Indications
Mycelex Troche works as an antifungal medication that is used to treat and prevent fungal infections of the mouth and throat, including thrush. It contains the antifungal medication clotrimazole. Clotrimazole is a member of the azole family of antifungal agents and works by inhibiting the growth and reproduction of fungal cells.
By preventing the fungi from producing a substance called ergosterol, which is an essential component of fungal cell membranes. Without ergosterol, the fungal cell membranes become weakened, and the fungal cells eventually die. Mycelex Troche is a dissolvable lozenge that is slowly dissolved in the mouth, allowing the clotrimazole to be released and come into contact with the infected areas in the mouth and throat.
Uses and Dosage
Clotrimazole is administered orally as a lozenge that must be slowly dissolved in the mouth. The recommended dose is one troche five times a day for fourteen days. To take it orally, you should place it in your mouth and allow it to slowly dissolve over 15-30 minutes. Avoid chewing or swallowing the whole troche, and do not eat or drink while it is in your mouth.
If you are treating an oral fungal infection, the usual dosage is to take Mycelex Troche five times a day or as directed by your doctor. If you have difficulty swallowing or experience pain while swallowing, talk to your doctor, as additional medications may be necessary. Continue taking Mycelex Troche until you have finished the full-prescribed amount, even if your symptoms disappear. Stopping the medication too early may lead to a relapse of the infection.
If you are using Mycelex Troche to prevent an oral fungal infection, your usual dosage is to take it three times a day or as directed by your doctor, and to use it for the full number of days prescribed.
Side Effects
Common Side Effects of Mycelex troche (Clotrimazole):
- Abnormal liver function tests
- An unpleasant sensation in the mouth
- Itching
- Mild itching
- Nausea
- Vomiting
Serious Side Effects of Mycelex troche (Clotrimazole):
- Difficulty breathing
- Hives
- Swelling of your lips, tongue, or face
Form and Strength
Mycelex troche (Clotrimazole) is available in the following forms and strengths:
Clotrimazole: Lozenge
- 10 mg
Caution
- Abnormal liver function tests have been reported in patients treated with clotrimazole troches.
- Elevated SGOT levels have been reported in about 15% of patients receiving clotrimazole troches in clinical trials.
- Patients taking Mycelex Troche should inform their doctor if they are allergic to any other medications.
- Mycelex Troche may interact with other medications, so patients should inform their doctor or pharmacist about all medications, both prescription and over the counter, that they are taking before starting treatment with Mycelex Troche.
- Mycelex Troche should not be used if there is a history of liver dysfunction or disease.
- Patients with a history of allergy or sensitivity to clotrimazole, other azole antifungals, or any of the inactive ingredients in Mycelex Troche should not take the medication.
- Pregnant or breastfeeding women should consult their doctor before taking Mycelex Troche.
- Mycelex Troche may cause dizziness or lightheadedness, so patients should avoid driving or operating machinery until they know how the medication affects them.
- Patients taking other medications that can affect liver function, such as acetaminophen and alcohol, should consult their doctor before taking Mycelex Troche.
Frequently Asked Questions (FAQ)
Can Mycelex Troche interact with other medications?
Yes, Mycelex Troche can interact with other medications, so patients should inform their doctor or pharmacist about all medications, both prescription and over the counter, that they are taking before starting treatment with Mycelex Troche.
Who should not take Mycelex Troche?
Patients with a history of allergy or sensitivity to clotrimazole, other azole antifungals, or any of the inactive ingredients in Mycelex Troche should not take the medication. Pregnant or breastfeeding women should consult their doctor before taking Mycelex Troche.
Can Mycelex Troche be used for thrush in infants?
Mycelex Troche is not approved for use in infants and should not be given to infants without consulting a doctor. Infants with thrush are typically treated with antifungal medication in liquid form.
Resources
- https://www.rxlist.com/mycelex-drug.htm
- https://www.mayoclinic.org/drugs-supplements/clotrimazole-mucous-membrane-oral-route/side-effects/drg-20063196?p=1
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=7464e883-6286-4f04-ae38-b7ddc3fec754
- https://www.drugs.com/mtm/mycelex-troche.html#side-effects
- https://www.webmd.com/drugs/2/drug-1816/mycelex-mucous-membrane/details
- https://www.everydayhealth.com/drugs/clotrimazole
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