Mycospor® (Solution, Cream) Instructions for Use
ATC Code
D01AC10 (Bifonazole)
Active Substance
Bifonazole (Rec.INN registered by WHO)
Clinical-Pharmacological Group
External antifungal drug
Pharmacotherapeutic Group
Antifungal agent
Pharmacological Action
Broad-spectrum antifungal agent, an imidazole derivative.
The mechanism of action is associated with the disruption of ergosterol synthesis, which is a component of the fungal cell membrane, leading to a change in its structure and properties.
It is active against dermatophytes, yeasts (including the genus Candida), molds, and other types of fungi (Malassezia furfur).
It also shows activity against Corynebacterium minutissimum.
Pharmacokinetics
It penetrates well into the affected layers of the skin.
Absorption is 0.6-0.8%, and the concentration in blood plasma is not detectable.
Six hours after application, the concentration in the skin reaches or many times exceeds the minimum effective concentration for the main fungi causing dermatomycoses.
It is detected in the skin for 36-48 hours.
Indications
Treatment of fungal diseases caused by microorganisms sensitive to bifonazole: microsporia, trichophytosis of smooth skin and scalp, favus, rubrophytosis, mycoses of feet and hands, onychomycosis, tinea cruris, pityriasis versicolor, erythrasma, superficial skin candidiasis, candidiasis of nail folds, nails, genitals; interdigital intertrigo, foot hyperhidrosis.
ICD codes
| ICD-10 code | Indication |
| B35.0 | Mycosis of beard and head |
| B35.1 | Onychomycosis |
| B35.2 | Mycosis of hands |
| B35.3 | Tinea pedis |
| B35.4 | Tinea corporis |
| B35.6 | Tinea cruris |
| B35.8 | Other dermatophytoses |
| B36.0 | Pityriasis versicolor |
| B37.2 | Candidiasis of skin and nails |
| B37.3 | Candidiasis of vulva and vagina |
| B37.4 | Candidiasis of other urogenital sites |
| L08.1 | Erythrasma |
| N51.2 | Balanitis in diseases classified elsewhere |
| N77.1 | Vaginitis, vulvitis and vulvovaginitis in infectious and parasitic diseases classified elsewhere |
| R61.0 | Localized hyperhidrosis |
| ICD-11 code | Indication |
| 1C44 | Non-pyogenic bacterial infections of skin |
| 1F23.10 | Candidiasis of vulva and vagina |
| 1F23.11 | Candidal balanoposthitis |
| 1F23.1Z | Candidiasis of skin or mucous membranes, unspecified |
| 1F28.1 | Dermatophytic onychomycosis |
| 1F28.2 | Dermatophytosis of foot |
| 1F28.3 | Genitofemoral dermatophytosis |
| 1F28.Y | Other specified dermatophytosis |
| 1F28.Z | Dermatophytosis, unspecified |
| 1F2D.0 | Pityriasis versicolor |
| 1F65 | Enterobiasis |
| 1H0Z | Unspecified infection |
| EE00.0Z | Localized hyperhidrosis, unspecified |
| GB06.0Z | Unspecified balanoposthitis |
| 1A94.0 | Genital or urogenital tract infection caused by Herpes simplex virus |
| GA41 | Ulcerative or erosive diseases of vulva |
| 1F23.1Z | Candidiasis of skin or mucous membranes, unspecified |
| XA5FG3 | Genital region |
Dosage Regimen
| The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen. |
Apply a thin layer of the cream or a few drops of the solution to the affected and surrounding skin areas once daily.
Administer the product preferably in the evening before bedtime. Gently rub it in until fully absorbed.
For skin infections, including tinea pedis, tinea cruris, and cutaneous candidiasis, the typical treatment duration is 2 to 4 weeks.
For pityriasis versicolor, continue treatment for 1 to 2 weeks.
For erythrasma, the usual treatment period is 2 to 3 weeks.
In cases of onychomycosis, apply the formulation daily under occlusive dressing until the nail regrows completely. This process may require several months.
Continue application for at least two weeks after the clinical symptoms have completely resolved to prevent relapse.
If no improvement is observed after 3 to 4 weeks of treatment, re-establish the diagnosis.
Avoid contact with the eyes, mucous membranes, and open wounds.
Wash hands thoroughly before and after each application.
Adverse Reactions
Local reactions rarely – slight redness, skin irritation, burning and tingling sensation.
When treating fungal nail diseases, reactions at the edges or on the nail bed are possible (irritation, redness, maceration, peeling, contact dermatitis).
Allergic reactions are possible in predisposed patients.
Contraindications
Hypersensitivity to bifonazole.
Use in Pregnancy and Lactation
Use in the first trimester of pregnancy is possible only for strict indications.
Pediatric Use
Use in infants should be done with caution, under medical supervision.
Special Precautions
Use in infants should be under medical supervision.
Storage Conditions
Store at 2°C (36°F) to 25°C (77°F). Keep in original packaging, protected from light. Keep out of reach of children.
Dispensing Status
Over-the-Counter
Important Safety Information
This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.
Medical DisclaimerBrand (or Active Substance), Marketing Authorisation Holder, Dosage Form
Cream for external use 1%: tube 15 g
Marketing Authorization Holder
Bayer, AG (Germany)
Manufactured By
Kern Pharma S.L. (Spain)
Dosage Form
| Mycospor® | Cream for external use 1%: tube 15 g |
Dosage Form, Packaging, and Composition
Cream for external use homogeneous, white in color.
| 100 g | |
| Bifonazole (micronized) | 1 g |
Excipients : benzyl alcohol – 2 g, cetearyl alcohol (cetyl alcohol 60%, stearyl alcohol 40%) – 10 g, cetyl palmitate – 3 g, octyldodecanol – 13.5 g, polysorbate 60 – 1.5 g, sorbitan stearate – 2 g, purified water – up to 100 g.
15 g – aluminum tubes (1) – cardboard packs.
Solution for external use 1%: bottle 15 ml with dropper
Marketing Authorization Holder
Bayer, AG (Germany)
Manufactured By
KVP Pharma + Veterinar Produkte, GmbH (Germany)
Dosage Form
| Mycospor® | Solution for external use 1%: bottle 15 ml with dropper |
Dosage Form, Packaging, and Composition
Solution for external use transparent, from colorless to light yellow in color.
| 100 ml | |
| Bifonazole | 1 g |
Excipients : ethanol (ethyl alcohol) 96% – 30 g, isopropyl myristate – 52.6 g.
15 ml – dark glass bottles (1) with a dropper – cardboard packs.
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