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Oravig (Generic Miconazole Buccal)

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Why is this medication prescribed?

Oravig is a prescription medication that contains the active ingredient miconazole. It is primarily used to treat certain fungal infections in the mouth, such as oral thrush (oral candidiasis).

Oral thrush is a condition caused by an overgrowth of a fungus called Candida albicans in the mouth. It often occurs in individuals with weakened immune systems, such as those undergoing chemotherapy, people with HIV/AIDS, or those taking certain medications like corticosteroids or antibiotics. Symptoms of oral thrush include white, creamy patches on the tongue, inner cheeks, gums, or throat, as well as discomfort, soreness, and difficulty swallowing.

How should this medicine be used?

Oravig is a buccal tablet that is specifically designed to be used in the mouth. Here are the general instructions for using Oravig:

  • Before using Oravig, make sure your hands are clean and dry.
  • Peel back the foil backing to remove one tablet from the blister package.
  • Place the flat side of the tablet against your upper gum, just above one of your incisors (either the front teeth or the canine teeth).
  • Gently press and hold the tablet in place against your gum with your finger for about 30 seconds to ensure it sticks.
  • Allow the tablet to slowly dissolve in your mouth. It should not be chewed, crushed, or swallowed whole.
  • While the tablet is dissolving, avoid eating or drinking until it is completely dissolved.

The exact dosing instructions for Oravig may vary depending on your specific condition and the instructions given by your healthcare provider. It is important to follow the instructions provided with your prescription and to consult your doctor or pharmacist if you have any questions or concerns.

If you accidentally swallow the tablet without it completely dissolving, inform your healthcare provider, as you may require an alternative treatment approach.

Remember to complete the full course of treatment as prescribed, even if your symptoms improve before you finish using Oravig. If your condition worsens or does not improve after the recommended treatment period, consult your healthcare provider for further evaluation.

Other uses for this medicine

Regarding other uses for Oravig, its primary indication is for oral thrush. However, it’s worth noting that medications can sometimes be prescribed off-label, meaning they are used for purposes other than those approved by regulatory agencies. If your healthcare provider believes that Oravig may be beneficial for a different condition or purpose, they will provide you with appropriate guidance and instructions.

What special precautions should I follow?

Regarding special precautions for Oravig, here are a few important points to consider:

  • Allergies: If you are allergic to miconazole or any other antifungal medications, inform your healthcare provider before using Oravig.
  • Pregnancy and breastfeeding: It is essential to discuss with your doctor if you are pregnant, planning to become pregnant, or breastfeeding, as the use of Oravig during these periods should be evaluated based on the potential risks and benefits.
  • Medications and medical conditions: Inform your healthcare provider about any other medications, supplements, or medical conditions you have, as they may interact with Oravig or require special consideration.
  • Side effects: Although uncommon, Oravig may cause side effects such as headache, nausea, vomiting, or changes in taste. If you experience any unusual or severe side effects, contact your healthcare provider.
  • Complete the full course: It is important to complete the full course of treatment as prescribed by your healthcare provider, even if your symptoms improve. Prematurely stopping the medication may allow the fungal infection to return or worsen.

Remember, these precautions are not exhaustive, and it’s crucial to consult your healthcare provider or read the medication’s package insert for comprehensive information and guidance specific to your situation.

What special dietary instructions should I follow?

Oravig is applied topically in the mouth and does not have specific dietary instructions that need to be followed. However, it’s generally a good practice to maintain good oral hygiene and avoid excessive consumption of sugary or acidic foods and beverages, as they can contribute to the growth of oral thrush-causing fungi.

What should I do if I forget a dose?

If you forget a dose of Oravig, here’s what you should do:

  • If it’s close to the time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule.
  • Do not double the dose to make up for the missed one.
  • If you remember the missed dose and it’s significantly earlier than your next scheduled dose, you can apply the missed dose as soon as you remember.
  • If you are unsure about what to do or have any concerns, consult your healthcare provider or pharmacist for guidance.

What side effects can this medication cause?

Oravig (miconazole) may cause certain side effects, although not everyone experiences them. The most common side effects associated with Oravig include:

  • Headache: Some individuals may experience mild to moderate headaches while using Oravig. If the headache becomes severe or persistent, it’s advisable to consult a healthcare professional.
  • Nausea: Oravig may cause a feeling of nausea or an upset stomach in some people. If this side effect is bothersome or persistent, it’s recommended to speak with a healthcare provider.
  • Vomiting: In rare cases, Oravig can lead to vomiting. If vomiting occurs after using Oravig, it’s important to inform your healthcare provider.
  • Altered taste: Oravig may temporarily affect the sense of taste, causing changes in taste perception or a metallic taste in the mouth. This side effect is generally mild and transient.

It’s important to note that these side effects are typically mild and temporary. However, if any side effect becomes severe, persistent, or concerning, it’s advisable to contact your healthcare provider for further evaluation and guidance.

Additionally, while not specific to Oravig, there is a possibility of an allergic reaction to miconazole or any other component of the medication. Seek immediate medical attention if you experience symptoms of an allergic reaction, such as rash, itching, swelling, dizziness, or difficulty breathing.

This list of side effects is not exhaustive. If you have any concerns or questions about the potential side effects of Oravig, it’s best to consult your healthcare provider or refer to the medication’s package insert for comprehensive information.

What should I know about storage and disposal of this medication?


  • Store Oravig at room temperature, away from excessive heat, moisture, and direct sunlight.
  • Keep it out of reach of children and pets.
  • Do not freeze Oravig.


  • Follow the specific disposal instructions provided by your healthcare provider or pharmacist.
  • Do not dispose of medications in household trash or wastewater unless instructed to do so.
  • If you are unsure about proper disposal methods, consult your pharmacist or local waste disposal facility for guidance.

In case of emergency/overdose

  • In case of an emergency or suspected overdose, contact your local emergency services or go to the nearest emergency room immediately.
  • If possible, bring the Oravig packaging or container with you to provide relevant information to healthcare professionals.

What other information should I know?

  • Keep all appointments with your healthcare provider while using Oravig to monitor your progress and response to treatment.
  • Inform your healthcare provider about all other medications, supplements, or treatments you are currently using to avoid potential interactions.
  • If your symptoms do not improve or worsen after the recommended treatment period, consult your healthcare provider for further evaluation.
  • Do not share Oravig with others, even if they have similar symptoms or conditions.
  • Follow the instructions provided by your healthcare provider or pharmacist regarding the specific use and duration of treatment for Oravig.

It’s important to read and follow the instructions provided with your Oravig prescription, as well as consult your healthcare provider or pharmacist if you have any specific questions or concerns regarding storage, disposal, emergencies, overdoses, or any other aspects of your medication use.

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