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It can be taken by mouth or applied as a cream to the skin or in the vagina. [2] Common side effects when taken by mouth include nausea and itchiness. [2] When applied to the skin, common side effects include redness and a burning sensation. [2] In pregnancy, use on the skin or in the vagina is believed to be safe. [2]
Bifonazole (trade name Canespor among others [1]) is an imidazole antifungal drug used in form of ointments. It was patented in 1974 and approved for medical use in 1983. [2] There are also combinations with carbamide for the treatment of onychomycosis.
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After application to the skin, miconazole can be measured in the skin for up to four days, but less than 1% is absorbed into the bloodstream. When applied to the oral mucosa (and possibly also for vaginal use [9]), it is significantly absorbed. In the bloodstream, 88.2% are bound to plasma proteins and 10.6% to blood cells.