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

Micafungina Accordpharma

Active Ingredient:
Micafungin
Origin:
EU

Micafungina Accordpharma (Micafungin)

Micafungin, the active ingredient in Micafungina Accordpharma, is an echinocandin presented as an intravenous solution for intravenous use. It treats invasive candidiasis, Candida esophagitis and is used for prophylaxis of Candida infections in patients undergoing hematopoietic stem cell transplantation.

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

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

  • Micafungina is an echinocandin antifungal indicated for several serious Candida infections.
  • Invasive candidiasis: treatment of bloodstream and deep‑tissue Candida infections in adult and pediatric patients.
  • Candida esophagitis: eradication of esophageal Candida infection causing dysphagia and pain.
  • Prophylaxis in hematopoietic stem cell transplantation: prevention of Candida infection during the high‑risk transplant period.

How It Works

  • Micafungin inhibits the enzyme β‑(1,3)‑D‑glucan synthase, blocking synthesis of β‑(1,3)‑D‑glucan, an essential structural polysaccharide of the fungal cell wall. The resulting deficiency weakens the wall, leading to osmotic instability, cell lysis and death of susceptible Candida species.

Side Effects

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

Common Side Effects

  • Fever or chills during infusion.
  • Elevated liver enzymes (ALT, AST).
  • Nausea or vomiting.
  • Headache.
  • Rash or pruritus.
  • Mild infusion‑site discomfort.

Serious or Rare Side Effects

  • Severe hypersensitivity or anaphylactic reactions.
  • Acute hepatic failure.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Severe renal impairment.
  • Life‑threatening infusion‑related reactions.
  • Hematologic abnormalities such as neutropenia.

Precautions & Warnings

  • Before initiating therapy, clinicians should evaluate patient‑specific factors and monitor for potential complications.
  • Renal function: assess baseline creatinine and adjust if necessary.
  • Hepatic function: monitor liver enzymes regularly during treatment.
  • Drug interactions: review concomitant medications for known interactions.
  • Pregnancy: use only when the potential benefit outweighs the potential risk to the fetus.
  • Infusion: administer under medical supervision with appropriate monitoring.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Micafungina can interact with several agents, requiring careful management.

Major Interactions (Avoid)

  • Cyclosporine: may increase micafungin plasma concentrations, raising toxicity risk.
  • Rifampin: can markedly reduce micafungin levels, compromising efficacy.
  • Strong CYP3A4 inducers (e.g., carbamazepine): may lower micafungin exposure.

Moderate Interactions (Monitor Closely)

  • Azole antifungals (e.g., fluconazole): may alter micafungin metabolism, requiring dose adjustment.
  • Warfarin: potential for altered anticoagulant effect; monitor INR closely.

Frequently Asked Questions

Micafungina Accordpharma is a prescription intravenous antifungal containing micafungin. It is indicated for the treatment of invasive candidiasis, Candida esophagitis, and for prophylaxis of Candida infections in patients undergoing hematopoietic stem cell transplantation.

Micafungin blocks the enzyme β‑(1,3)‑D‑glucan synthase, preventing the formation of β‑(1,3)‑D‑glucan, a vital component of the fungal cell wall. Without this polymer, the cell wall weakens, leading to osmotic instability, cell lysis and death of susceptible Candida species.

The dose of Micafungina is determined by the prescribing clinician based on the type and severity of infection, patient weight, and renal or hepatic function. No fixed regimen is provided here; the prescriber sets the appropriate dosing schedule.

Safety data for micafungin in pregnancy and lactation are limited. It should be used only if the potential benefit to the mother outweighs any potential risk to the fetus or infant, and treatment decisions should involve an obstetric specialist.

To order Micafungina, 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 import documentation.

Micafungina belongs to the echinocandin class, which targets the fungal cell wall, whereas azoles inhibit ergosterol synthesis and polyenes bind directly to ergosterol. Echinocandins are generally well‑tolerated, have fewer drug‑drug interactions, and are preferred for invasive Candida infections, especially in patients with azole resistance or intolerance.

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

Micafungina is given as an intravenous infusion, typically diluted in a compatible IV fluid and administered over about 60 minutes under medical supervision. The infusion rate and duration are set by the treating physician based on patient condition.

The most serious risks include severe hypersensitivity reactions such as anaphylaxis, acute hepatic failure, life‑threatening infusion‑related events, and rare dermatologic emergencies like Stevens‑Johnson syndrome. Prompt recognition and discontinuation are essential if these events occur.

Micafungina is contraindicated in patients with a known hypersensitivity to micafungin or any other echinocandin. It should also be avoided in individuals with severe hepatic impairment where the risk of liver toxicity outweighs potential benefits.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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