Daktarin- safe to use in pregnancy?

[atodhi]

I have the dreaded athletes foot only mildly but was prescribed clotramizole (canesten ) and it’s not worked! So spoke to the doctor today who’s prescribed daktarin (miconazole).
I asked if it was safe because I’m 25 weeks pregnant and he said ‘I think so, only a small amount passes into the blood’ but online it also says ‘use with caution’?
had anyone used daktarin and it’s been fine? I’m cautious using meds in pregnancy so just want to make sure!

Speak to a pharmacist. I wouldn't seek reassurance from an anonymous Internet forum, or give the advice you get here more weight than the doctors words.

Do you read French at all OP? There’s a super helpful website called CRAT which is a database used by doctors, midwives and pharmacists to check current policy and research on the use of different medicines or other substances during pregnancy and breastfeeding. The database says there’s lots of reassuring studies on daktarin during pregnancy that suggest it’s safe, and no studies suggesting it isn’t. It also says daktarin is given through the mucus membranes in the mouth (maybe for fungal infections where a systemic treatment is needed) so I’d imagine if you have a topical treatment to put directly on your feet then the amount that actually enters your bloodstream would be minimal.
www.lecrat.fr/7524/

I haven’t used it as such but I applied daktakort (which has the same active ingredient) to my 2 years old eczema, constantly while I was pregnant. Didn’t even think about it until I was about 30 weeks. But I imagine I had much more exposure on my finger over 9 months than you would over a course of treatment. No issues.

there is a uk equivalent of the French website. It’s called Bumps - best use of medicine in pregnancy

Can you just apply the cream directly to your foot rather than take the oral gel?

I've had this same issue but it's really mild so I haven't been treating it. I wash my feet with soap, and then dry them really well with kitchen roll. It hasn't got any worse.

I decided I'd rather just deal with it than worry about impacting the baby. I'm hoping I'll be able to use it if I'm breastfeeding but there's not much research. It's really annoying.

Hi, I did check with the pharmacist when I picked it up who said ‘well it’s been prescribed by a doctor’ and said the same thing that it passes in small amounts! So I’m hoping that since 2 professionals have said this then it should be okay

Yeah it’s a cream straight to the foot rather than the oral!

You don't absorb much when it's applied to the skin, so it's generally considered safe. If you would prefer to stick with clotrimazole, apply it three times a day.

I used this in pregnancy. When it was first prescribed I got home and read the leaflet which said not to use in pregnancy. I phoned my GP surgery and demanded to speak to the practice manager as I was furious! They reassured me it was standard wording and actually it was safer to treat than to not. I calmed down and realised I was being overly cautious! It’ll be fine.

That’s really reassuring! Thank you!

I suspect you’ll be fine for breast feeding. It what I was given to treat my son’s thrush at 4 weeks old and I was applying that directly into his mouth.

Great, thank you. I have seen there's one for nappy rash which is just clotrimazole, I was thinking I'd use that in the early stages.

The midwife said it would be fine to use now, so I went to the pharmacy but the pharmacist refused and said I should go to the Doctors (🤯 I hate the back and forth when you're pregnant). The Doctor said it's so mild it's not worth using medication while pregnant.

I know I could just buy it over the counter but I'd feel guilty doing it now I've been advised not to. I am quite anxious about anything harming the baby so decided it's the best for me to wait.