Product image of Micafungin Accord (Micafungin) supplied by GNH India

Micafungin Accord

Active Ingredient:
Micafungin
Origin:
EU

Micafungin Accord (Micafungin)

Micafungin, the active ingredient in Micafungin Accord, is an echinocandin presented as an injectable solution for intravenous use. It treats invasive candidiasis, esophageal candidiasis and is used for prophylaxis of fungal infections in hematopoietic stem cell transplantation. It is indicated for patients with compromised immune systems who are at high risk of systemic fungal infections.

GNH India supplies Micafungin Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres and clinics worldwide, with a focus on quality assurance and regulatory compliance.

Manufacturer / TM Owner

Accord Healthcare Polska Sp. Z O.O.

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Indications & Clinical Uses

Micafungin is an echinocandin antifungal that inhibits fungal cell wall synthesis, and it is used for the following approved indications:

  • Invasive candidiasis: treatment of bloodstream and deep‑tissue infections caused by Candida species.
  • Esophageal candidiasis: eradication of Candida infection of the esophagus in immunocompromised patients.
  • Prophylaxis of fungal infections in hematopoietic stem cell transplantation: prevention of invasive fungal disease during the transplant conditioning period.

How It Works

  • Micafungin inhibits the enzyme β‑(1,3)‑D‑glucan synthase, which is essential for the synthesis of β‑(1,3)‑D‑glucan, a critical structural component of the fungal cell wall. By disrupting cell wall formation, the drug leads to osmotic instability and fungal cell death, while having minimal effect on human cells that lack this pathway.

Side Effects

Micafungin may cause adverse reactions ranging from mild to severe.

Common Side Effects

  • Infusion‑related reactions (flushing, erythema, or chills).
  • Nausea or vomiting.
  • Elevated liver enzymes (ALT, AST).

Serious or Rare Side Effects

  • Severe hepatic injury or liver failure.
  • Anaphylactic or severe hypersensitivity reactions, including Stevens‑Johnson syndrome.
  • Severe hypotension or shock during infusion.

Precautions & Warnings

When using Micafungin, consider the following safety measures:

  • Renal impairment: monitor renal function and adjust therapy as needed.
  • Hepatic dysfunction: perform baseline and periodic liver function tests.
  • Concomitant azole antifungals: assess for additive hepatotoxicity.
  • Pregnancy and lactation: use only if the potential benefit justifies the potential risk to the fetus or infant.
  • Use in pediatric patients: safety and efficacy have not been fully established.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Micafungin can interact with other medicines; monitor patients accordingly.

Major Interactions (Avoid)

  • Cytochrome P450 inducers (e.g., rifampin): may markedly reduce micafungin exposure.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase micafungin plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Azole antifungals (e.g., fluconazole): may require liver enzyme monitoring.
  • Immunosuppressants (e.g., tacrolimus, cyclosporine): monitor drug levels for potential increase.
  • Warfarin: observe INR closely for possible anticoagulant effect changes.

Frequently Asked Questions

Micafungin Accord is indicated for the treatment of invasive candidiasis, esophageal candidiasis, and for prophylaxis of fungal infections in patients undergoing hematopoietic stem cell transplantation. These uses reflect its activity against a broad range of Candida species and its role in preventing infection in high‑risk immunocompromised individuals.

Micafungin blocks the enzyme β‑(1,3)‑D‑glucan synthase, which is required to build β‑(1,3)‑D‑glucan, an essential polymer of the fungal cell wall. Inhibiting this pathway weakens the wall, leading to osmotic instability and fungal cell death, while human cells are largely unaffected because they do not contain this polymer.

The specific dose and duration of Micafungin Accord are determined by the prescribing clinician based on the patient’s condition, weight, renal and hepatic function, and the indication being treated. Healthcare professionals follow approved labeling and clinical guidelines to set an appropriate regimen.

Safety data for micafungin in pregnancy and lactation are limited. The drug should be used only if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Clinicians should discuss the risk‑benefit profile with the patient and consider alternative therapies when appropriate.

To request Micafungin Accord, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain logistics if needed), and any required import documentation.

Micafungin belongs to the echinocandin class, which targets the fungal cell wall, whereas azoles inhibit ergosterol synthesis and polyenes bind directly to membrane sterols. Echinocandins, including micafungin, are generally well‑tolerated, have fewer drug‑drug interactions, and are effective against many azole‑resistant Candida strains, making them a valuable alternative in resistant or severe infections.

Micafungin Accord should be stored at 2‑8 °C (refrigerated). Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. Maintaining the cold‑chain ensures the product’s stability and potency until administration.

Micafungin Accord is supplied as an injectable solution for intravenous infusion. It is administered by a healthcare professional through a peripheral or central line, typically over a period of 30‑60 minutes, depending on the prescribed dose and clinical protocol.

The most serious adverse events include severe hepatic injury, anaphylactic or severe hypersensitivity reactions such as Stevens‑Johnson syndrome, and profound hypotension during infusion. Patients should be monitored closely for signs of liver dysfunction, allergic reactions, and hemodynamic changes, especially during the initial infusion.

Micafungin Accord is contraindicated in patients with a known hypersensitivity to micafungin or any component of the formulation. Caution is also advised for individuals with severe hepatic impairment, uncontrolled cardiac disease, or those who have experienced severe infusion‑related reactions to echinocandins.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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