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

Micafungin Accordpharma

Active Ingredient:
Micafungin
Origin:
EU

Micafungin Accordpharma (Micafungin)

Micafungin, the active ingredient in Micafungin Accordpharma, is an echinocandin presented as an injection for intravenous use. It treats invasive candidiasis, esophageal candidiasis, and is used for prophylaxis of Candida infections in hematopoietic stem cell transplantation, and may be used off‑label for invasive aspergillosis in certain regions.

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

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

Micafungin is an echinocandin antifungal that inhibits fungal cell wall synthesis, and is indicated for several serious fungal infections.

  • Invasive candidiasis: treatment of bloodstream and deep‑tissue Candida infections.
  • Esophageal candidiasis: eradication of Candida infection of the esophagus.
  • Prophylaxis of Candida infections in hematopoietic stem cell transplantation: prevention of invasive candidiasis in transplant recipients.
  • Invasive aspergillosis (off‑label): may be used in selected cases where standard therapy is unsuitable.

How It Works

  • Micafungin binds to the fungal enzyme β‑1,3‑D‑glucan synthase, blocking the synthesis of β‑(1,3)‑D‑glucan, an essential polysaccharide component of the fungal cell wall. The resulting deficiency weakens the cell wall, leading to osmotic instability and cell lysis, which selectively affects susceptible fungi while sparing human cells.

Side Effects

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

Common Side Effects

  • Infusion‑related reactions: flushing, rash, or mild hypotension.
  • Gastrointestinal disturbances: nausea, vomiting, or abdominal pain.
  • Elevated liver enzymes: transient increase in ALT or AST.
  • Headache: mild to moderate intensity.

Serious or Rare Side Effects

  • Severe hypersensitivity: anaphylaxis or angioedema.
  • Hepatotoxicity: marked elevation of liver enzymes or jaundice.
  • Hematologic abnormalities: neutropenia or thrombocytopenia.
  • Renal impairment: acute kidney injury.

Precautions & Warnings

When using Micafungin, clinicians should consider several safety precautions to minimize risk.

  • Renal function: assess baseline kidney function and monitor during therapy.
  • Hepatic function: evaluate liver enzymes before initiation and periodically thereafter.
  • Concomitant antifungals: avoid combining with other agents that may increase hepatotoxicity.
  • Pregnancy and lactation: use only if potential benefit justifies potential risk, as safety data are limited.
  • Pediatric use: dosing and safety have not been fully established; use under specialist guidance.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Micafungin can interact with other medicines, affecting its efficacy or safety.

Major Interactions (Avoid)

  • Cyclosporine: increased cyclosporine levels; avoid co‑administration.
  • Rifampin: reduced micafungin exposure; avoid concurrent use.

Moderate Interactions (Monitor Closely)

  • Azole antifungals (e.g., fluconazole, voriconazole): may increase micafungin concentrations; monitor liver function.
  • Warfarin: potential alteration of anticoagulant effect; check INR regularly.
  • Immunosuppressants (e.g., tacrolimus): possible increased levels; adjust dose as needed.

Frequently Asked Questions

Micafungin Accordpharma 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. In some regions it may also be employed off‑label for invasive aspergillosis when alternative therapies are unsuitable.

Micafungin inhibits the fungal enzyme β‑1,3‑D‑glucan synthase, which is essential for synthesising β‑(1,3)‑D‑glucan, a critical component of the fungal cell wall. By disrupting cell‑wall formation, the drug causes osmotic instability and cell lysis, leading to selective fungal killing while sparing human cells.

The appropriate dose of Micafungin Accordpharma is determined by the prescribing clinician based on the specific infection, patient weight, renal and hepatic function, and the therapeutic setting. Dosage regimens are individualized and should follow the latest clinical guidelines and the product’s prescribing information.

Safety data for micafungin during pregnancy and lactation are limited, and the product is classified as pregnancy category unknown. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision should be made by a qualified healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. The sales team will then respond with pricing, availability, shipping details (including cold‑chain logistics if required) and any necessary import documentation.

Micafungin belongs to the echinocandin class, which targets the fungal cell wall, unlike azoles that inhibit ergosterol synthesis or polyenes that bind membrane sterols. Echinocandins generally have a favorable safety profile, limited drug‑drug interactions, and are effective against many Candida species, including those resistant to azoles. However, they are administered intravenously and may be less active against certain moulds.

Micafungin Accordpharma should be stored at 2‑8 °C (refrigerated). Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking. If the product must be transported, maintain the cold‑chain throughout to preserve stability and potency.

Micafungin Accordpharma is given as an intravenous infusion. The infusion is typically administered over 30‑60 minutes, depending on the clinical protocol and patient tolerance. Administration should be performed by qualified healthcare personnel in a setting equipped for intravenous therapy and monitoring for infusion‑related reactions.

Serious adverse events include severe hypersensitivity reactions such as anaphylaxis or angioedema, significant hepatotoxicity manifested by marked elevations in liver enzymes or jaundice, and hematologic abnormalities like neutropenia or thrombocytopenia. Prompt recognition and medical intervention are essential if any of these events occur.

Micafungin is contraindicated in patients with a known hypersensitivity to micafungin or any component of the formulation. Caution is also advised for individuals with pre‑existing severe liver disease, uncontrolled renal impairment, or those receiving interacting medications that cannot be safely managed. Clinical judgment should guide use in pregnant or breastfeeding women.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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