Topical mild steroid + antifungal
Hydrocortisone with miconazole
Brand names: Daktacort
Adult dose
Dose: Apply thinly BD for up to 7 days
Route: Topical
Frequency: BD
Clinical pearls
- Inflamed candidal/dermatophyte infections; step down to plain antifungal
Contraindications
- Untreated viral/bacterial skin infection
- Rosacea
Side effects
- Local irritation
Interactions
- Topical absorption of miconazole can elevate warfarin INR — caution
Reference: BNF; https://bnf.nice.org.uk/drugs/hydrocortisone-with-miconazole/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
- Steroid Dose Equivalence · Medications
- Adrenal Insufficiency Assessment · Adrenal
- Adrenal Crisis Risk Score · Adrenal Disorders
- Lille Model (Steroid Response in Alcoholic Hepatitis) · Alcoholic Liver Disease
- Ho Index for Predicting Response to Medical Therapy in IBD · Inflammatory Bowel Disease
- Steroid Conversion Calculator · Drug Dosing
Pathways
- Suspicious Pigmented Lesion — Melanoma Pathway · NICE NG14 2015 / BAD
- Cellulitis and Erysipelas · NICE NG141 2019 / CREST
- Psoriasis — Severity Assessment and Step-Up Therapy · NICE NG153 2019 / BAD
- Atopic Eczema — Assessment and Step-Up Therapy · NICE NG95 2023
- Urticaria and Angioedema · BSACI / EAACI Guidelines 2022
- Acne Vulgaris — Grading and Treatment · NICE NG198 2021 / BAD