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 a echinocandin antifungal presented as an injectable solution for intravenous use. It treats invasive candidiasis, esophageal candidiasis, intra‑abdominal Candida infections and is used for prophylaxis in hematopoietic stem‑cell transplant patients.
GNH India supplies Micafungin Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Micafungin is employed to manage serious Candida infections across several clinical settings.

  • Invasive candidiasis: eradicates bloodstream and deep‑tissue Candida infections.
  • Esophageal candidiasis: resolves mucosal infection of the esophagus.
  • Candida peritonitis and intra‑abdominal infections: treats intra‑abdominal Candida contamination.
  • Prophylaxis in hematopoietic stem‑cell transplantation: prevents Candida infection in high‑risk transplant recipients.

How It Works

  • Micafungin inhibits the enzyme β‑(1,3)‑D‑glucan synthase, which is essential for synthesising β‑(1,3)‑D‑glucan, a critical structural component of the fungal cell wall. By blocking this pathway, the drug weakens the cell wall, leading to osmotic instability and fungal cell lysis without affecting human cells.

Side Effects

Micafungin may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Fever: transient elevation of body temperature.
  • Nausea: mild to moderate feeling of sickness.
  • Vomiting: occasional episodes after infusion.
  • Headache: mild to moderate intensity.
  • Rash: localized skin erythema.
  • Elevated liver enzymes: mild transaminase increase.

Serious or Rare Side Effects

  • Hepatic failure: significant liver dysfunction.
  • Anaphylaxis: severe allergic reaction with airway compromise.
  • Infusion‑related reactions: hypotension or bronchospasm.
  • Neutropenia: marked reduction in neutrophil count.
  • Thrombocytopenia: low platelet levels.
  • Renal impairment: acute kidney injury in susceptible patients.

Precautions & Warnings

When using Micafungin, clinicians should consider several safety measures.

  • Renal impairment: adjust therapy and monitor kidney function.
  • Hepatic impairment: assess liver enzymes before and during treatment.
  • Concomitant hepatotoxic drugs: avoid or closely monitor combined use.
  • Pregnancy: safety category unknown; weigh benefits against potential risks.
  • Pediatric use: limit to approved indications and monitor growth parameters.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Micafungin can interact with other medicines, requiring vigilance.

Major Interactions (Avoid)

  • Cyclosporine: may increase micafungin plasma levels, risking toxicity.
  • Rifampin: can markedly reduce micafungin exposure, compromising efficacy.

Moderate Interactions (Monitor Closely)

  • Azole antifungals (e.g., fluconazole): additive hepatotoxic potential, monitor liver tests.
  • Warfarin: possible alteration of INR, check coagulation parameters.
  • Immunosuppressants (e.g., tacrolimus): monitor drug levels for potential changes.

Frequently Asked Questions

Micafungin Accord is indicated for invasive candidiasis, esophageal candidiasis, Candida peritonitis and intra‑abdominal infections, and for prophylaxis of Candida infections in patients undergoing hematopoietic stem‑cell transplantation. It is administered intravenously in a hospital or clinical setting.

Micafungin blocks the enzyme β‑(1,3)‑D‑glucan synthase, preventing the synthesis of β‑(1,3)‑D‑glucan, an essential component of the fungal cell wall. This disruption weakens the wall, causing osmotic instability and leading to fungal cell death while sparing human cells.

The specific dose and duration of Micafungin Accord are determined by the prescribing clinician based on the infection type, severity, patient weight, renal and hepatic function, and other clinical factors. The product is supplied as an injectable solution for intravenous administration.

The pregnancy safety category for micafungin is not definitively established. Use during pregnancy or lactation should only occur when the potential benefit justifies any potential risk to the fetus or infant, and the decision should be made by the treating physician.

To place an 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 required import documentation.

Micafungin belongs to the echinocandin class, which targets the fungal cell wall, unlike azoles that inhibit ergosterol synthesis. Echinocandins, including micafungin, are generally well‑tolerated and have fewer drug‑drug interactions, but they are administered intravenously, whereas many azoles are available orally.

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 to maintain stability and potency.

Micafungin Accord is given as an intravenous infusion over a period typically ranging from 30 to 60 minutes, depending on the clinical protocol. Administration is performed by qualified healthcare professionals in a controlled setting such as a hospital infusion unit.

Serious risks include hepatic failure, severe allergic reactions such as anaphylaxis, infusion‑related hypotension or bronchospasm, and significant hematologic abnormalities like neutropenia or thrombocytopenia. Patients should be monitored closely for signs of liver dysfunction, allergic response, and blood count changes during therapy.

Micafungin Accord is contraindicated in patients with known hypersensitivity to micafungin or any component of the formulation. Caution is also advised for individuals with severe hepatic impairment, uncontrolled renal failure, or those receiving interacting medications that could increase toxicity.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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