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The eMC  

Last Updated 03 Jul 2014

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Daktacort ointment

Daktacort (Dak-ta-cort) is a medicine which is used in inflammatory skin conditions where infection is also present. Daktacort contains hydrocortisone/miconazole nitrate. It is supplied by Janssen-Cilag Ltd.

The information in this Medicine Guide for Daktacort varies according to the condition being treated and the particular preparation used.

There are 2 preparations of Daktacort available. If Daktacort ointment is not the preparation you are looking for, please select from the drop down list below.

Select your preparation (type) of Daktacort

Daktacort ointment

Information specific to Daktacort ointment when used in inflammatory skin conditions where infection is also present

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Your medicine

Daktacort contains two different medicines - miconazole nitrate and hydrocortisone. Daktacort is used to treat skin problems caused by inflammation where infection is also present. This includes eczema and dermatitis of the skin. Miconazole nitrate helps to treat certain types of skin infections. Hydrocortisone reduces inflammation and can help to relieve the symptoms of inflammatory skin problems.

Other information about Daktacort:

  • this medicine should be used for seven days at most. If your symptoms become worse or continue after this time you should contact your prescriber
  • avoid latex products such as condoms or diaphragms as this medicine can damage latex products

Do not share your medicine with other people. It may not be suitable for them and may harm them.

The pharmacy label on your medicine tells you how much medicine you should use. It also tells you how often you should use your medicine. This is the dose that you and your prescriber have agreed you should use. You should not change the dose of your medicine unless you are told to do so by your prescriber.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.

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When to take your medicine

Some medicines work best if they are taken at a specific time of day. Getting the most from your medicine can also be affected by the times at which you take other medicines.

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How to take your medicine

Some medicines have specific instructions about how to take them. This is because they work better when taken correctly. These instructions can include getting the right dose and special instructions for preparing the medicine.

In the case of Daktacort:

  • do not use Daktacort on the face, unless your prescriber has specifically advised you to do so. For more information contact your prescriber
  • if you are applying Daktacort to a child or an infant take care not to apply it beyond the area of skin that is affected and needs treatment
  • if you are applying Daktacort to a child or an infant, and you are covering the affected area with a nappy or a dressing that tightly covers or seals the area, you must only use a thin layer of Daktacort
  • it is recommended to wear cotton underwear while you are using Daktacort because it may damage some synthetic materials if it comes into contact with them
  • rub Daktacort into the affected area of the skin until it has been absorbed
  • Daktacort must not come into contact with the mucosa of the eyes

If you are having problems taking this form of Daktacort, you should talk to your prescriber or pharmacist. They may be able to give you advice on other ways to take your medicine or other preparations that are easier for you to take.

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Taking too much of your medicine

Taking extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems. If you take extra doses of your medicine, you must get medical advice immediately. This is because the effects of taking too much medicine are very complex so it is very important that you seek medical advice.

Contact your prescriber, pharmacist, specialist clinic or call 111 for advice.

Make sure you take all of your medicine containers with you if you are advised to go to hospital.

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Stopping your medicine

If you are not having any problems with this medicine, do not stop using it unless you have completed the course or you are advised to stop using it by your prescriber.

If you are in any doubt, contact your prescriber, pharmacist, specialist clinic or call 111.

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Looking after your medicine

The instructions on how you should keep your medicine are on the pharmacy label. You should keep your medicine in the original container. This will help to keep your medicine in the best condition and also allow you to check the instructions. Do not take the medicine if the packaging appears to have been tampered with or if the medicine shows any signs of damage. Make sure that the medicine is out of the sight and reach of children.

In the case of Daktacort:

  • do not store in temperatures above 25°C

You must not take the medicine after the expiry date shown on the packaging. If you have any unused medicine, return it to your pharmacist who will dispose of it safely.

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Whether this medicine is suitable for you

Daktacort is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

  • are allergic or sensitive to or have had a bad reaction to other imidazole derivatives in the past
  • are allergic or sensitive to or have had a reaction to any of the ingredients in the medicine
  • have inflamed skin which needs treatment on the face
  • have skin problems such as certain types of infection in the area where Daktacort needs to be applied

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for an infant or a child.

Over time it is possible that Daktacort can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Daktacort has become unsuitable, it is important that the prescriber is contacted immediately.

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A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

Uncommon: More than 1 in 1000 people who use Daktacort:

  • burning sensation
  • feeling irritable - common in children
  • itching
  • skin irritation - seek medical advice if you develop skin irritation
  • urticaria

The frequency of these side-effects is unknown:

  • adrenal problems in infants if Daktacort is used for a long period of time
  • application site problems
  • hypersensitivity reactions including anaphylaxis or angioedema - seek medical advice if you get any hypersensitivity reactions
  • inflammation of the skin
  • skin colour changes
  • skin rash or rashes, erythema or dermatitis - these may occur after close skin contact with someone who is using Daktacort

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call 111.

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Taking other medicines

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The following medicines may interact with Daktacort:

The following types of medicine may interact with Daktacort:

If you are taking Daktacort and one of the above medicines or types of medicines, make sure your prescriber knows about it.

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Complementary preparations and vitamins

Medicines can interact with complementary preparations and vitamins. In general, there is not much information available about interactions between medicines and complementary preparations or vitamins.

If you are planning to take or are already taking any complementary preparations and vitamins you should ask your prescriber whether there are any known interactions with Daktacort.

Your prescriber can advise whether it is appropriate for you to take combinations that are known to interact. They can also discuss with you the possible effect that the complementary preparations and vitamins may have on your condition.

If you experience any unusual effects while taking this medicine in combination with complementary preparations and vitamins, you should tell your prescriber.

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Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

Like all medicines Daktacort can cause side effects. You should see how this medicine affects you and then judge if you are safe to drive or operate machinery. If you are in any doubt, talk to your prescriber.

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Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Daktacort:

  • there are no specific foods that you must exclude from your diet when using Daktacort
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Alcohol can interact with certain medicines.

In the case of Daktacort:

  • there are no known interactions between alcohol and Daktacort
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Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Daktacort:

  • women who are pregnant must not use this medicine

You should discuss your personal circumstances with your doctor if you are pregnant or want to become pregnant. This is so that together you can make a decision about what treatment you may need during your pregnancy.

You should discuss whether there are any other medicines which you could take during pregnancy which would treat your condition.

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Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Daktacort:

  • women who are breast-feeding must not use this medicine

Before you have your baby you should discuss breast-feeding with your doctor or midwife. If you wish to breast-feed you should discuss with your prescriber whether there are any other medicines you could take which would also allow you to breast-feed. You should not stop this medicine without taking advice from your doctor.

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Ingredients of your medicine

Medicines contain active ingredients. They may also contain other, additional ingredients that help ensure the stability, safety and effectiveness of the medicine. They are also added to improve the medicine's appearance and to make it easier to use. Some may be used to prolong the life of the medicine.

You should check that you are able to take the ingredients in your medicine, especially if you have any allergies.

Daktacort contains:

If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Daktacort before, do not use Daktacort. Talk to your prescriber, pharmacist or nurse as soon as possible.

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Daktacort, Version 15, last updated 03 Jul 2014