our results the warfarin dose adjustment appears necessary when the anticoagulant is used concomitantly with those topical antifungals.

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Cited by 26 publications
(14 citation statements)
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“…Protocols for oral hygienic management that have been reported until recently are mainly for use of gauze soaked with physiological saline solution,13 hydrogen peroxide, chlorohexidine, betadine, and nystatin in order to wipe off teeth or soft tissue in the mouth or to perform toothbrushing 26-31. Hydrogen peroxide is not recommended because it can be a stimulus to oral mucosa when it is not properly diluted 6,26.…”
Section: Discussionmentioning
confidence: 99%
“…Protocols for oral hygienic management that have been reported until recently are mainly for use of gauze soaked with physiological saline solution,13 hydrogen peroxide, chlorohexidine, betadine, and nystatin in order to wipe off teeth or soft tissue in the mouth or to perform toothbrushing 26-31. Hydrogen peroxide is not recommended because it can be a stimulus to oral mucosa when it is not properly diluted 6,26.…”
Section: Discussionmentioning
confidence: 99%
“…For nystatin, only one report of an interaction with warfarin has been identified. (Kovac et al, 2012).…”
Section: Warfarin Miconazole and Nystatin: Publication Evidencementioning
confidence: 99%
“…Miconazole, for example, may interact with anticoagulants, phenytoin, terbinafine, antipsychotics, cyclosporin and some statins used to treat hypercholesterolaemia. Nystatin may cause a bitter taste, allergic reactions and adrenal insufficiency . Therefore, alternative antifungal agents are needed to deal with DS.…”
Section: Introductionmentioning
confidence: 99%