Advice

Following a full submission

miconazole muco-adhesive buccal tablets (Loramyc) are not recommended for use within NHS Scotland for the treatment of oropharyngeal candidiasis in immunocompromised patients.

Miconazole muco-adhesive buccal tablets were shown to be non-inferior to another locally-acting miconazole preparation in the treatment of oropharyngeal candidiasis in patients with cancer of the head and neck who had received radiotherapy.

There are no data comparing miconazole buccal tablets to treatments currently used in practice in NHS Scotland.

The manufacturer did not present a sufficiently robust analysis to gain acceptance by SMC.

The licence holder has indicated their intention to resubmit.

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Medicine details

Medicine name:
miconazole muco adhesive buccal tablet (Loramyc)
SMC ID:
517/08
Indication:
Oropharyngeal candidiasis (OPC) in immunocompromised patients
Pharmaceutical company
SpePharm
BNF chapter
Ear, nose and oropharynx
Submission type
Full
Status
Not recommended
Date advice published
08 December 2008