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

Micafungina Hikma

Active Ingredient:
Micafungin Sodium
Origin:
EU

Micafungina Hikma (Micafungin Sodium)

Micafungin Sodium, the active ingredient in Micafungina Hikma, is an echinocandin presented as an intravenous solution for intravenous use. It is employed to treat invasive candidiasis, esophageal candidiasis, and to provide prophylaxis against fungal infections in patients undergoing hematopoietic stem cell transplantation.

GNH India supplies Micafungina Hikma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide. Our quality‑assured batches meet EU market standards and are shipped under controlled conditions to ensure product integrity through a robust cold‑chain logistics network.

Manufacturer / TM Owner

Hikma Farmacêutica (Portugal), S.A.

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Indications & Clinical Uses

Micafungin Sodium is an echinocandin antifungal used to manage invasive fungal infections, including bloodstream, deep‑tissue, and mucosal Candida disease.

  • Invasive candidiasis: intravenous therapy that clears bloodstream and deep‑tissue Candida infections, reducing mortality in immunocompromised patients.
  • Esophageal candidiasis: targeted treatment that eliminates Candida lesions in the esophagus, improving swallowing and reducing pain.
  • Prophylaxis in hematopoietic stem cell transplantation: administered to prevent invasive fungal infections during the neutropenic phase of transplant conditioning.
  • Candida infections in neutropenic patients: provides rapid antifungal activity to reduce infection risk during periods of low white‑blood‑cell counts.

How It Works

  • Micafungin Sodium inhibits the enzyme β‑(1,3)‑D‑glucan synthase, which is essential for synthesizing β‑(1,3)‑D‑glucan, a critical structural component of the fungal cell wall. By blocking this pathway, the drug weakens the cell wall, leading to osmotic instability and cell lysis, while having minimal effect on human cells that lack this polymer. The inhibition is concentration‑dependent and results in fungicidal activity against most Candida species and limited activity against Aspergillus.

Side Effects

Micafungin Sodium may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Elevated liver enzymes: transient increase in ALT or AST.
  • Fever: mild to moderate temperature rise.
  • Nausea: occasional gastrointestinal discomfort.
  • Headache: mild headache episodes.
  • Phlebitis: irritation at the intravenous site.
  • Rash: mild skin erythema.

Serious or Rare Side Effects

  • Hepatotoxicity: significant liver injury with jaundice.
  • Severe hypersensitivity: anaphylaxis or angioedema.
  • Hematologic abnormalities: neutropenia or thrombocytopenia.
  • Renal impairment: acute kidney injury.
  • Cardiovascular events: hypotension or arrhythmia.

Precautions & Warnings

When using Micafungin Sodium, clinicians should observe several precautionary measures to ensure patient safety.

  • Renal function: assess baseline kidney function and monitor during therapy.
  • Hepatic function: evaluate liver enzymes before initiation and periodically thereafter.
  • Drug interactions: review concomitant medications for potential additive hepatotoxicity.
  • Pregnancy and lactation: avoid use unless benefits outweigh potential risks, as safety data are limited.
  • Immunocompromised patients: monitor closely for breakthrough fungal infections.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Micafungin Sodium can interact with other agents, affecting its efficacy or safety profile.

Major Interactions (Avoid)

  • Cyclosporine: increased micafungin exposure may raise toxicity risk.
  • Rifampin: strong enzyme induction may reduce micafungin levels.

Moderate Interactions (Monitor Closely)

  • Azole antifungals: potential additive hepatotoxicity.
  • Statins: monitor liver function due to combined hepatic metabolism.
  • Warfarin: possible alteration of anticoagulant effect; check INR.

Frequently Asked Questions

Micafungina Hikma, containing micafungin sodium, is indicated for the treatment of invasive candidiasis, esophageal candidiasis, and for prophylaxis of fungal infections in patients undergoing hematopoietic stem cell transplantation. These uses reflect its activity against Candida species and its role in preventing infection during periods of severe immunosuppression.

Micafungin sodium blocks the enzyme β‑(1,3)‑D‑glucan synthase, which is essential for building β‑(1,3)‑D‑glucan, a key component of the fungal cell wall. Inhibiting this pathway weakens the cell wall, causing osmotic instability and ultimately leading to fungal cell death while sparing human cells that lack this polymer.

The dose of Micafungina Hikma is determined by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and the severity of the infection. Dosage regimens are individualized and should follow the latest clinical guidelines and the product’s prescribing information.

Safety data for micafungin sodium in pregnancy and lactation are limited. The product should be used only if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Clinicians are advised to discuss the uncertainty with patients and consider alternative therapies when appropriate.

To order Micafungina Hikma, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including cold‑chain if needed), and any required import documentation.

Micafungina Hikma 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 some azole‑resistant strains.

Micafungina Hikma should be stored at 2‑8 °C (refrigerated). Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. Maintaining the cold‑chain ensures product stability and potency until the time of administration.

Micafungina Hikma is supplied as an intravenous solution and is administered by slow infusion into a peripheral or central vein. The infusion rate and duration are set by the prescribing clinician, typically over a period of 30‑60 minutes, and the medication is given under aseptic conditions in a clinical setting.

Serious adverse events reported with micafungin include hepatotoxicity (significant liver enzyme elevation or jaundice), severe hypersensitivity reactions such as anaphylaxis, and hematologic abnormalities like neutropenia or thrombocytopenia. Patients should be monitored closely for signs of liver dysfunction, allergic reactions, and blood count changes during therapy.

Micafungina Hikma is contraindicated in patients with known hypersensitivity to micafungin sodium or any component of the formulation. Caution is also advised for individuals with pre‑existing severe liver disease, uncontrolled renal impairment, or those receiving drugs that may cause additive toxicity without appropriate monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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