Mycelex Troches

Mycelex Troches Overview

Updated: 

Clotrimazole is a prescription and over-the-counter medication used to treat yeast infections of the vagina, mouth, and skin. Clotrimazole can also be used to prevent yeast infection in the mouth in certain patients.

Clotrimazole is both an over-the-counter and a prescription medication. The over-the-counter forms are used to treat yeast infections of the skin and the vagina. The prescription forms are used to treat yeast infections of the mouth and skin. This medication page refers to the prescription forms of clotrimazole.

Clotrimazole belongs to a group of drugs called antifungals. These work by inhibiting the growth of infection-causing yeast.

This medication comes in a topical solution, a topical cream, and a lozenge form. How often this medication is used will change, depending on the indication for use.

Common side effects of clotrimazole include redness, stinging, blistering, peeling, swelling, itching, burning, and irritation at the site of application. Stomach upset and vomiting may occur with the oral lozenge.

How was your experience with Mycelex Troches?

First, a little about yourself

Tell us about yourself in a few words?

What tips would you provide a friend before taking Mycelex Troches?

What are you taking Mycelex Troches for?

Choose one
  • Other
  • Candidiasis, Cutaneous
  • Candidiasis, Oral
  • Candidiasis, Vulvovaginal
  • Mycoses

How long have you been taking it?

Choose one
  • Less than a week
  • A couple weeks
  • A month or so
  • A few months
  • A year or so
  • Two years or more

How well did Mycelex Troches work for you?

Did you experience many side effects while taking this drug?

How likely would you be to recommend Mycelex Troches to a friend?

Mycelex Troches Cautionary Labels

precautions

Uses of Mycelex Troches

Topical cream and solution:

Clotrimazole cream and solution are prescription medications used to treat yeast infections of the skin such as athlete’s foot, jock itch, and ringworm. Clotrimazole solution is particularly useful for areas of the skin that are covered in hair and for use in the outer or middle ear.

Oral lozenge:

The clotrimazole lozenge (also called a troche) is a prescription medication used to treat and prevent yeast infections of the mouth, which is also referred to as “thrush,” in patients with compromised immune systems.

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

Manufacturer

Mycelex Troches Drug Class

Side Effects of Mycelex Troches

Serious side effects have been reported with clotrimazole. See the “Clotrimazole Precautions” section.

Topical cream and solution:

Common side effects of topical clotrimazole cream and solution include the following:

  • Itching
  • Burning
  • Irritation
  • Redness
  • Swelling

Oral lozenge:

Common side effects of clotrimazole lozenges include the following:

  • Nausea           
  • Vomiting
  • Unpleasant mouth sensations
  • Itching in the mouth

This is not a complete list of clotrimazole side effects. Ask your doctor or pharmacist for more information.

Tell your doctor if you have any side effect that bothers you or that does not go away.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Mycelex Troches Interactions

No drug interactions have been reported by the manufacturer. However, you should tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Not all drug interactions are known or reported and new drug interactions are continually being reported.

Mycelex Troches Precautions

Serious side effects have been reported with topical clotrimazole cream and solution including the following:

  • Local irritation at the site of application, including burning, itching, redness, and swelling of the skin.
  • Fever

Serious side effects have been reported with clotrimazole lozenges including the following:

  • Nausea
  • Vomiting
  • Unpleasant mouth sensations
  • Itching in the mouth

Do not use clotrimazole if you:

  • are allergic to clotrimazole or to any of its ingredients

Mycelex Troches Food Interactions

Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of clotrimazole, there are no specific foods that you must exclude from your diet when receiving this medication.

Inform MD

Before using clotrimazole, tell your doctor about all of your medical conditions. Especially tell your doctor if you:

  • are allergic to clotrimazole or to any of its ingredients
  • have liver disease
  • have a compromised immune system
  • have diabetes
  • drink alcohol or have a history of alcohol abuse
  • are pregnant or breastfeeding

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

Mycelex Troches and Pregnancy

Tell your doctor if you are pregnant or plan to become pregnant.

The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

Topical clotrimazole cream and solution fall into category BIn animal studies, pregnant animals were given clotrimazole, and some babies had problems. But in human studies, pregnant women were given this medication and their babies did not have any problems related to this medication.

Clotrimazole lozenges fall into category CThere are no well-controlled studies that have been done in pregnant women. Clotrimazole should be used during pregnancy only if the possible benefit outweighs the possible risk to the unborn baby.

Mycelex Troches and Lactation

It is not known if clotrimazole crosses into human milk. Because many medications can cross into human milk and because of the possibility for serious adverse reactions in nursing infants with use of this medication, a choice should be made whether to stop nursing or stop the use of this medication. Your doctor and you will decide if the benefits outweigh the risk of using clotrimazole.

Mycelex Troches Usage

Use clotrimazole exactly as prescribed.

Topical cream and solution:

Clotrimazole comes in topical cream and solution forms and is applied to affected skin twice daily, in the morning and evening, to treat yeast infections of the skin.

Oral lozenges:

Clotrimazole comes in an oral lozenge and is used five times daily for the treatment of yeast infections of the mouth. For prevention of yeast infections of the mouth, the lozenges are used three times daily.

If you miss a dose, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not use two doses of clotrimazole at the same time.

Mycelex Troches Dosage

Use this medication exactly as prescribed by your doctor. Follow the directions on your prescription label carefully.

The dose your doctor recommends may be based on the following:

  • the condition being treated
  • other medical conditions you have
  • how you respond to this medication

Topical cream:

The recommended dose of clotrimazole cream and solution for the treatment of skin infections is 1% cream or solution massaged into the affected skin twice daily for two to eight weeks.

Oral lozenges:

The recommended dose of clotrimazole lozenges for the treatment of yeast infections of the mouth is the use of one lozenge five times daily for fourteen days.  The recommended dose of clotrimazole lozenges for the prevention of yeast infections of the mouth is the use of one lozenge three times daily for the duration of a patient’s immunocompromised state, such as during chemotherapy, radiotherapy, or steroid therapy. 

Mycelex Troches Overdose

If you use too much clotrimazole, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away.

If clotrimazole is administered by a healthcare provider in a medical setting, it is unlikely that an overdose will occur. However, if overdose is suspected, seek emergency medical attention.