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 Candida prophylaxis in hematopoietic stem cell transplantation and other serious fungal infections.

GNH India supplies Micafungin Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Micafungin is an echinocandin antifungal indicated for serious Candida infections.

  • Invasive candidiasis: effective in treating bloodstream and deep‑tissue Candida infections.
  • Esophageal candidiasis: resolves fungal infection of the esophagus in immunocompromised patients.
  • Candida prophylaxis in hematopoietic stem cell transplantation: prevents invasive Candida disease in transplant recipients.

How It Works

  • Micafungin inhibits the enzyme β‑(1,3)‑D‑glucan synthase, blocking synthesis of β‑(1,3)‑D‑glucan, an essential structural component of the fungal cell wall. This disruption weakens the cell wall, leading to osmotic instability and fungal cell death, while human cells lack this pathway, providing selective antifungal activity.

Side Effects

Micafungin may cause adverse reactions ranging from mild to severe.

Common Side Effects

  • Fever
  • Nausea
  • Headache
  • Elevated liver enzymes

Serious or Rare Side Effects

  • Hepatotoxicity
  • Severe hypersensitivity or anaphylaxis
  • Acute renal failure
  • Stevens‑Johnson syndrome

Precautions & Warnings

Use of Micafungin requires careful clinical monitoring.

  • Renal function: assess baseline and monitor during therapy.
  • Hepatic function: monitor liver enzymes regularly.
  • Concomitant nephrotoxic drugs: avoid or use with caution.
  • Immunocompromised patients: watch for breakthrough fungal infections.
  • Pregnancy and lactation: safety not established; weigh risks versus benefits.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Micafungin can interact with several medicines; monitoring is essential.

Major Interactions (Avoid)

  • Cyclosporine: increased micafungin exposure may cause toxicity.
  • Rifampin: reduces micafungin levels, potentially compromising efficacy.
  • Strong CYP3A4 inducers (e.g., carbamazepine): may lower micafungin concentrations.

Moderate Interactions (Monitor Closely)

  • Azole antifungals (e.g., fluconazole): may increase micafungin levels.
  • Warfarin: potential alteration of anticoagulant effect.
  • Statins (e.g., simvastatin): monitor for increased risk of myopathy.

Frequently Asked Questions

Micafungin Accord is an intravenous echinocandin antifungal indicated for the treatment of invasive candidiasis, esophageal candidiasis, and for prophylaxis of Candida infections in patients undergoing hematopoietic stem cell transplantation.

Micafungin inhibits the fungal enzyme β‑(1,3)‑D‑glucan synthase, preventing synthesis of β‑(1,3)‑D‑glucan, a key component of the fungal cell wall. This weakens the wall, leading to cell lysis and death of susceptible fungi.

The dose of Micafungin Accord is determined by the prescribing clinician based on the specific infection, patient weight, renal and hepatic function, and other clinical factors. No standard dose is provided here.

Safety data for micafungin in pregnancy and lactation are limited. The product is classified as having an unknown pregnancy category, so clinicians must weigh potential benefits against possible risks before prescribing to pregnant or nursing patients.

To order, submit an enquiry on the Micafungin Accord 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 if needed) and import documentation.

Micafungin belongs to the echinocandin class, which differs from azole antifungals such as fluconazole. Echinocandins have a unique mechanism targeting the fungal cell wall, often offering activity against azole‑resistant Candida species and a lower risk of drug‑drug interactions, though they require intravenous administration.

Micafungin Accord should be stored at 2‑8 °C (refrigerated). Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution before use.

Micafungin Accord is administered by intravenous infusion. The infusion is typically given over a period of 30‑60 minutes, depending on the clinical protocol and patient tolerance, under the supervision of qualified healthcare personnel.

Serious adverse events include hepatotoxicity, severe hypersensitivity reactions such as anaphylaxis, acute renal failure, and rare skin reactions like Stevens‑Johnson syndrome. Patients should be monitored closely for signs of liver dysfunction, allergic responses, and renal impairment.

Micafungin Accord should be avoided in patients with known hypersensitivity to micafungin or any component of the formulation. Caution is also advised for individuals with severe hepatic impairment or uncontrolled renal disease, and it should be used only after risk‑benefit assessment in pregnant or lactating women.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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