Reported Reactions

Drugs › Azole antifungal

Generic name

Miconazole: adverse event reports filed with FDA

650 reports list it as a suspect or interacting product, 2004–2026. Class: Azole antifungal.

650
reports as suspect product
0% of all reports · about 29 a year
30
reports, 12 months to June 2026
12 in the 12 months before
72.3%
marked serious by the reporter
79% across the class
6%
record death among outcomes, as reported
39 reports · not verified by FDA

650 adverse event reports received by FDA list miconazole, a generic name as a suspect or interacting product, from February 2004 to June 2026. A further 1,655 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 30 reports listed it, up 150% from 12 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 29 reports a year and 0% of the 20,646,523 reports in the database, and 0.9% of the reports for the azole antifungal class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug interaction (30%), international normalised ratio increased (17.8%) and drug ineffective (12.8%). A report can list several reactions, so shares add to more than 100%; 267 different terms appear across these reports. Drug interaction is recorded in 30% of these reports, a larger share than in the median azole antifungal drug (7.9%).

72.3% of the reports are marked serious by the reporter (79% across the class); 6% record death among the outcomes and 32.3% record hospitalisation, as reported. 32.9% of the reports came from consumers, and the largest patient age group is 75 and over (18.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0713Jul 2021: 0Aug 2021: 1Sep 2021: 1Oct 2021: 2Nov 2021: 11Dec 2021: 42022Jan 2022: 5Feb 2022: 0Mar 2022: 5Apr 2022: 2May 2022: 5Jun 2022: 0Jul 2022: 0Aug 2022: 4Sep 2022: 3Oct 2022: 3Nov 2022: 1Dec 2022: 32023Jan 2023: 3Feb 2023: 1Mar 2023: 0Apr 2023: 1May 2023: 1Jun 2023: 0Jul 2023: 1Aug 2023: 5Sep 2023: 1Oct 2023: 6Nov 2023: 5Dec 2023: 12024Jan 2024: 0Feb 2024: 0Mar 2024: 3Apr 2024: 2May 2024: 4Jun 2024: 4Jul 2024: 3Aug 2024: 1Sep 2024: 1Oct 2024: 0Nov 2024: 1Dec 2024: 02025Jan 2025: 1Feb 2025: 0Mar 2025: 3Apr 2025: 2May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 1Oct 2025: 1Nov 2025: 0Dec 2025: 12026Jan 2026: 2Feb 2026: 2Mar 2026: 13Apr 2026: 4May 2026: 5Jun 2026: 1

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

042832004: 2020042005: 82006: 92007: 2620072008: 192009: 162010: 1820102011: 542012: 832013: 1720132014: 132015: 232016: 1720162017: 772018: 652019: 2520192020: 212021: 282022: 3120222023: 252024: 192025: 920252026: 27

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Miconazole reports recording the termmedian drug in azole antifungal

  1. Drug interactionan interaction between medicines30%195
  2. International normalised ratio increasedblood clotting slower than intended (raised INR)17.8%116
  3. Drug ineffectivethe medicine did not work as expected12.8%83
  4. Haematuriablood in the urine4.8%31
  5. Anaphylactoid reaction2.6%17
  6. Pruritusitching2.5%16
  7. Burning sensationa burning feeling2.3%15
  8. Drug hypersensitivityan allergic-type reaction to a medicine2%13
  9. Haemorrhage subcutaneous1.8%12
  10. Nauseafeeling sick1.8%12
  11. Off label useused for a purpose or in a way not on the label1.8%12
  12. Medication errora mistake in prescribing, dispensing or taking a medicine1.5%10
  13. Muscular weaknessmuscle weakness1.5%10
  14. Pyrexiafever1.5%10
  15. Somnolencedrowsiness1.5%10
  16. Astheniaweakness or lack of energy1.4%9
  17. Contusiona bruise1.4%9
  18. Pericarditisinflammation of the sac around the heart1.4%9
  19. Platelet count decreasedlow platelet count1.4%9
  20. Urticariahives1.4%9
  21. Confusional stateconfusion1.2%8
  22. Infective keratitis1.2%8
  23. Oedema genital1.2%8
  24. Rash erythematousa red rash1.2%8
  25. Urinary tract infectionbladder or urinary infection1.2%8

Top 30 of 267 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 16 drugs in the azole antifungal class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death6%39
Life-threatening8.5%55
Hospitalisation (initial or prolonged)32.3%210
Disability1.2%8
Congenital anomaly2.2%14
Other serious46.9%305
Not serious27.7%180

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 69,035 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 22.6%17
2 to 112.3%15
12 to 170.6%4
18 to 4412.2%79
45 to 6413.1%85
65 to 746.6%43
75 and over18.8%122
Age not given43.8%285

Patient sex

Female62.5%406
Male26.9%175
Not given10.6%69

Who reported

Physician22.8%148
Pharmacist11.5%75
Other health professional28.9%188
Lawyer0.2%1
Consumer or non-health professional32.9%214
Not given3.7%24

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 36.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Fungal infection8112.5%
Oral candidiasis6910.6%
Vulvovaginal mycotic infection223.4%
Oral fungal infection81.2%
Rash81.2%
Tinea pedis71.1%

The indication field is filled in by the reporter and is often blank; shares are of all 650 reports.

In context

MeasureMiconazoleAzole antifungalAll reports
Reports as suspect product65069,03520,646,523
Share of that pool—0.9%0%
Reports, latest 12 months30—1,332,454
Marked serious72.3%79%57.4%
Death recorded among outcomes, per 1,000 reports6017791
Hospitalisation recorded, per 1,000 reports323317213
Consumer-filed share32.9%23.9%45.8%
Top term, share of reportsDrug interaction 30%median 7.9%0.8%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the azole antifungal class

DrugName typeReportsLatest 12 monthsMarked serious
Fluconazolegeneric17,1751,45890.7%
Voriconazolegeneric13,49595694.7%
Vfendbrand6,7527686.5%
Itraconazolegeneric4,55236490.4%
Posaconazolegeneric4,23458991.7%
Ketoconazolegeneric4,04723441.7%
Noxafilbrand3,2303966.7%
Diflucanbrand3,1476569.8%
Clotrimazolegeneric2,75729880.4%
Cresembabrand2,05025457.5%
Sporanoxbrand1,7284387.6%
Tioconazolegeneric1,4691973.1%
Jubliabrand1,2717918%
Miconazole nitrategeneric1,26016622.5%
Nizoralbrand1,21834829.5%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Miconazole reports

How many adverse event reports has FDA received for Miconazole?

650 reports list Miconazole as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 30 of them arrived in the latest 12 months. Another 1,655 list it only as a concomitant medication.

What reactions are recorded in Miconazole reports?

drug interaction (30%), international normalised ratio increased (17.8%), drug ineffective (12.8%), haematuria (4.8%) and anaphylactoid reaction (2.6%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Miconazole was responsible.

How serious are the reports?

72.3% are marked serious by the reporter. Among the outcomes recorded, 6% of reports include death and 32.3% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (32.9%), other health professional (28.9%) and physician (22.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Miconazole rising?

30 reports in the 12 months to June 2026, up 150% from 12 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Miconazole was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Miconazole?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Miconazole as a suspect or interacting product; reports listing it only as a concomitant medication (1,655) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.