Micreme H is a topical cream designed to treat inflamed skin infections caused by fungi, yeasts, and some Gram-positive bacteria. It is a broad-spectrum, anti-fungal, and anti-inflammatory cream containing two active ingredients: miconazole nitrate and hydrocortisone. Miconazole works by killing or preventing the growth of fungal organisms, while hydrocortisone is a corticosteroid that reduces the redness, swelling, and itching associated with the inflammation. Correct application and adherence to the recommended treatment timeline are essential for a full recovery and to prevent potential side effects. This guide provides comprehensive instructions on how to use Micreme H safely and effectively.
Understanding Micreme H's Dual Action
The dual formulation of Micreme H is particularly effective for the initial stages of a skin infection where inflammatory symptoms are prominent.
- Miconazole Nitrate: An antifungal agent that disrupts the cell membrane of fungal cells, leading to their death. It is effective against dermatophytes (like those causing tinea and ringworm) and Candida yeasts.
- Hydrocortisone: A mild corticosteroid that provides quick relief from inflammation. It suppresses the immune response in the skin, reducing redness, swelling, and itchiness.
Because the anti-inflammatory effect of hydrocortisone is only required initially, prolonged use is not recommended. The treatment plan is structured to first address the inflammation with Micreme H and then switch to an antifungal-only cream to eradicate the underlying infection completely.
A Step-by-Step Guide on How to Use Micreme H
Following these steps carefully ensures the best possible outcome for your treatment.
Step 1: Prepare the Affected Area
Before each application, wash the infected area with lukewarm water and a gentle cleanser, then dry it thoroughly. Fungal infections thrive in moist environments, so ensuring the skin is completely dry is crucial for effective treatment. It is advisable to use a separate towel and flannel for the affected area to avoid spreading the infection to other parts of your body or to other people.
Step 2: Apply the Cream
- Wash your hands before applying the cream, unless you are treating an infection on your hands.
- Squeeze a small amount of Micreme H onto your fingertip. A sufficient amount should be used to cover the affected area.
- Gently rub the cream into the skin until it has been completely absorbed. Ensure you cover the entire lesion and a small surrounding area of healthy-looking skin.
- Wash your hands again after applying the cream to prevent cross-contamination.
Step 3: Follow Application Frequency and Duration
Micreme H should be applied as directed by your pharmacist or doctor. The maximum treatment period with Micreme H is typically limited, or until the inflammatory symptoms have subsided.
Step 4: Transition to an Antifungal-Only Cream
Once the redness and itching have disappeared, it is critical to stop using Micreme H and continue treatment with an antifungal cream that does not contain hydrocortisone (e.g., a standard miconazole cream). This second phase of treatment is essential to ensure the fungal infection is completely eliminated and does not recur. Continue using the antifungal-only cream without interruption until the lesion has fully disappeared.
Comparison: Micreme H vs. Antifungal-Only Creams
| Feature | Micreme H (Miconazole + Hydrocortisone) | Antifungal-Only Cream (e.g., Miconazole) |
|---|---|---|
| Active Ingredients | Miconazole Nitrate (antifungal) and Hydrocortisone (steroid) | Miconazole Nitrate (antifungal) only |
| Primary Use | Treats inflamed fungal infections with prominent redness, swelling, and itching | Treats fungal infections where inflammation is not the main symptom |
| Treatment Phase | Initial phase of treatment to relieve inflammation | Subsequent phase of treatment to eradicate the infection completely |
| Duration of Use | Limited duration or until inflammatory symptoms disappear | Typically longer duration than Micreme H, until the lesion fully disappears |
| Purpose of Hydrocortisone | Provides rapid relief from itching and redness | Not applicable |
Important Precautions and Warnings
- External Use Only: Micreme H is for topical use on the skin only. Do not swallow it, and avoid contact with eyes, mouth, or other mucous membranes.
- Infections: Do not use Micreme H on viral skin diseases (e.g., chickenpox, shingles, cold sores), tubercular, syphilitic, or bacterial infections.
- Children: Use with caution on children under 2 years of age, and only if advised by a doctor. Long-term continuous use of topical corticosteroids should be avoided in infants.
- Application Sites: Avoid applying the cream to extensive surface areas, the face, or under occlusive dressings (including baby nappies).
- Pregnancy and Lactation: As a precaution, it is best to avoid Micreme H during pregnancy and lactation. Consult your doctor for advice.
- Drug Interactions: If you are taking oral anticoagulants (e.g., warfarin), exercise caution as miconazole can affect their action.
- Topical Steroid Withdrawal (TSW): Prolonged or inappropriate use of topical steroids can lead to TSW, which involves a severe rebound flare of dermatitis after stopping treatment. Avoid long-term use and follow the transition plan carefully.
Conclusion
Micreme H is a valuable medication for treating inflamed fungal skin conditions, providing rapid relief from symptoms like itching and redness. However
