Drug intelligence / Profile preview

miconazole + hydrocortisone

Development stage
Phase 4
Lead developer
Janssen Pharmaceutica
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules
Administration
Topical
01

Overview

Miconazole + hydrocortisone is a topical combination drug used primarily to treat skin infections, including irritant diaper dermatitis and other fungal skin conditions. It combines miconazole, an imidazole antifungal that inhibits the enzyme CYP450 14α-lanosterol demethylase in fungi, disrupting ergosterol synthesis and compromising cell membrane integrity, with hydrocortisone, a corticosteroid that reduces inflammation by suppressing leukocyte migration and reversing increased capillary permeability. The combination provides both antifungal action (from miconazole) and anti-inflammatory relief (from hydrocortisone), leading to rapid symptomatic improvement in pruritus and inflammation associated with dermatophyte or yeast infections[1][5][8].

Brand names
DaktacortDaktodorCortimycBrentacort
Other names
hydrocortisone/miconazole
02

Targets

GR (Glucocorticoid receptor)CYP51A1 (Sterol 14α-demethylase)

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