GNH USA

Europe — EMA

Macmiror Complex

GNH USA supplies Macmiror Complex (Nystatin/Nifuratel), a vaginal anti‑infective for vulvovaginal candidiasis, bacterial vaginosis and trichomoniasis.

Nystatin, Nifuratel

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What is Nystatin, Nifuratel?

Nystatin, the active ingredient in Macmiror Complex, is an antifungal/antimicrobial presented as a vaginal formulation for vaginal use. It treats vulvovaginal candidiasis, bacterial vaginosis and trichomoniasis in women. GNH USA supplies Macmiror Complex as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

What is Nystatin, Nifuratel used for?

Macmiror Complex combines two agents that act against fungal, bacterial and protozoal pathogens causing vaginal infections. - Vulvovaginal candidiasis: reduces fungal load and relieves itching, burning and discharge. - Bacterial vaginosis: suppresses anaerobic bacterial overgrowth and restores normal flora. - Trichomoniasis: eliminates Trichomonas vaginalis, decreasing irritation and abnormal discharge.

What are the side effects of Nystatin, Nifuratel?

Adverse reactions may occur with any vaginal anti‑infective preparation.

Common Side Effects: - Local irritation or burning sensation. - Vaginal itching or mild rash. - Increased vaginal discharge of a different colour. - Mild abdominal discomfort.

Serious or Rare Side Effects: - Allergic reaction with swelling of the face, lips or tongue. - Severe vaginal ulceration or necrosis. - Systemic hypersensitivity manifesting as fever or rash. - Rare hepatic dysfunction with elevated liver enzymes.

What precautions apply to Nystatin, Nifuratel?

Use Macmiror Complex only under medical supervision and consider the following precautions. - Pregnancy: consult a healthcare professional before use. - Breastfeeding: discuss potential risks with a clinician. - Known hypersensitivity: avoid if allergic to nystatin, nifuratel or excipients. - Concurrent vaginal products: do not use other medicated creams or douches simultaneously. - Underlying conditions: inform the prescriber of any chronic illnesses, especially liver disease. - Store at ambient temperature: keep in the original packaging, protect from moisture and heat.

What does Nystatin, Nifuratel interact with?

Macmiror Complex may interact with other medicines; monitor as indicated.

Major Interactions (Avoid): - Systemic antifungals (e.g., amphotericin B) that could increase toxicity when combined. - Oral antibiotics that dramatically alter vaginal flora, potentially reducing efficacy.

Moderate Interactions (Monitor Closely): - Topical steroids applied to the vagina, which may mask local irritation. - Hormonal contraceptives, as altered flora could affect absorption. - Anticoagulants, if systemic absorption occurs, may affect clotting parameters.

Frequently asked questions

What conditions is Macmiror Complex used to treat?+
Macmiror Complex is indicated for the treatment of vulvovaginal candidiasis, bacterial vaginosis and trichomoniasis. It targets fungal, bacterial and protozoal pathogens that cause these common vaginal infections.
How do the active ingredients Nystatin and Nifuratel work?+
Nystatin binds to ergosterol in fungal cell membranes, forming pores that cause cell leakage and death. Nifuratel interferes with microbial nucleic acid synthesis and metabolic pathways, providing antibacterial and antiprotozoal activity that complements the antifungal effect.
What is the usual dose of Macmiror Complex?+
The dosage regimen for Macmiror Complex is determined by the prescribing healthcare professional based on the specific infection, severity and patient characteristics. Patients should follow the prescriber’s instructions exactly.
Is Macmiror Complex safe to use during pregnancy or breastfeeding?+
Safety data for Macmiror Complex in pregnancy and lactation are limited. Women who are pregnant, planning to become pregnant or breastfeeding should discuss potential risks and benefits with their healthcare provider before using the product.
How do I order Macmiror Complex from GNH USA?+
To request Macmiror Complex, submit an enquiry on the product page at gnh-usa.com specifying the required quantity. GNH USA works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.
How does Macmiror Complex compare with other vaginal anti‑infectives?+
Macmiror Complex combines an antifungal (nystatin) with an antimicrobial (nifuratel), offering broader coverage than single‑agent products that target only fungi or bacteria. This dual mechanism can be advantageous when mixed infections are suspected, but choice of therapy should be guided by clinical assessment and microbiological testing.
What are the recommended storage conditions for Macmiror Complex?+
Store Macmiror Complex at ambient temperature, below 25 °C. Keep the product in its original packaging, protect it from moisture and direct heat, and ensure the container is tightly closed when not in use.
How is Macmiror Complex administered?+
Macmiror Complex is intended for vaginal administration. The prescribed dosage form is inserted into the vagina according to the prescriber’s directions, typically using an applicator or vaginal tablet, and the treatment course is completed as instructed.
What are the most serious risks associated with Macmiror Complex?+
Serious risks include allergic reactions such as facial swelling, severe vaginal ulceration, and rare systemic hypersensitivity that may present with fever or rash. Patients should seek immediate medical attention if any of these symptoms occur.
Who should not use Macmiror Complex?+
Macmiror Complex should be avoided by individuals with known hypersensitivity to nystatin, nifuratel or any excipients in the formulation. It is also contraindicated in patients for whom a vaginal anti‑infective is medically inappropriate, as determined by a healthcare professional.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Nystatin, Nifuratel
Route
Vaginal Use
Manufacturer
Polichem S.A.
Origin
EU

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