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

Micafungina Hikma

Active Ingredient:
Micafungin
Origin:
EU

Micafungina Hikma (Micafungin)

Micafungin, the active ingredient in Micafungina Hikma, is a echinocandin presented as a injection for intravenous use. It treats invasive candidiasis, esophageal candidiasis, prophylaxis of Candida infections in hematopoietic stem cell transplant recipients, and Candida peritonitis and intra‑abdominal infections.

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

Manufacturer / TM Owner

Hikma Farmacêutica (Portugal), S.A.

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Indications & Clinical Uses

Micafungin is an echinocandin antifungal used to treat serious Candida infections.

  • Invasive candidiasis: effective for bloodstream and deep‑tissue Candida infections.
  • Esophageal candidiasis: resolves fungal infection of the esophagus.
  • Prophylaxis in hematopoietic stem cell transplant recipients: prevents Candida infection during immunosuppression.
  • Candida peritonitis and intra‑abdominal infections: treats Candida‑related peritoneal and abdominal infections.

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. Disruption of glucan synthesis weakens the cell wall, leading to osmotic instability and fungicidal activity against susceptible Candida species.

Side Effects

Micafungin may cause a range of adverse reactions, most of which are mild to moderate in severity.

Common Side Effects

  • Infusion‑related reactions such as flushing, chills, or rash.
  • Fever or chills during or after administration.
  • Nausea or mild gastrointestinal discomfort.
  • Elevated liver enzymes (ALT, AST).
  • Headache.
  • Mild hypotension.

Serious or Rare Side Effects

  • Anaphylactic or severe hypersensitivity reactions.
  • Significant hepatic dysfunction or jaundice.
  • Acute renal impairment or increased creatinine.
  • Severe hypotension or shock.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Eosinophilic pneumonia.

Precautions & Warnings

Before initiating therapy, clinicians should assess organ function and potential risk factors.

  • Renal function: monitor serum creatinine and adjust therapy if impairment is detected.
  • Hepatic function: evaluate liver enzymes prior to and during treatment.
  • Pregnancy: category B; use only when the anticipated benefit justifies potential risk.
  • Drug interactions: review concomitant medications for possible pharmacokinetic interactions.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Micafungina Hikma may interact with several co‑administered drugs; monitoring is advised.

Major Interactions (Avoid)

  • Cyclosporine: increased micafungin exposure may raise toxicity risk.
  • Tacrolimus: co‑administration can elevate tacrolimus levels.
  • Strong CYP3A4 inducers (e.g., rifampin): may markedly reduce micafungin efficacy.

Moderate Interactions (Monitor Closely)

  • Azole antifungals (e.g., fluconazole): may increase micafungin plasma concentrations.
  • Statins (e.g., simvastatin): potential for enhanced myopathy risk.
  • Warfarin: monitor INR as micafungin may affect anticoagulant control.

Frequently Asked Questions

Micafungina Hikma contains micafungin, an echinocandin antifungal indicated for invasive candidiasis, esophageal candidiasis, prophylaxis of Candida infections in hematopoietic stem cell transplant recipients, and Candida peritonitis or intra‑abdominal infections. It is administered intravenously in a hospital or clinical setting.

Micafungin blocks the enzyme β-(1,3)-D-glucan synthase, preventing the formation of β-(1,3)-D-glucan, an essential polymer of the fungal cell wall. Without this structural component, the cell wall becomes weak, leading to osmotic lysis and death of susceptible Candida species.

The dosing regimen for micafungin is individualized by the prescribing clinician based on the specific infection, patient weight, renal and hepatic function, and treatment setting. Healthcare professionals determine the appropriate dose and infusion duration according to current clinical guidelines.

Micafungina Hikma is classified as Pregnancy Category B, indicating that animal studies have not shown risk to the fetus and there are no adequate human studies. It should be used in pregnancy only if the potential benefit justifies any potential risk. Limited data are available for breastfeeding, so a risk‑benefit assessment is required.

To request Micafungina Hikma, submit an enquiry on the 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 logistics 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 like micafungin are generally well‑tolerated, have fewer drug‑interaction concerns than azoles, and are fungicidal against most Candida species, making them a preferred option for invasive infections.

Micafungina Hikma 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, and follow aseptic techniques when preparing the intravenous solution.

The medication is given as an intravenous infusion over a period typically ranging from 30 to 60 minutes, depending on the prescribed dose and clinical protocol. Administration should be performed by qualified healthcare personnel in a setting equipped for IV therapy and patient monitoring.

Serious adverse events, although uncommon, include severe hypersensitivity reactions (anaphylaxis), significant hepatic dysfunction, acute renal impairment, severe hypotension, Stevens‑Johnson syndrome, and eosinophilic pneumonia. Prompt recognition and discontinuation of therapy are essential if any of these events occur.

Micafungina Hikma 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 or kidney disease, and it should be used only after careful risk assessment in pregnant or breastfeeding women.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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