Description:

Gogynax Cream 30g (by Shalina Laboratories) is a topical antifungal and antibacterial cream used to treat various fungal infections of the skin and mucous membranes, particularly vulvovaginal candidiasis (yeast infections/thrush in women), athlete’s foot (tinea pedis), ringworm (tinea corporis), jock itch (tinea cruris), and other superficial fungal infections. It is a popular, affordable prescription or OTC topical in Ghana (Accra) pharmacies for vaginal yeast infections, skin fungal rashes, and mixed bacterial-fungal conditions.

Prescription: Prescription-only in many regions, but commonly sold OTC in Ghana for short-term use (available without Rx in pharmacies for vaginal thrush/skin fungal infections). Consult a doctor or pharmacist for proper diagnosis (especially vaginal use) and to rule out other causes; prolonged or recurrent use requires medical advice.

Therapeutic Category:

Topical Antifungal / Antibacterial Combination (Imidazole antifungal + antibiotic for fungal and mixed infections for miconazole combos).

Active Ingredients/Composition: Each gram of cream typically contains:

• Miconazole nitrate – 20 mg (2% w/w) – broad-spectrum imidazole antifungal (inhibits ergosterol synthesis in fungal cell membrane).
• Metronidazole – 0.5% or 1% w/w (antibacterial for anaerobic bacteria, often added for mixed infections or bacterial vaginosis overlap). Other ingredients (excipients): White soft paraffin/petrolatum, liquid paraffin, cetostearyl alcohol, polysorbate 60, propylene glycol, water, preservatives (e.g., chlorocresol), and emulsifiers. Cream is smooth, white to off-white.

Vitamins: None.

Minerals: None.

Variant:

• Gogynax Cream 30g (standard 2% miconazole + metronidazole combination; 30g tube common for vaginal/skin use). Related variants: Gogynax Vaginal Cream (higher metronidazole or specific vaginal applicator), Gogynax Ovules/Suppositories (for vaginal thrush), or plain miconazole cream. The 30g tube is the most common size.

Consume Type:

Topical – Cream (applied externally to skin or intravaginally; not for oral use).

Directions/Usage:

• For skin infections: Clean and dry affected area. Apply thin layer to skin and surrounding area 2 times daily for 2–4 weeks (or as directed).
• For vulvovaginal candidiasis: Apply intravaginally (using applicator if provided) once daily at bedtime for 7–14 days. External vulval application 2 times daily if needed.
• Continue treatment for full duration even if symptoms improve.
• Wash hands after application. Avoid occlusive dressings unless advised.

Common Side Effects: Common (mild/local):

• Burning, stinging, itching, or irritation at application site.
• Redness or rash.
• Vaginal discomfort (if used intravaginally). Rare: Allergic reactions (severe rash, swelling), contact dermatitis. Systemic absorption minimal.

Package Type:

Aluminium or laminated plastic tube of 30g cream (screw cap; often in simple carton with patient information and applicator for vaginal use if included).

Storage Advice:

Store at room temperature (below 25–30°C) in a cool, dry place, away from direct sunlight and heat. Keep tightly closed. Do not freeze. Out of reach of children.

Safety Advice:

• For external/vaginal use only; avoid eyes, mouth, or broken skin.
• Contraindicated if allergic to miconazole, metronidazole, or ingredients.
• Caution in pregnancy (first trimester use only if benefits outweigh risks), breastfeeding (consult doctor), or children (use under guidance).
• Do not use for viral/fungal infections other than Candida or bacterial infections without diagnosis.
• If severe irritation, worsening symptoms, or no improvement after 7 days, stop use and seek medical care (possible resistant strain or misdiagnosis).
• Keep out of reach of children.

Product Substitutes: Similar miconazole-based creams in Ghana include:

• Gyno-Daktarin Cream (miconazole 2%).
• Daktarin Cream (miconazole 2%).
• Generic miconazole 2% cream (various importers).
• Combinations: Canesten HC (clotrimazole + hydrocortisone) for inflammation. Consult pharmacist in Accra (e.g., Scab Pharmacy, Country Medical Pharmacy) for availability.

Manufacturer/Marketer:

Shalina Laboratories (India-based; produces Gogynax as part of its antifungal range). Marketed/distributed in Ghana by Shalina or local importers/pharmacies (widely stocked at outlets like Scab Pharmacy, Beybee Pharmacy).

Country of Origin:

India (manufactured by Shalina Laboratories; imported to Ghana and widely available in local pharmacies).