Prescribing information For Healthcare Professionals Only


2% / 1% w/w
Cream and Ointment


Active Ingredient(s):

miconazole nitrate 2% w/w and hydrocortisone 1% w/w

Please refer to Summary of Product Characteristics (SmPC) before prescribing.


Topical treatment of inflamed dermatoses where infection by susceptible organisms and inflammation co-exist. Moist or dry eczema or dermatitis including atopic eczema, primary irritant or contact allergic eczema or seborrhoeic eczema including that associated with acne. Also intertriginous eczema including inframammary intertrigo, perianal and genital dermatitis.

Dosage & Administration:

For initial stages of treatment. Once inflammatory symptoms have disappeared (after about 7 days) continue treatment if necessary with miconazole nitrate cream or powder.
Adults and children: Apply topically to affected area two or three times daily.
Use in elderly: Due to natural thinning of the skin, corticosteroids should be used sparingly and for short periods. If no improvement after about 7 days treatment, cultural isolation of the organism should be carried out.


Hypersensitivity. Tubercular or viral infections of the skin or those caused by Gram negative bacteria.

Special warnings & Special Precautions:

Severe hypersensitivity may occur, requiring discontinuation of treatment.
Infants & children: Care when applied to extensive surface areas or under occlusive dressings including baby napkins; avoid facial applications; avoid long term topical corticosteroid therapy; adrenal suppression can occur even without occlusion; avoid contact with synthetic materials; avoid contact with latex products eg diaphragms, condoms. Must not come into contact with mucosa of eyes. Visual disturbance may be reported, refer to ophthalmologist for evaluation of cause including central serous chorioretinopathy (CSCR).

Long term continuous or inappropriate use of topical steroids can result in the development of rebound flares after stopping treatment (topical steroid withdrawal syndrome). A severe form of rebound flare can develop which takes the form of a dermatitis with intense redness, stinging and burning that can spread beyond the initial treatment area. It is more likely to occur when delicate skin sites such as the face and flexures are treated. Should there be a recurrence of the condition within days to weeks after successful treatment a withdrawal reaction should be suspected. Reapplication should be with caution and medical advice is recommended in these cases or other treatment options should be considered.

Side Effects:

Serious side-effects: anaphylactic reaction, angioedema, hypersensitivity, blurred vision, withdrawal reactions.
Refer to SmPC for other side effects.


Avoid during pregnancy.


Only if considered necessary. Treatment of large surfaces and use under occlusive dressing not recommended.


Caution in patients on oral anticoagulants, such as warfarin. In these cases, monitor anticoagulant effect.
Refer to SmPC for full details of interactions.



Presentations Pack sizes Marketing Authorisation Number(s) Basic NHS Cost
Daktacort® Cream
containing miconazole nitrate 2% w/w
and hydrocortisone 1% w/w


PL 00242/0042 £2.49
Daktacort® Ointment
containing miconazole nitrate 2% w/w
and hydrocortisone 1% w/w


PL 00242/0130 £2.50

FURTHER INFORMATION IS AVAILABLE FROM THE MARKETING AUTHORISATION HOLDER: Janssen-Cilag Limited, 50-100 Holmers Farm Way, High Wycombe, Buckinghamshire, HP12 4EG, UK. 

Prescribing information last revised: September 2021

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