Is Miconazole compatible with breastfeeding? Do we have alternatives for Miconazole?


July 2, 2015 (Very Low Risk)

Excretion into breast milk is highly unlikely due to an almost nil systemic absorption through the skin, vaginal mucosa and even the intestine, with non-significant plasma levels (< 1 mcg/ mL) observed.

In case of use on the nipple, let it be done after the feed and wipe it out any excess of cream before the next feed.

Do not apply creams, gels and other products that would contain paraffin (mineral oil) to avoid absorption by the infant since it is a hydrocarbon-derived substance.

Miconazole has not been found to be more effective than pure lanolin for treatment of sore or cracked nipples.

List of Essential Medicines by WHO 2002: compatible with breastfeeding.


We do not have alternatives for Miconazole since it is relatively safe.

Very Low Risk

Compatible. Not risky for breastfeeding or infant.

Low Risk

Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.

High Risk

Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.

Very High Risk

Not recommended. Cessation of breastfeeding or alternative.


  • R-18134


  • μικοναζόλη (Greek)
  • ميكونازول (Arabic)
  • Миконазол (Cyrillic)
  • 咪康唑 (Chinese)
  • ミコナゾール (Japanese)


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