Drug interactions
Miconazole vaginal + Prednisone
Severity: Minor
Miconazole vaginal and Prednisone: minor interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Vaginal miconazole has limited systemic absorption, but small amounts can inhibit CYP3A4. A meaningful rise in prednisolone exposure is unlikely with short courses.
What this interaction means in plain words
Miconazole vaginal and Prednisone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Why it happens
Systemically absorbed miconazole may weakly inhibit CYP3A4.
What to do
No action is needed for standard courses. Be aware of steroid excess if used repeatedly alongside long-term high-dose prednisone.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Prednisone
- Bcg vaccine live + Prednisone Contraindicated
- Measles vaccine + Prednisone Contraindicated
- Mifepristone + Prednisone Contraindicated
- Prednisone + Radium-223 dichloride Contraindicated
- Prednisone + Smallpox vaccine live Contraindicated
- Adenovirus types 4 and 7 live + Prednisone Major
Frequently asked questions
Can I take Miconazole vaginal with Prednisone?
MediHelp rates the interaction as minor. Miconazole vaginal and Prednisone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Vaginal miconazole has limited systemic absorption, but small amounts can inhibit CYP3A4. A meaningful rise in prednisolone exposure is unlikely with short courses.
How serious is the interaction between Miconazole vaginal and Prednisone?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No action is needed for standard courses. Be aware of steroid excess if used repeatedly alongside long-term high-dose prednisone.
What other medicines interact with Prednisone?
MediHelp also lists interactions of Prednisone with, for example, Bcg vaccine live, Measles vaccine, Mifepristone. The full list is on the Prednisone page.
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