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Precautions and Warnings With Miconazole/Zinc Oxide/White Petrolatum

Make sure you are aware of the precautions and warnings with miconazole/zinc oxide/white petrolatum before using it on your child. You should know that the medicine is not approved for babies under four weeks old, and it must be used for seven days (even if the rash improves). Miconazole/zinc oxide/white petrolatum is only approved for diaper rashes with a proven yeast infection.

Miconazole/Zinc Oxide/White Petrolatum: What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to using miconazole/zinc oxide/white petrolatum (Vusion®) if your child has:
 
  • HIV, AIDS, cancer, or any other condition that weakens the immune system
  • Any allergies, including allergies to food, dyes, or preservatives.
     
Also, let your healthcare provider know if you are:
 
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
     
You should also be sure to tell your healthcare provider about all other medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
 

Specific Precautions and Warnings With Miconazole/Zinc Oxide/White Petrolatum

Warnings and precautions to be aware of prior to using miconazole/zinc oxide/white petrolatum include the following:
 
  • The medication is not a substitute for frequent diaper changing and gentle cleansing of the skin. The ointment is to be used along with the usual recommendation for caring for a diaper rash.
     
  • Miconazole/zinc oxide/white petrolatum ointment is approved only for babies age four weeks and older (even if they are premature). It is not approved for babies with a weakened immune system, as more aggressive treatment may be necessary.
     
  • The medication should not be used to prevent diaper rashes from returning. Just as with any other antibiotic or antifungal, overuse of miconazole/zinc oxide/white petrolatum can lead to the development of infections that are resistant to the medication.
     
  • Keep using miconazole/zinc oxide/white petrolatum for a full seven days, even if the rash gets better. If there is little or no improvement after seven days of use, contact your child's healthcare provider. Do not continue to use miconazole/zinc oxide/white petrolatum ointment for more than a week without the approval of your child's healthcare provider.
     
  • Miconazole/zinc oxide/white petrolatum ointment is approved only for diaper rashes with a proven yeast infection. Not all diaper rashes are complicated by yeast infections, and your child's healthcare provider needs to do tests to make sure that a yeast infection is present.
     
  • Miconazole/zinc oxide/white petrolatum is considered a pregnancy Category C medication. This means that it may not be safe for use during pregnancy, although the full risks are not known. Although this ointment is not meant for use in adults, it is reasonable to assume that pregnant women may be exposed to it while applying the ointment to infants. If you are pregnant, be sure to wash your hands thoroughly after applying miconazole/zinc oxide/white petrolatum. You may even want to consider using gloves, although this is probably not necessary.
     
  • It is not known if miconazole/zinc oxide/white petrolatum ointment is safe for breastfeeding women. Although this ointment is not meant for use in adults, it is reasonable to assume that breastfeeding women may be exposed while applying the ointment to infants. If you are breastfeeding, be sure to wash your hands thoroughly after applying the medication. You may even want to consider using gloves, although this is probably not necessary.
     
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Miconazole for Diaper Rash

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