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

Micafungina Accord

Active Ingredient:
Micafungin
Origin:
EU

Micafungina Accord (Micafungin)

Micafungin, the active ingredient in Micafungina Accord, is an echinocandin presented as an injectable solution for intravenous use. It treats invasive candidiasis, esophageal candidiasis, and is used for prophylaxis of Candida infections in hematopoietic stem cell transplantation as well as Candida peritonitis and intra‑abdominal infections.

GNH India supplies Micafungina Accord 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 Candida infections.
  • Invasive candidiasis: treatment of bloodstream and deep‑tissue Candida infections.
  • Esophageal candidiasis: eradication of Candida infection of the esophagus.
  • Prophylaxis in hematopoietic stem cell transplantation: prevention of Candida infection in transplant recipients.
  • Candida peritonitis and intra‑abdominal infections: management of intra‑abdominal Candida infections.

How It Works

  • Micafungin binds to and inhibits the enzyme 1,3‑β‑D‑glucan synthase, which is essential for the synthesis of β‑glucan, a critical component of the fungal cell wall. Inhibition leads to weakened cell wall integrity, osmotic instability and ultimately fungal cell death, providing a fungicidal effect against most Candida species.

Side Effects

Micafungin may cause a range of adverse reactions, most of which are related to infusion or hepatic metabolism.

Common Side Effects

  • Infusion‑related reactions (flushing, chills, dyspnea)
  • Fever or rigors during or after infusion
  • Nausea or vomiting
  • Headache
  • Elevated liver enzymes (ALT, AST)
  • Rash or pruritus

Serious or Rare Side Effects

  • Severe hepatic dysfunction or hepatitis
  • Anaphylactic or severe hypersensitivity reactions
  • Acute renal failure
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis
  • Severe neutropenia or thrombocytopenia
  • Unexplained hypotension or cardiovascular collapse

Precautions & Warnings

  • Before initiating therapy, clinicians should assess patient‑specific risk factors and monitor relevant laboratory parameters.
  • Renal impairment: adjust monitoring of renal function and fluid status.
  • Hepatic impairment: monitor liver function tests regularly.
  • Concomitant hepatotoxic drugs: avoid or use with caution due to additive liver risk.
  • Pregnancy Category B: weigh potential benefits against unknown fetal risks.
  • Known hypersensitivity: discontinue if allergic reaction occurs.
  • 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 attention to dosing and monitoring.

Major Interactions (Avoid)

  • Rifampin: may markedly reduce micafungin exposure.
  • Cyclosporine: can increase micafungin plasma concentrations.
  • Co‑administration with other echinocandins: risk of additive toxicity.

Moderate Interactions (Monitor Closely)

  • Azole antifungals (fluconazole, voriconazole): potential additive hepatotoxicity.
  • Immunosuppressants (tacrolimus, sirolimus): monitor drug levels for possible changes.
  • Warfarin: monitor INR for altered anticoagulant effect.

Frequently Asked Questions

Micafungina Accord contains micafungin, an echinocandin antifungal indicated for the treatment of invasive candidiasis, esophageal candidiasis, prophylaxis of Candida infections in patients undergoing hematopoietic stem cell transplantation, and for Candida peritonitis and intra‑abdominal infections.

Micafungin inhibits the fungal enzyme 1,3‑β‑D‑glucan synthase, which is essential for synthesizing β‑glucan, a key structural component of the fungal cell wall. This disruption weakens the cell wall, leading to osmotic instability and fungal cell death.

The appropriate dose of Micafungina Accord is determined by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and other clinical factors. Dosage regimens are not standardized in public literature.

Micafungina Accord is classified as Pregnancy Category B, indicating that animal studies have not shown risk to the fetus, but adequate human data are lacking. It should be used during pregnancy only if clearly needed, and breastfeeding decisions should consider the potential for drug excretion in milk.

To order Micafungina Accord, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required) and necessary import documentation.

Micafungina Accord belongs to the echinocandin class, which targets the fungal cell wall, unlike azoles that inhibit ergosterol synthesis. Echinocandins generally have a favorable safety profile, limited drug‑drug interactions, and are fungicidal against most Candida species, making them a preferred option for serious invasive infections.

Micafungina Accord should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the product in its original packaging until use to maintain stability and sterility.

Micafungina Accord is supplied as an injectable solution for intravenous infusion. It is administered by a healthcare professional under aseptic conditions, typically infused over a period of 30‑60 minutes, depending on the prescribed regimen and patient tolerance.

Serious risks include severe hepatic dysfunction, anaphylactic or severe hypersensitivity reactions, acute renal failure, and rare dermatologic events such as Stevens‑Johnson syndrome. Patients should be monitored closely for signs of liver injury, allergic reactions, and renal impairment during therapy.

Micafungina 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 or renal impairment, and it should be used only when the benefits outweigh potential risks in pregnant or breastfeeding women.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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