Dawaa Reference

acute

Nipple Symptoms

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 sources

Egyptian National Drug Formulary - antimicrobial-2023.pdf, Miconazole monograph (chapter PDF p407) · Egyptian National Drug Formulary - antimicrobial-2023.pdf, Mupirocin monograph (chapter PDF p409) · World Health Organization. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Geneva: WHO; 2009. Session 7, 'Management of breast conditions and other breastfeeding difficulties', sections 7.4 (Mastitis) and 7.8 (Candida infection (thrush) in mother and baby).

Verified against1 document
  • Egyptian National Drug Formulary - antimicrobial-2023.pdf, Mupirocin monograph (chapter PDF p409)

Verified date2026-08

1

MUPIROCIN

2nd line

Formtopical

Adult dose and duration

Apply to the affected area 2 to 3 times daily x 7 to 14 days, depending on severity; re-evaluate if no response after 3 to 5 days

Paediatric dose

Infants, children, and adolescents: apply a small amount 3 times daily for 5 to 10 days; re-evaluate if no clinical response after 5 days.

Dose source

Egyptian National Drug Formulary - antimicrobial-2023.pdf, Mupirocin monograph (chapter PDF p409)

Why

For a cracked or fissured nipple that becomes secondarily infected with Staphylococcus aureus or Streptococcus pyogenes, matching the formulary's 'secondarily infected traumatic skin lesion' indication.

Cautions
  • Only for localized lesions up to 10 cm/100 cm2 in area per formulary indication - larger or worsening infection needs a different approach.
  • Avoid prolonged or repeated courses (risk of resistance).
  • New nipple retraction/inversion, bloody discharge, or a persistent ulcer needs referral to exclude breast cancer.
  • Generally considered compatible with breastfeeding, but wipe residual ointment before the next feed.
Egyptian brands
Egyptian brandManufacturerIndicative price
BACTROFORM 2% TOP. OINT. 15 GMWESTERN PHARMACEUTICALS INDUSTRIES > WESTERN PHARMA35.00 EGP
MUPIROCIN SAJA 2% TOP. OINT. 15 GMBIOPHARM EGYPT > SAJA PHARMA35.00 EGP
MUPIRAX 2% OINT. 10 GMGLOBAL NAPI PHARMACEUTICALS48.00 EGP
MUPIROCIN SAJA 2% TOP. OINT. 20 GMBIOPHARM EGYPT > SAJA PHARMA83.00 EGP
MUPIRAX 2% OINT. 30 GMGLOBAL NAPI PHARMACEUTICALS118.00 EGP

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.