Daktacort 2% / 1% w/w cream

• Keep this leaflet. You may need to read it again
• If you have any further questions, ask your doctor or pharmacist
• This medicine has been prescribed for you only. Do not pass it on to others.
  It may harm them, even if their signs of illness are the same as yours
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

1. What Daktacort cream is and what it is used for
2. What you need to know before you use Daktacort cream
3. How to use Daktacort cream
4. Possible side effects
5. How to store Daktacort cream
6. Contents of the pack and other information

• You are allergic to miconazole nitrate, hydrocortisone, any of the other ingredients of this medicine (listed in section 6) or to other similar antifungal medicines.
• You have any other skin problems such as cold sores, herpes, chicken pox or shingles. Only use it for the skin problem that you showed the doctor

Do not use this medicine if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before using Daktacort cream.

Talk to your doctor or pharmacist before using Daktacort if:

• The inflamed skin is on your face. You should not use Daktacort cream on your face, unless your doctor has told you to
• You are using a ‘barrier’ method of contraception. This includes condoms or diaphragms. This is because Daktacort cream can damage the latex and stop them from working properly. Talk to your doctor about using another type of contraception while you are using this medicine
• Contact your doctor if you experience blurred vision or other visual disturbances

Talk to your doctor if there is a worsening of your condition during use of Daktacort. You may be experiencing an allergic reaction, have an infection or your condition requires a different treatment. If you experience a recurrence of your condition shortly after stopping treatment, within 2 weeks, do not restart using the cream without consulting your doctor unless your doctor has previously advised you to do so. If your condition has resolved and on recurrence the redness extends beyond the initial treatment area and you experience a burning sensation, please seek medical advice before restarting treatment.

Keep this medicine away from your eyes. If you get any cream in your eyes, rinse with water straight away. Keep your eyes open when you rinse.

The cream should not be used on young children for long periods of time (such as every day for several weeks). The cream should not be used on large areas of a child’s body or under a baby’s nappy unless your doctor has told you.

Medicines like Daktacort cream can cause thinning of the skin when used for a long time without a break. Because thinning of the skin happens naturally in older people, this medicine should be used sparingly for no more than a few weeks in elderly patients. Only use it for as long as your doctor tells you.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

In particular, tell your doctor if you are taking;

• Medicines that thin your blood (anticoagulants) such as warfarin. Your doctor may want to check that the anticoagulants are still working properly

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.

Daktacort cream is not likely to affect you being able to drive or use any tools or machines.

• 60 mg benzoic acid in each tube of 30 g cream which is equivalent to 2 mg/g cream.
• Benzoic acid may increase jaundice (yellowing of the skin and eyes) in newborn babies (up to 4 weeks old).
• Benzoic acid (E210) and butylated hydroxyanisole (E320), which can mildly irritate the skin, eyes and mucosal membranes

• Each tube of Daktacort cream is sealed. Use the cap to pierce the tube
• Wash the infected area and dry it well
• As many skin conditions are infectious, you should keep a towel and flannel for your own use. Do not share them so that you do not infect anyone else
• Apply a small amount of Daktacort cream to the affected area and rub it in gently until the cream has disappeared
• Unless the infected skin is on your hands, wash your hands carefully after applying the cream to avoid spreading the infection to other parts of the body or to other people. Clothing which comes into contact with the infected areas should be washed and changed frequently. If your underwear is likely to come into contact with Daktacort cream, it is preferable to wear cotton underwear, as Daktacort cream may damage some synthetic materials

• Unless your doctor tells you differently, apply a small amount of Daktacort cream to the affected area 2 or 3 times each day
• If your skin problem does not improve in 7 days, tell your doctor

If anyone accidentally swallows Daktacort cream, contact a doctor or go to your nearest hospital casualty department straight away.

• Do not apply the missed dose of cream
• Apply the next dose of cream as usual and keep using the cream as your doctor has told you
• Do not use a double dose of cream to make up for a missed dose

Uncommon side effects (affects fewer than 1 in 100 people)

• Skin irritation
• Burning sensation
• Itchy skin
• Irritability

Frequency not known:

• Lighter patches of skin
• Sensitivity reactions (such as rash) at the application site. Inflammation (contact dermatitis). If this occurs stop using the medicine
• Blurred vision
• Steroid withdrawal reaction: If used continuously for prolonged periods a withdrawal reaction may occur on stopping treatment with some or all of the following features: redness of the skin which can extend beyond the initial area treated, a burning or stinging sensation, intense itching, peeling of the skin, oozing open sores.

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

By reporting side effects you can help provide more information on the safety of this medicine.

The active substances are miconazole nitrate (2% w/w) and hydrocortisone (1% w/w).

The other ingredients are PEG-6, PEG-32 and glycol stearate, oleoyl macroglycerides, liquid paraffin, benzoic acid (E210), disodium edetate, butylated hydroxyanisole (E320) and purified water.

Daktacort cream is a white cream available in a 30 g tube.