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

Micafungin Hikma

Active Ingredient:
Micafungin
Origin:
EU

Micafungin Hikma (Micafungin)

Micafungin, the active ingredient in Micafungin Hikma, is an echinocandin presented as an intravenous formulation for infusion use. It treats invasive Candida infections and is used for prophylaxis in patients undergoing hematopoietic stem cell transplantation.
GNH India supplies Micafungin Hikma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Hikma Farmacêutica (Portugal), S.A.

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Indications & Clinical Uses

Micafungin is an echinocandin antifungal that targets invasive Candida infections and related prophylaxis.

  • Invasive candidiasis: treatment of bloodstream and deep‑tissue Candida infections in adults.
  • Candida esophagitis: eradication of esophageal Candida lesions causing dysphagia.
  • Candida peritonitis: management of intra‑abdominal Candida infection in critically ill patients.
  • Candida febrile neutropenia: therapy for neutropenic patients with fever due to Candida.
  • Prophylaxis of Candida infections in hematopoietic stem cell transplantation: prevention of invasive candidiasis in transplant recipients.

How It Works

  • Micafungin inhibits the enzyme β‑(1,3)‑D‑glucan synthase, which is essential for synthesizing β‑(1,3)‑D‑glucan, a key 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 a range of adverse reactions, from mild to severe.

Common Side Effects

  • Infusion‑related reactions: flushing, chills, or rigors during administration.
  • Fever: transient elevations in body temperature.
  • Nausea or vomiting: gastrointestinal discomfort.
  • Headache: mild to moderate intensity.
  • Elevated liver enzymes: transient increases in ALT or AST.
  • Rash: mild skin erythema or pruritus.

Serious or Rare Side Effects

  • Severe hepatic failure: marked liver enzyme elevation with jaundice.
  • Anaphylaxis: acute, life‑threatening allergic reaction.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis: severe skin detachment.
  • Acute renal failure: sudden loss of kidney function.
  • Severe hypotension: marked drop in blood pressure during infusion.
  • Eosinophilia: marked increase in eosinophil count.

Precautions & Warnings

Before initiating Micafungin, clinicians should consider several safety factors.

  • Renal function: monitor creatinine and adjust therapy in renal impairment.
  • Hepatic function: assess baseline liver enzymes and repeat monitoring during treatment.
  • Hypersensitivity: discontinue immediately if severe allergic reactions occur.
  • Drug interactions: review concomitant medications for potential pharmacokinetic effects.
  • Pregnancy and lactation: use only if potential benefit justifies potential risk to fetus or infant.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Micafungin can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin): may markedly reduce micafungin exposure.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase micafungin plasma levels.
  • Co‑administration with other echinocandins: risk of additive toxicity.

Moderate Interactions (Monitor Closely)

  • Azole antifungals (e.g., fluconazole): may raise micafungin concentrations.
  • Rifampin: may lower micafungin levels, requiring dose adjustment.
  • Immunosuppressants (e.g., tacrolimus, cyclosporine): monitor drug levels for possible alteration.

Frequently Asked Questions

Micafungin Hikma is indicated for the treatment of invasive Candida infections such as candidemia, intra‑abdominal candidiasis, and esophageal candidiasis. It is also used to prevent Candida infections in patients undergoing hematopoietic stem cell transplantation and in neutropenic individuals with febrile episodes.

Micafungin inhibits the fungal enzyme β‑(1,3)‑D‑glucan synthase, which is required for synthesizing β‑(1,3)‑D‑glucan, an essential component of the fungal cell wall. Disruption of cell‑wall formation leads to osmotic instability and fungal cell death, while human cells are largely unaffected.

The prescribed dose of Micafungin Hikma is determined by the treating physician based on the specific infection, patient weight, renal and hepatic function, and clinical guidelines. Typical adult dosing ranges from 50 mg to 150 mg once daily, but exact regimens must be individualized by a qualified prescriber.

Micafungin’s pregnancy category is not definitively established. It should be used during pregnancy or lactation only when 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 order Micafungin Hikma, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request trade or institutional credentials. The team then replies with pricing, availability, shipping details (including cold‑chain 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 ergosterol. Echinocandins, including micafungin, have a favorable safety profile and are effective against many Candida species, including those resistant to azoles, but they are administered intravenously rather than orally.

Micafungin Hikma should be stored at 2‑8 °C, protected from light, and kept in its original packaging. Do not freeze or shake the solution. Before use, inspect the vial for particulate matter or discoloration and allow it to reach room temperature if required for infusion preparation.

Micafungin Hikma is administered by intravenous infusion. The recommended infusion time is typically 1 hour, but the exact rate should follow the prescribing information. The drug is supplied as a sterile solution for single‑use vials, and infusion sets should be compatible with the product to avoid drug adsorption.

Serious adverse events include severe hepatic dysfunction, anaphylactic reactions, Stevens‑Johnson syndrome or toxic epidermal necrolysis, acute renal failure, and profound hypotension during infusion. Patients should be monitored for signs of liver injury, allergic reactions, and hemodynamic changes, and therapy should be discontinued promptly if any of these occur.

Micafungin Hikma is contraindicated in patients with a known hypersensitivity to micafungin or any component of the formulation. Caution is advised in individuals with pre‑existing severe liver disease, uncontrolled renal impairment, or those receiving concomitant drugs that may cause dangerous interactions without appropriate monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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