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

Micafungina Sala

Active Ingredient:
Micafungin
Origin:
EU

Micafungina Sala (Micafungin)

Micafungin, the active ingredient in Micafungina Sala, is an echinocandin presented as an injection solution for intravenous use. It treats invasive candidiasis, esophageal candidiasis and is used for prophylaxis of Candida infections in hematopoietic stem cell transplant recipients.

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

Manufacturer / TM Owner

Laboratorio Reig Jofre, S.A.

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Indications & Clinical Uses

Micafungin is an echinocandin antifungal indicated for several Candida infections.

  • Invasive candidiasis: effective treatment of bloodstream and deep‑seated Candida infections.
  • Esophageal candidiasis: resolves mucosal infection of the esophagus caused by Candida species.
  • Prophylaxis in hematopoietic stem cell transplant recipients: prevents Candida infection during the high‑risk post‑transplant period.

How It Works

  • Micafungin inhibits the enzyme 1,3‑β‑D‑glucan synthase, a key catalyst in the synthesis of β‑glucan, an essential component of the fungal cell wall. By blocking β‑glucan formation, the drug compromises cell wall integrity, leading 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, most of which are manageable.

Common Side Effects

  • Fever: mild to moderate temperature elevation.
  • Nausea: occasional upset stomach.
  • Vomiting: occasional emesis.
  • Headache: transient cranial discomfort.
  • Infusion‑related reactions: flushing, chills, or mild hypotension.
  • Elevated liver enzymes: transient increase in ALT/AST.

Serious or Rare Side Effects

  • Hepatotoxicity: significant liver injury requiring monitoring.
  • Severe hypersensitivity: anaphylaxis or angioedema.
  • Renal impairment: acute kidney injury in susceptible patients.
  • Severe neutropenia: marked reduction in neutrophil count.
  • Stevens‑Johnson syndrome: rare severe skin reaction.
  • Cardiac arrhythmia: uncommon rhythm disturbances.

Precautions & Warnings

When using Micafungina Sala, clinicians should observe several safety measures.

  • Renal function: monitor serum creatinine and urine output.
  • Hepatic function: assess baseline liver enzymes and repeat as needed.
  • Concomitant hepatotoxic drugs: avoid or use with caution.
  • Pregnancy: risk unknown; prescribe only if benefits outweigh potential risks.
  • Pediatric use: limited data; consider specialist advice.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Micafungin can interact with other medicines; awareness of interaction severity helps guide therapy.

Major Interactions (Avoid)

  • Cyclosporine: may increase micafungin plasma concentrations.
  • Other echinocandins: concurrent use offers no added benefit and raises toxicity risk.
  • Strong hepatotoxins: combined use can exacerbate liver injury.

Moderate Interactions (Monitor Closely)

  • Rifampin: may reduce micafungin exposure.
  • Azole antifungals (e.g., fluconazole): potential additive hepatotoxicity.
  • Immunosuppressants (e.g., tacrolimus): monitor drug levels for possible alteration.
  • Statins: observe for increased liver enzyme changes.

Frequently Asked Questions

Micafungina Sala, containing micafungin, is indicated for the treatment of invasive candidiasis, esophageal candidiasis, and for prophylaxis of Candida infections in patients undergoing hematopoietic stem cell transplantation. These uses reflect its activity against a broad range of Candida species in serious or high‑risk clinical settings.

Micafungin inhibits the fungal enzyme 1,3‑β‑D‑glucan synthase, which is essential for synthesizing β‑glucan, a critical structural component of the fungal cell wall. Disruption of β‑glucan production weakens the cell wall, leading to osmotic instability and ultimately fungal cell death, while sparing human cells that lack this pathway.

The dosage of Micafungina Sala is determined by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and other clinical factors. Healthcare professionals set the appropriate intravenous infusion rate and duration according to current treatment guidelines.

The safety of micafungin in pregnancy and lactation has not been definitively established. It should be used only if the potential benefit justifies any potential risk to the fetus or infant, and the decision should be made by the treating physician in consultation with the patient.

To place an order, 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 required import documentation.

Micafungina Sala belongs to the echinocandin class, which targets the fungal cell wall, unlike azoles that inhibit ergosterol synthesis. Echinocandins, including micafungin, are generally well‑tolerated and have activity against many azole‑resistant Candida strains, making them a valuable alternative for serious invasive infections.

Micafungina Sala should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. Prior to use, the solution should be inspected for particulate matter and discoloration, and it should be administered promptly after preparation.

Micafungina Sala is given as an intravenous infusion. The preparation is diluted in an appropriate compatible solution and infused over the time period recommended by the prescribing clinician, typically ranging from 30 minutes to an hour, depending on the clinical protocol.

Serious adverse events include hepatotoxicity, severe hypersensitivity reactions such as anaphylaxis, renal impairment, and rare but life‑threatening skin reactions like Stevens‑Johnson syndrome. Patients should be monitored closely for signs of liver dysfunction, allergic responses, and renal changes throughout therapy.

Micafungina Sala is contraindicated in patients with known hypersensitivity to micafungin or any component of the formulation. Caution is also advised for individuals with severe hepatic impairment, uncontrolled renal failure, or those receiving concomitant medications that pose a high risk of additive toxicity.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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