Pasedon

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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.

Overview of Pasedon

Property Description
Active ingredient Miconazole Nitrate
Form Topical Cream, Ointment, or Vaginal Suppository
Pharmacological class Imidazole Antifungal Agent
General purpose To control the growth of fungi and yeasts
Origin Synthetic Compound

Pasedon is a medicinal product defined by the International Nonproprietary Name (INN) of its active component, Miconazole Nitrate. It is formally classified as a synthetic antifungal agent belonging to the broader imidazole antifungal class. Miconazole is clinically recognized for its broad-spectrum efficacy against various fungi, yeasts, and specific Gram-positive bacteria. This means the medicine is designed to effectively inhibit a wide range of common organisms that cause superficial infections.

The composition of Pasedon centers on Miconazole Nitrate, typically formulated as a single-ingredient product, most often in a topical preparation such as a cream or ointment, suspended in an emulsion base. This formulation is intended for topical or intravaginal routes of administration, which differentiates its application from oral systemic antifungals by concentrating the active component directly at the infected site.

The general purpose of Pasedon is to control the proliferation of fungi and yeasts to manage localized infections and relieve associated physical discomfort. The underlying mechanism involves inhibiting the synthesis of ergosterol, a crucial lipid that maintains the structural integrity of the fungal cell membrane, thereby neutralizing the pathogen. This action confirms that the medicine works by destroying the structure of the infectious agent, not just masking the symptoms.

What side effects are possible with Pasedon?

Possible Side Effects and Safety Information

The official safety profile of Pasedon (Miconazole Nitrate) is primarily characterized by localized reactions at the application site, reflecting its use as a topical antifungal agent. Regulatory documents classify potential effects based on frequency and affected system-organ classes.

Adverse Reaction Scope

The most Common adverse reactions documented in official labels are local effects, typically falling under General disorders and administration site conditions and Skin and subcutaneous tissue disorders.

Classification Examples of Reactions
Common Application site burning, pruritus (itching), irritation, and erythema (redness).
Rare Severe hypersensitivity reactions (including angioedema and anaphylaxis).

Adverse effects such as irritation or burning may be observed more frequently at the start of treatment, according to regulatory data. Less frequently, reactions classified under Immune system disorders may occur.

Safety Constraints and Considerations

The medicine is officially contraindicated in individuals with a known history of hypersensitivity to Miconazole, any excipients in the formulation, or to other imidazole antifungal derivatives.

Regulatory documentation includes a high-level safety note concerning the concomitant use of topical Miconazole and oral anticoagulants, such as warfarin, due to the limited possibility of systemic absorption affecting anticoagulant activity. For specific populations, such as pregnancy and lactation, official guidance notes that the medicine should be used only if considered necessary.

Overdose and Emergency Response

The official regulatory documents state that an overdose of Pasedon (Miconazole Nitrate) is primarily managed based on the route of exposure, given its classification as a topical agent. Excessive local application may result in documented clinical manifestations of skin irritation, specifically erythema (redness), oedema (swelling), and a localized burning sensation. For these cases, the required action is to discontinue therapy, as these localized signs are typically expected to resolve.

The official overdose profile cites two primary scenarios that necessitate seeking immediate medical attention. The first is accidental oral ingestion of large quantities, which may cause gastric irritation. For this specific event, the mandated actions include contacting a poison control center or emergency room at once. Treatment involves appropriate supportive care and symptomatic measures, including the procedure of gastric lavage for significant oral ingestion, as no specific antidote is officially documented in the labeling.

The second critical scenario involves documented severe hypersensitivity reactions, such as anaphylaxis or angioedema (swelling of the face, tongue, or throat). The occurrence of these life-threatening systemic reactions mandates the immediate seeking of medical help, as officially classified by government health authorities. These regulatory statements strictly define when urgent medical intervention is required.

Therapeutic Uses of Pasedon

What Pasedon Treats: Main Uses and Benefits

Pasedon (Miconazole Nitrate) is applied in scenarios where additional management of discomfort is required for common superficial fungal and yeast infections. Its use is relevant for managing the symptomatic burden of active infection and is relevant for easing the associated pronounced symptoms, which supports general well-being during symptomatic phases. The medication is commonly used for several fungal conditions.


Key Therapeutic Applications

Pasedon is commonly used to help with infections caused by dermatophytes and yeast, notably athlete's foot (Tinea Pedis), ringworm (Tinea Corporis), jock itch (Tinea Cruris), and vulvovaginal candidiasis. This scope involves managing symptoms that create noticeable interference with daily stability, such as intense localized itching, burning, soreness, and the scaling or cracking of the skin. The medication is often applied during phases when symptoms become more noticeable, particularly in moist body areas like skin folds and between the toes.

“The primary benefit may be part of symptomatic management for symptom clusters of intense discomfort and irritation that commonly accompany active superficial fungal infections.”


Symptom Management & Benefit

In clinical settings that involve acute or unstable symptom patterns, Pasedon may assist with maintaining functional stability. This application contributes to improved comfort that supports the patient during difficult episodes by easing distress and the overall symptom load.

Quick Fact: Relief for Itching

Pasedon is commonly used to help with the symptoms related to inflammatory or irritative states, notably easing the severe localized itching associated with both cutaneous and mucosal fungal infections.

Regulatory References

  1. NIH MedlinePlus overview of Miconazole Topical

Eligibility and Restrictions for Use

Who Can and Cannot Use Pasedon?

Pasedon's use is formally defined by regulatory criteria, strictly limiting its application to specific populations under documented conditions.

Absolute Contraindications

Pasedon must not be used by patients with a known history of hypersensitivity or allergy to miconazole, other imidazole antifungal agents, or any inactive component of the product, as this constitutes an absolute contraindication.

Age-Group and Conditional Restrictions

Regulatory documents establish specific age limits and conditions for use:

  • Pediatric Use: Safety and effectiveness for topical formulations are not established in children under 2 years of age. Vaginal formulations are not established for patients under 12 years of age. Safety is also not established in infants less than four weeks old.
  • Pregnancy and Lactation: Use during pregnancy is generally not recommended and requires caution; use is only permitted if considered essential by a physician. Caution is also required when using the medicine while breastfeeding, as it is not known if it is excreted in human milk.
  • Medication-Based Caution: Patients taking oral anticoagulants (such as warfarin) or oral hypoglycemics must use the medicine with caution. Their systemic effects must be closely monitored due to the potential for interaction even with minimal absorption.

What should I know about interactions with other medicines?

Interactions with other medicines and products

The full interaction profile of a medicinal product like Pasedon is determined by its active ingredients. While a definitive, standalone regulatory label for Pasedon is not universally available, interactions are commonly documented for many pharmaceutical agents, particularly those combined in multi-ingredient products.

Potential Drug-Drug Interaction Classes

The following general categories of medicines often require caution or dose adjustment when used alongside products containing certain analgesic or decongestant components:

  • Anticoagulants and Antiplatelet Medicines: Co-administration may increase the risk of bleeding. Regular monitoring is essential.
  • Monoamine Oxidase Inhibitors (MAOIs): Combining certain decongestant components with MAOIs is typically contraindicated due to the risk of severe blood pressure increase (hypertensive crisis).
  • Other Sympathomimetic Agents: The concurrent use of other decongestants, stimulants, or appetite suppressants can heighten cardiovascular effects.
  • Antihypertensive Agents: Components in Pasedon may counteract the effects of medicines used to lower blood pressure, such as beta-blockers, necessitating careful blood pressure monitoring.
  • Alcohol and Sedating Medicines: Concomitant use with alcohol, sedatives, or other central nervous system depressants may enhance sedation or impair coordination.

It is essential to disclose all prescription medications, over-the-counter drugs, and herbal supplements to a healthcare professional before initiating treatment to assess the risk of interaction, which can range from minor to highly clinically significant.

Mechanism of Action

Inhibition of Fungal Ergosterol Biosynthesis

Pasedon exerts its primary effect by acting as a non-competitive inhibitor of lanosterol 14alpha-demethylase ( CYP51), a critical enzyme in the fungal ergosterol biosynthesis pathway. This molecular action blocks the formation of ergosterol, the essential sterol component required for the structural integrity and functionality of the fungal cell membrane. The resulting accumulation of toxic intermediate sterols inside the cell initiates the cascade of events leading to cessation of cell viability.


Disruption of Membrane Integrity and Pathogen Inactivation

Beyond metabolic block, the drug causes direct, physical destabilization by integrating itself into the existing fungal cell membrane. This dual mechanistic approach rapidly increases membrane permeability, causing vital cellular contents to leak out, which compromises the organism's viability. Furthermore, the molecule inhibits fungal oxidative enzymes, leading to the toxic buildup of reactive oxygen species (ROS) that inflict damage on internal cellular machinery, contributing to a fungicidal and fungistatic physiological consequence.

Dosage and Administration Information

Pasedon (Miconazole Nitrate) is used via two officially approved routes of administration: cutaneous application for infections of the skin and intravaginal insertion for vulvovaginal candidiasis. The 2% cream or ointment is the standard strength for topical use. For cutaneous application, a thin layer is applied twice daily—typically in the morning and evening—to the affected area.

The treatment duration for topical use is generally fixed based on the infection type, with regimens ranging from two weeks for cutaneous candidiasis to four weeks for conditions like tinea pedis. Before application, the area must be cleaned and dried thoroughly, and the cream should be rubbed into the skin until it is fully absorbed.

Intravaginal use involves different strengths of suppositories (100 mg, 200 mg, 1200 mg) or a 2% cream, which dictate the course duration. Administration is typically once daily at bedtime. Regimens are fixed, following a 1-day, 3-day, or 7-day course, depending on the strength and formulation used. The age restriction for topical use is generally children 2 years of age and older, while intravaginal products are specified for women 12 years of age and older. A procedural note advises that the use of vaginal formulations may affect the reliability of latex barrier contraceptives. Treatment must be continued for the full duration specified in the labeled instructions, even if signs of the infection improve.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Pasedon

Evidence for Use in Athlete's Foot (Tinea Pedis) and Ringworm (Tinea Corporis)

Research examined Miconazole topical cream for athlete's foot and ringworm through controlled studies, such as Randomized Controlled Trials (RCTs), as well as broad Systematic Reviews. These studies were applied in research contexts involving fluctuating or unstable symptoms, such as the intense localized itching, scaling, and cracking. Studies documented outcomes, primarily Clinical Cure (the reported resolution of signs and symptoms) and Mycological Cure (laboratory confirmation of fungal clearance).

The findings described patterns observed over typical treatment periods of about two to four weeks. The evidence base for these indications is derived from high-level study types; however, follow-up durations were often limited to only a few weeks after treatment completion, which means that long-term outcomes and recurrence rates are not fully established across the entire research landscape.

Evidence for Use in Jock Itch (Tinea Cruris) and Vulvovaginal Candidiasis

Research examined jock itch (Tinea Cruris) through short-term comparative studies that monitored outcomes related to physical discomfort in the groin area. For vulvovaginal candidiasis, Pasedon in its intravaginal form was evaluated through numerous clinical trials and Comparative Studies, tracking Clinical Cure, Mycological Cure, and relapse outcomes.

The research base heavily focuses on infections caused by Candida albicans. Data for other types of organisms or for patients with complex, underlying health issues are currently limited. The evidence level for cutaneous candidiasis is often described as Moderate, and data for certain patient subgroups remains insufficient. Research highlights what is known—and what is still uncertain—about treating these conditions.

Key Studies & References

  1. Efficacy of topical antifungal drugs in different dermatomycoses: a systematic review with meta-analysis
  2. Miconazole Topical: MedlinePlus Drug Information (used for standard indication and outcomes context)

Frequently Asked Questions (FAQ)

Common questions about Pasedon (FAQ)


Q: What should I do if I think I missed a dose of Pasedon?

A: Official patient information typically addresses how to manage a missed dose. General patient information indicates that the missed dose should be skipped to return to the regular schedule if it is almost time for the next scheduled application. The patient information leaflet for your specific formulation contains the most complete details.

Q: What is the risk of stopping Pasedon suddenly?

A: Official guidance emphasizes the importance of continuing treatment for the full duration specified, even when symptoms appear to be clearing. Discontinuation contrary to this guidance is associated with the risk of infection recurrence. Completing the full course helps to ensure the infectious agent is completely cleared.

Q: Can Pasedon be taken if I have a history of liver issues?

A: Regulatory reviews note that liver disease is a condition where caution may be required for certain medicines. In situations where a history of liver issues exists, consultation with a healthcare professional is necessary to assess the potential risk and to determine appropriate use.

Q: What percentage of people experience the most common side effect of Pasedon?

A: Official regulatory labels classify the most frequently reported adverse reactions, such as application site burning or itching, using the term 'Common.' While specific percentages can vary by study, this classification means these effects are seen in the largest group of patients in clinical trials.

Q: Can I take Pasedon if I am already taking blood pressure medication?

A: Official documentation notes that certain components in some products may counteract the effects of medicines used to lower blood pressure. The official documentation indicates that concurrent use with antihypertensive agents may necessitate careful blood pressure monitoring.

Q: Why does the official document warn against using Pasedon with certain other medicines?

A: The warnings are included because of the potential for medically significant interactions that could heighten the effects of Pasedon or the other medicine. For instance, using it with certain agents may increase the risk of bleeding, or, in rare instances, lead to severe blood pressure increases.

Q: If I have a mild side effect from Pasedon, does that mean I should stop taking it?

A: Mild localized effects, such as a slight burning or irritation at the application site, may be observed more frequently when treatment is initiated. Official instructions indicate that discontinuation of the product is advised only if severe irritation or sensitization occurs, or if the condition shows no improvement after the labeled duration of treatment.

Q: Is Pasedon the same type of medicine as [similar drug name]?

A: Pasedon (Miconazole Nitrate) is officially classified as an Imidazole Antifungal Agent. This means it belongs to a category of medicines that share a similar chemical structure and mechanism, which is to inhibit fungal and yeast growth.

Q: How quickly can I expect Pasedon to start working?

A: The time until a noticeable change in symptoms may vary depending on the type of infection being addressed. The full treatment course, which typically ranges from two to four weeks for topical use, is necessary to achieve fungal clearance.

Q: How long does the effect of one dose of Pasedon usually last?

A: Since Pasedon is designed as a topical or intravaginal medicine, its therapeutic effect is highly localized at the application site. Systemic absorption from the skin or vagina is minimal, meaning the duration of action is concentrated locally, unlike oral medications that rely on bloodstream circulation.

Q: Does Pasedon cause weight gain or weight loss?

A: Changes in body weight are not listed among the commonly or rarely reported side effects documented in the official regulatory labels for the topical or vaginal formulations of this medicine.

Q: Can Pasedon affect my sleep schedule?

A: Sleep disturbances are not explicitly listed among the reported common or rare side effects in the official regulatory labels for the topical or vaginal formulations of Pasedon.

Q: Is it true that Pasedon can cause headaches?

A: Headache has been reported as a side effect with some miconazole formulations, such as those that are absorbed systemically, in clinical trials. They are not consistently listed as a common side effect for the topical or vaginal products.

Q: Are there any specific foods or drinks I should avoid while taking Pasedon?

A: Regulatory information for topical miconazole does not list specific food or drink restrictions.

Q: Is Pasedon safe for use in older adults?

A: Official documents often note that the medicine is not expected to cause different side effects or problems in older adults than it does in younger adults. No specific information is typically provided to suggest a difference in safety or effectiveness based solely on advanced age.

Q: Can women who are planning pregnancy use Pasedon?

A: Official guidance notes that use during pregnancy is generally permitted only if considered essential by a physician. Caution is generally advised for individuals planning a pregnancy, and consultation with a healthcare professional is necessary to review the individual situation.

Q: Is Pasedon prescribed for children?

A: The use of Pasedon is strictly limited by age in official regulatory documents. Topical formulations are restricted for use in children under 2 years of age, and vaginal formulations for patients under 12 years of age.

Q: How is Pasedon different from a placebo in clinical trials?

A: Pasedon is differentiated from non-active treatment (placebo) in clinical trials through its measurable efficacy. Studies track outcomes such as Clinical Cure (resolution of symptoms) and Mycological Cure (laboratory confirmation of fungal clearance), which indicate the drug’s performance compared to no treatment.

Q: What kind of research has been done on Pasedon's long-term use?

A: The research summary explicitly states that follow-up durations for studies are often limited to only a few weeks after treatment completion. For this reason, long-term outcomes and recurrence rates beyond those short-term study periods are not fully established across the entire research landscape.

Q: How long do I need to take Pasedon for before seeing the main effect?

A: The main therapeutic effect is achieved once the infection is cleared, which is tracked over the total treatment duration. Courses typically last from two to four weeks for topical use, depending on the specific infection type being addressed.

Q: Is it normal to feel a little dizzy when first starting Pasedon?

A: Dizziness has been reported as a side effect with some systemic miconazole formulations. While not a common side effect for the topical or vaginal products, individuals should monitor their symptoms if they experience any unusual changes.

Q: Are there any long-term side effects associated with Pasedon use?

A: The official safety profile focuses on documented side effects, with the most common being localized reactions related to the short, fixed course of treatment. The research evidence suggests that long-term outcomes beyond the short study follow-up periods are not fully established.

Q: What kind of studies support the use of Pasedon for its main condition?

A: The evidence base for Pasedon is derived from high-level study types. These include Randomized Controlled Trials (RCTs), which compare the drug to other treatments or placebo, and broad Systematic Reviews, which summarize results across many studies.

Q: Is Pasedon taken once a day or multiple times?

A: The frequency depends entirely on the formulation and route of administration. Cutaneous application is typically directed to be used twice daily, while intravaginal insertion is typically directed for use once daily at bedtime.

Q: Can Pasedon cause mood changes or depression?

A: Mood changes or depression are not listed among the commonly or rarely reported side effects documented in the official regulatory labels for the topical or vaginal formulations of Pasedon.

Q: What makes Pasedon unsafe for people with certain medical conditions?

A: The medicine is formally contraindicated in individuals with a known history of hypersensitivity or allergy to miconazole or other imidazole antifungal agents. Caution is advised for patients taking oral anticoagulants or oral hypoglycemics due to the potential for interaction.

Q: How is the research evidence for Pasedon usually summarized by health authorities?

A: Health authorities summarize the evidence by reporting key outcomes from studies, such as the rate of Clinical Cure and Mycological Cure. The evidence level for conditions like cutaneous candidiasis is often described as Moderate.

Q: Are there any restrictions on when during the day Pasedon should be taken?

A: Yes, there are specific recommendations based on the route of administration. Intravaginal use is typically recommended for use at bedtime, while cutaneous use is generally recommended to be applied twice daily (morning and evening).

Q: What is the common age range of people who are prescribed Pasedon?

A: Official documents establish the minimum age for use: topical formulations are for children 2 years of age and older, and vaginal formulations are for women 12 years of age and older.

Q: Are there different strengths of Pasedon available, and why?

A: Yes, Pasedon is available in different strengths (e.g., 2% cream and varying milligram suppositories). The different strengths and formulations are available to accommodate different fixed treatment courses, such as 1-day, 3-day, or 7-day regimens.

Q: Does Pasedon interact with common pain relievers like ibuprofen?

A: Official interaction lists focus on classes like anticoagulants and antiplatelet medicines, where concurrent use may increase the risk of bleeding. Pain relievers can sometimes fall into these categories, and professional assessment is required if you are taking these medications.

Q: Can Pasedon be taken with supplements like vitamins or herbs?

A: Official guidance notes that all prescription medications, over-the-counter drugs, and herbal supplements should be disclosed to a healthcare professional before starting treatment. This allows for the assessment of potential interaction risks.

Q: Is it necessary to have certain tests done before starting Pasedon?

A: For the general population, no specific pre-treatment tests are typically required before starting Pasedon. However, patients taking oral anticoagulants are advised to have their systemic effects closely monitored due to the potential for interaction.

Q: What is the general expectation for how well Pasedon works for most people?

A: Clinical trials evaluate the medicine’s performance based on the achievement of two key outcomes: Clinical Cure (the resolution of signs and symptoms) and Mycological Cure (laboratory confirmation that the fungal infection is gone).

Q: Does taking Pasedon change how I can drive or operate machinery?

A: Due to the limited systemic absorption from the topical and vaginal application sites, official documents for these products typically do not contain specific warnings about driving or operating machinery.

Q: What's the difference between the main use of Pasedon and its off-label use?

A: Pasedon is officially approved for two main uses: cutaneous application for infections of the skin and intravaginal insertion for vulvovaginal candidiasis. Official information defines the use of the medicine according to these regulatory-approved indications.

How should Pasedon be stored and disposed of?

How to Store and Dispose of Pasedon?

The official storage and disposal guidelines for Pasedon (Miconazole Nitrate) are defined by government regulatory documents to ensure product stability and safety.

Official Storage Requirements

Requirement Category Regulatory Statement
Temperature Requirements Store at controlled room temperature (typically 15 C to 30 C or 59 F to 86 F). Do not freeze.
Handling & Packaging Keep the container tightly closed in a dry, cool area, protected from direct light and excessive heat. Keep the product in the original container.
Child Protection Keep this medicine out of the sight and reach of children and pets.
Stability Rule Do not keep outdated medicine or medicine no longer needed past its expiration date.

Official Disposal Instructions

Disposal instructions require that unused or expired Pasedon must be discarded via an approved waste disposal facility or a drug take-back program. Disposal into the sanitary sewer system or surface water is prohibited to protect the environment. Follow all government and local waste guidelines when disposing of the product.

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

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