We present a novel approach to repurpose the antifungal agent Miconazole as an anticancer therapeutic using olive oil-based nanoemulsion. The nanoemulsion exhibited a mean particle size of 177.76 ± 5.2 nm with a zeta potential of -24 ± 0.94 mV. Remarkably, Miconazole-loaded nanoemulsion displayed an IC50 of 1.4 ± 0.4 µg/ml against MCF-7 cells, while inducing apoptotic cell death by 70.31 ± 2.1%. In HePG2 and HCT 116 cells, IC50 values of 10.7 ± 1.2 and 5.9 ± 0.7 µg/ml were observed, respectively. These results demonstrate the promising anticancer potential of Miconazole-loaded olive oil nanoemulsion, highlighting its potential for repurposing Miconazole agents as effective anticancer therapeutics.