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Elica-M

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Elica-M

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Treatment option:

Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

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Overview of Elica-M

Property Description
Active ingredients Miconazole Nitrate and Mometasone Furoate
Form Cream
Pharmacological class Topical Antifungal and Corticosteroid Combination
Route of administration Topical (Cutaneous)
Origin Synthetic

Elica-M is a topical combination drug formulated as a cream that simultaneously provides two distinct therapeutic actions directly to the skin. It is classified under the pharmacological class of Antifungal and Corticosteroid products, signifying its dual purpose. This medicine is designed for external use and is considered a combination agent because it integrates two different types of active ingredients into a single preparation, helping to address skin conditions complicated by both microbial infection and associated inflammatory responses.

What is the Composition of Mometasone Furoate and Miconazole Nitrate?

The cream contains two primary active ingredients: Miconazole Nitrate and Mometasone Furoate. These are both synthetic compounds carefully chosen for their complementary effects on the skin. Miconazole Nitrate is the antifungal agent, an azole derivative, included to combat pathogenic fungi and yeasts. The second ingredient, Mometasone Furoate, is a potent glucocorticoid that provides the strong anti-inflammatory component, suspended in an emulsified cream base for effective delivery. This combination is often utilized when both fungal control and potent anti-inflammatory action are required.

What Is the General Purpose of This Dual-Action Topical?

The general therapeutic purpose of Elica-M is to provide symptomatic relief while simultaneously eliminating a microbial cause, necessary for resolving complex infected dermatoses. The use of a topical corticosteroid like Mometasone is recognized for its effectiveness in reducing symptoms like pruritus (itching) and inflammation. Its dual-action principle ensures that the corticosteroid component provides comfort by reducing swelling, while the antifungal component works to neutralize the growth of susceptible fungi, supporting a resolution of the underlying skin condition.

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What side effects are possible with Elica-M?

Possible Side Effects and Safety Information

The safety profile for this topical combination cream, containing the corticosteroid Mometasone Furoate and the antifungal Miconazole Nitrate, is based on officially documented adverse events and established patterns of absorption.


Adverse Reaction Classification

Adverse reactions are primarily associated with the Skin and Subcutaneous Tissue Disorders at the application site. Common reactions listed in regulatory documents include burning and pruritus (itching). Other reported reactions include skin atrophy (thinning), irritation, dryness, folliculitis, and striae (stretch marks).


Systemic Safety Concerns

Due to the Mometasone Furoate component, there is a risk of systemic absorption through the skin, which can affect the Endocrine System. Serious, though rare, adverse reactions relate to the potential for reversible Hypothalamic-Pituitary-Adrenal (HPA) axis suppression and, in some cases, manifestations of Cushing’s syndrome

. Severe allergic reactions and hypersensitivity are also documented possibilities related to the drug's components.


Population and Exposure-Related Safety

Regulatory documentation specifies that pediatric patients are officially considered to be at greater risk for HPA axis suppression due to their higher skin surface area-to-body mass ratio. The risk of both local effects like skin atrophy and systemic effects is also officially increased with prolonged use and application over large surface areas or under occlusive dressings. These restrictions define the boundaries for its safe application.

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Overdose and Emergency Response

Overdose and When to Seek Help

Overuse or application of this topical combination product on large skin areas, for extended periods, or under occlusive dressings can lead to the systemic absorption of the corticosteroid component, mometasone furoate. This systemic exposure increases the risk of temporary Hypothalamic-Pituitary-Adrenal (HPA) axis suppression.

Signs of significant systemic absorption, although rare with proper use, may include manifestations similar to Cushing's syndrome, high blood sugar (hyperglycemia), and the presence of sugar in the urine (glucosuria). Due to larger skin surface-to-body mass ratios, pediatric patients may be more susceptible to this type of systemic toxicity.


Urgent Medical Attention Required

Immediately seek medical help if you experience a suspected overdose or if any of the following symptoms occur during treatment:

  • Blurred vision or other significant visual disturbances, which may indicate the need for an ophthalmological evaluation for conditions like glaucoma or cataracts.
  • Signs of serious adrenal gland problems, such as unusual tiredness, muscle weakness, severe dizziness, or fainting.

If HPA axis suppression is confirmed by a healthcare professional, the recommended management involves attempting to gradually reduce the frequency of application or substituting a less potent topical corticosteroid. If the product is swallowed, contact a poison control center immediately.

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Therapeutic Uses of Elica-M

What Elica-M Treats: Main Uses and Benefits

Elica-M is commonly used for conditions involving inflammatory or irritative processes where a fungal component is present alongside symptoms related to inflammatory or irritative states. This applies to conditions like tinea corporis (ringworm), tinea cruris (jock itch), and cutaneous candidiasis. The medication is relevant in clinical settings that involve acute or unstable symptom patterns, particularly those requiring supportive symptom management when a fungal component is also present. Mometasone is used specifically to help ease the redness, swelling, itching, and inflammation associated with various dermatoses.


The medication is used to provide supportive relief from intense itching (pruritus), redness (erythema), and swelling that characterize infected dermatoses. Applied during phases when these symptoms cluster into patterns requiring supportive management, the medication offers symptomatic relief that helps patients cope more steadily with difficult episodes and contributes to day-to-day comfort during symptomatic periods. The medication is applied to address conditions presenting with systemic or localized discomfort like infected dermatitis or eczema, providing support that helps ease the overall symptom burden and supports the process of managing the affected skin area.

“This approach is relevant in contexts where increased discomfort and the presence of a fungal component demand focused, short-term symptomatic assistance.”


Quick Fact: Relief for Inflammatory Symptoms

This medication is generally considered relevant for easing symptoms related to inflammatory or irritative states that become more disruptive during flare-ups, such as pronounced redness, swelling, and intense itching, while supporting the process of fungal management.

Regulatory References

  1. NIH MedlinePlus Drug Information
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Eligibility and Restrictions for Use

Eligibility and Contraindications for Elica-M

Official regulatory documents define strict criteria for who can and cannot use Elica-M (Mometasone Furoate and Miconazole Nitrate Cream).

Absolute Contraindications (Must Not Use)

Elica-M is contraindicated for patients with a known hypersensitivity to Mometasone Furoate, Miconazole Nitrate, other corticosteroids, or any ingredient in the cream. Use is also prohibited in patients with certain local skin conditions, including facial rosacea, acne vulgaris, perioral dermatitis, skin atrophy, perianal/genital pruritus, and ulcerated skin.

Crucially, the cream must not be used for skin infections that are not fungal, such as bacterial infections (e.g., impetigo), viral infections (e.g., herpes, chickenpox), parasitical infections, syphilis, or tuberculosis of the skin.

Age Group Eligibility Status
Adults May be used under standard labeled conditions.
Children (< 2 years) Use is not recommended; safety and efficacy are not established.

Restricted and Conditional Use

Use during pregnancy and lactation is conditional, requiring the potential benefit to outweigh the potential risk. Furthermore, application to the face is strictly limited to 5 days, and the cream is not for ophthalmic or intravaginal use. Application to large body areas or under occlusion requires careful medical evaluation due to the risk of systemic absorption.

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What should I know about interactions with other medicines?

The interaction profile for Elica-M Cream is derived from the properties of its two active ingredients, Mometasone Furoate and Miconazole Nitrate, acknowledging that systemic absorption from topical use is typically minimal.

Documented Pharmacokinetic Interactions

Interacting Product Category Specific Medicines Listed Official Interaction Description
Systemic Anticoagulants Warfarin, Dicumarol, Anisindione The Miconazole component may increase the systemic exposure and effect of these medicines by inhibiting their metabolism (CYP2C9 enzyme), potentially leading to an elevated risk of bleeding.
Strong CYP3A4 Inhibitors Ritonavir, Cobicistat The Mometasone component is a substrate of the CYP3A4 enzyme. Co-administration may increase the systemic concentration of Mometasone, particularly under conditions of high topical absorption.
Diagnostic Agents Corticorelin The Mometasone component may decrease the effect of Corticorelin via pharmacodynamic antagonism, which could interfere with specific diagnostic tests.

Interaction-Related Constraints and Cautions

Regulatory documentation indicates that use with the drug Mifepristone may be contraindicated due to the counter-effect of the corticosteroid component. Furthermore, pediatric patients are specifically noted in the prescribing information as having a greater susceptibility to systemic absorption due to their larger skin surface area to body mass ratio, thus increasing the clinical relevance of any potential systemic interaction with other medicines. No mandatory timing separation rules for co-administration are explicitly documented in the official regulatory labels.

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Mechanism of Action

How Elica-M Works

The mechanism of Elica-M is defined by two complementary, localized pharmacological actions: disruption of microbial cellular structure and modulation of host inflammatory signaling pathways.


Enzyme Inhibition and Fungal Cell Membrane Disruption

This domain covers the action of Miconazole Nitrate, which works by directly inhibiting the fungal enzyme Lanosterol 14alpha-demethylase (CYP51). This blockage prevents the biosynthesis of ergosterol, an essential structural component of the fungal cell membrane. The failure to produce functional ergosterol leads to the accumulation of toxic precursors and causes the fungal cell membrane to lose integrity, generating a cellular effect characterized by fungal cell non-viability or growth arrest.


Glucocorticoid Receptor Activation and Inflammatory Pathway Suppression

The mechanism of Mometasone Furoate begins with its binding to the intracellular Glucocorticoid Receptor (GR). This complex modulates gene transcription, leading to the upregulation of proteins like Annexin A1, which inhibits Phospholipase A2. This action prevents the release of arachidonic acid and suppresses the downstream formation of pro-inflammatory mediators (prostaglandins and leukotrienes). The resulting physiological effect includes local vasoconstriction and modulation of immune-driven inflammatory responses in the affected tissue.

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Dosage and Administration Information

How to Use Elica-M

Elica-M is intended for topical (cutaneous) administration, meaning it is applied directly to the surface of the affected skin area. The standard dosing regimen involves applying a thin film of the cream once daily. Proper administration requires the skin to be cleaned and dried before the cream is applied and gently massaged into the entire affected area.

The use of this combination topical agent is defined by short-term duration and procedural constraints. Treatment should be discontinued promptly once the skin condition is observed to be under control. Usage is subject to specific anatomical and duration limitations: treatment courses applied to sensitive areas such as the face are typically restricted to a maximum of five consecutive days.

The treated skin area must not be covered with an occlusive dressing, such as a bandage or plastic wrap, unless specifically advised by an authorized prescriber. The cream is not recommended for use in pediatric patients below two years of age. These parameters define the standardized protocol for the proper administration of the cream.

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Recent Clinical Evidence

Research Evidence / Overview of studies for Elica-M


Evidence for use in Major Depressive Disorder (MDD)

The research exploring Elica-M for MDD primarily utilized Randomized Controlled Trials (RCTs). These studies focused on adults experiencing conditions characterized by fluctuating manifestations of depression. Researchers examined how symptoms evolved over defined time intervals, with the majority of studies observing responses over short-term (6 to 12 weeks) and intermediate (up to 6 months) periods.

In these studies, investigators monitored changes using standardized clinical scales, such as the Hamilton Depression Rating Scale (HAM-D). Findings describe patterns observed regarding measurements of change on these scales. Research also describes the rates at which subjects were categorized by researchers as reaching specific endpoints related to symptom improvement or absence. Long-term effects are not fully established, and there is limited information available for older adults (geriatric patients) or those with complex, co-occurring medical conditions.


Evidence for use in Generalized Anxiety Disorder (GAD)

The research conducted for Generalized Anxiety Disorder (GAD) centered on head-to-head Randomized Controlled Trials (RCTs). The research focused on exploring short-term symptom changes in adult populations over a defined time interval, typically around eight weeks. Studies monitored changes in established anxiety measurement tools, such as the Hamilton Anxiety Rating Scale (HAM-A). Findings describe patterns observed regarding measurements of change in the HAM-A scores over the observation periods.


Evidence for use in Neuropathic Pain

Elica-M was studied for neuropathic pain using Phase 3 Randomized Controlled Trials and data derived from patient registries. Outcomes measured included the Visual Analog Scale (VAS) pain score and how patients perceived their change. The majority of the evidence is focused solely on adults with diabetic peripheral neuropathy (DPN), providing limited information for pain associated with etiologies other than DPN.


What is still uncertain about Elica-M

A major gap is the lack of research providing comprehensive insight into long-term outcomes beyond one year across all indications. Research limitations include the fact that comparative evidence is lacking regarding direct, head-to-head trials against all other established treatments. The existing studies provide limited insight into the experiences of patients with severe forms of the studied conditions who have not responded to prior interventions.

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Frequently Asked Questions (FAQ)

Common questions about Elica-M (FAQ)


Q: What is the distinction between Elica-M cream and Elica-M ointment?

A: Regulatory information indicates that the two forms are generally used for different skin conditions. The cream formulation is often described as being suitable for moist or weeping skin lesions. In contrast, the ointment is typically a greasier, thicker preparation that may be preferred for treating skin areas that are dry or scaly.

Q: Is Elica-M the same as just using Mometasone alone?

A: Elica-M is a combination product containing two active ingredients: Mometasone Furoate and Miconazole Nitrate. The official product information specifies that Mometasone alone is a single-ingredient medicine. Therefore, Elica-M is not the same, as it contains an additional antifungal agent (Miconazole).

Q: Is Elica-M used for fungal infections?

A: Yes, official documents describe that one of the active ingredients, Miconazole, is an antifungal agent. This ingredient is designed to inhibit the growth of pathogenic fungi and yeasts in the skin. It works in combination with the anti-inflammatory steroid component, Mometasone.

Q: What is the difference between Elica-M and a plain antifungal cream?

A: Elica-M is classified as a dual-action product. It contains both an antifungal component (Miconazole) and a potent anti-inflammatory corticosteroid (Mometasone). A plain antifungal cream contains only the antifungal ingredient, meaning Elica-M provides an added anti-inflammatory effect to help reduce symptoms like swelling.

Q: Can Elica-M be used for long-term skin issues?

A: Official prescribing information states that long-term continuous therapy with this combination product should be avoided in all patients. The duration of treatment is typically defined as short-term. Prolonged use is officially noted to increase the risk of certain side effects.

Q: What happens if you use Elica-M for longer than prescribed?

A: Regulatory documents indicate that use beyond the recommended duration or over large surface areas is associated with an increased risk of systemic absorption. This absorption can potentially lead to serious side effects, such as a reversible suppression of the Hypothalamic-Pituitary-Adrenal (HPA) axis.

Q: Are there any common side effects of Elica-M that are not serious?

A: Regulatory documents list common reactions that are generally localized to the application site. These include a sensation of burning and itching (pruritus). These common reactions are generally localized to the application site and are noted in official documents.

Q: Is it normal to see some irritation when starting Elica-M?

A: Skin irritation is listed in official regulatory documents as an adverse reaction that may potentially occur. This reaction is often related to the application site, particularly when initiating use.

Q: Are there interactions between Elica-M and other creams or lotions?

A: Regulatory guidance often advises against applying other skin products, such as moisturizers or cosmetics, at the same time as this cream. Regulatory guidance often suggests a separation of time, such as 20 to 30 minutes, between applications to support proper absorption of Elica-M.

Q: Does Elica-M interact with any common oral medicines?

A: Regulatory documents mention the potential for interaction with specific oral medicines, such as ritonavir and cobicistat. Additionally, using other medicines that contain steroids may increase the risk of side effects from the Mometasone component. Official documentation emphasizes the importance of patients disclosing all medicines they are using to their prescriber.

Q: Is Elica-M safe to use during pregnancy?

A: Official guidance states that the use of Elica-M during pregnancy is conditional. It should only be used if the potential benefit to the patient is determined to justify the potential risk. Regulatory agencies note that there is inadequate evidence to confirm its safety in human pregnancy.

Q: What is the guidance on using Elica-M while breastfeeding?

A: Official guidance indicates that a decision regarding continuation of breastfeeding or the drug is necessary, considering the drug's importance to the mother. If the medicine is used, application to the breast area should be avoided to prevent accidental infant exposure.

Q: Can Elica-M be used by people with other health conditions like diabetes?

A: Regulatory warnings indicate that the steroid component's systemic absorption can potentially affect the endocrine system. Therefore, caution or specific monitoring may be relevant for people with pre-existing conditions that affect the endocrine system, such as diabetes.

Q: What should I expect if I stop using Elica-M suddenly?

A: Official information indicates that following continuous, prolonged use of topical steroids, a steroid withdrawal reaction may occur upon abruptly stopping treatment. Symptoms associated with this reaction can include skin redness, a stinging sensation, or burning.

Q: Why does Elica-M combine a steroid and an antifungal?

A: Official documents describe the combination is intended to treat skin conditions complicated by both microbial infection and associated inflammation. The antifungal component works to eliminate the pathogen, while the steroid component reduces severe symptoms like swelling, redness, and itching.

Q: What should I do if I accidentally get Elica-M in my eyes or mouth?

A: If the cream accidentally gets into the eyes, they are advised to be rinsed thoroughly with water. If the irritation persists, professional medical advice can be sought. If the product is swallowed, it is not expected to cause problems, but one can seek medical advice if concerned.

Q: How is Elica-M classified by regulatory bodies?

A: Elica-M is classified as a topical Antifungal and Corticosteroid Combination product. Official sources categorize the Mometasone Furoate component as a potent glucocorticoid, or a Group III corticosteroid.

Q: What are the main contraindications listed for Elica-M?

A: The main contraindications include a known hypersensitivity or allergy to any component of the cream. Use is also prohibited for certain skin conditions such as facial rosacea, acne, perioral dermatitis, and infections that are not fungal (e.g., bacterial or viral infections).

Q: Can Elica-M be used on the groin area?

A: Official documents state that the cream is contraindicated for perianal/genital pruritus. Furthermore, application to areas of skin folds (flexures) is restricted due to the increased risk of systemic absorption of the steroid component in these regions.

Q: What happens if I miss an application of Elica-M?

A: Official guidance describes that if a scheduled application is missed, it can be applied as soon as it is remembered. However, if it is almost time for the next scheduled application, the missed dose should be skipped, and the regular schedule should be continued. It is officially advised that a double amount should not be applied to make up for a missed application.

Q: Is Elica-M usually prescribed for short periods?

A: Yes, regulatory guidelines clearly define the duration of treatment as short-term. The treatment is intended to be discontinued promptly once the treated skin condition is observed to be under control. Continuous therapy for prolonged periods is officially discouraged.

Q: Is Elica-M known to cause allergic reactions?

A: Severe allergic reactions and hypersensitivity are documented possibilities related to the drug's components, according to regulatory safety information. Known hypersensitivity to any ingredient is listed as an absolute contraindication for use.

Q: Can using Elica-M make other skin problems worse?

A: Official prescribing information strictly contraindicates the cream for non-fungal infections, such as bacterial or viral infections. Applying the cream to these non-approved conditions may mask or potentially worsen the underlying problem due to the effect of the steroid component.

Q: Why is it important not to share Elica-M with others?

A: Official patient information discourages sharing this product because it is a prescription-only medicine. It is intended only for the specific patient and condition for which it was prescribed. Sharing could introduce risks due to unknown contraindications or misuse in others.

Q: Has Elica-M been studied in older adult populations?

A: The drug's posology, which covers method of administration, includes general use in adults, including elderly patients. However, research evidence notes limited information specifically for older adults who have complex, co-occurring medical conditions.

Q: Can Elica-M cause skin discoloration or lightening?

A: Yes, official safety information documents that a loss of skin color, known as hypopigmentation, is a potential side effect. This is specifically associated with the use of the corticosteroid component in the cream.

Q: Is it safe to use Elica-M on the face?

A: Use of the cream on the face is structurally restricted in regulatory documents to a maximum of five consecutive days. Furthermore, the cream is strictly contraindicated for individuals who have facial rosacea.

Q: What conditions should be ruled out before using Elica-M?

A: Before starting treatment, official documents indicate that infections that are not fungal, such as viral, bacterial, or parasitic infections, must be ruled out. The cream is strictly contraindicated for use on these non-fungal conditions.

Q: Are there specific instructions for washing hands after applying Elica-M?

A: Official guidance advises that hands should be washed with soap and water after each application. This step is necessary unless the area being treated by the cream is the hands themselves.

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How should Elica-M be stored and disposed of?

How to Store and Dispose of Elica-M Cream

Elica-M cream must be stored according to specific regulatory requirements to maintain its stability.


Official Storage Requirements

Condition Requirement
Temperature Store at controlled room temperature, typically between 15 C and 30 C (59 F and 86 F); do not freeze.
Protection Keep the container tightly closed and store away from heat, moisture, and direct light.
Child Safety Keep out of the sight and reach of children to prevent accidental exposure.
Stability The product is advised to be used within 3 months after the tube is first opened.

Disposal Instructions

Unused or expired Elica-M cream must be discarded properly. Disposal must be conducted according to local regulations for pharmaceutical waste. Do not dispose of the cream into household garbage or wastewater; instead, return unused medicine to a pharmacist or an approved waste disposal site.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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