For non-prescription products, read the label or package ingredients carefully. Appropriate studies have not been performed on the relationship of age to the effects of ketoconazole topical in children younger than 12 years of age. Safety and efficacy have not been established.
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of ketoconazole topical in the elderly.
However, some elderly patients may be more sensitive to the side effects of this medicine. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary.
Tell your healthcare professional if you are taking any other prescription or nonprescription over-the-counter [OTC] medicine.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. It is very important that you use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered.
To do so may cause unwanted side effects or skin irritation. This medicine is for use on the skin only. Do not get it in your eyes, nose, mouth, or vagina. Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. This kills the fungus and treats the infection. Ketoconazole cream and shampoo usually take 2 to 4 weeks to work for dandruff , scaly and dry or greasy skin seborrhoeic dermatitis , jock itch and sweat rash. Athlete's foot and some other skin infections can take up to 6 weeks to get better. Pityriasis versicolor a fungal infection that causes skin to become scaly and discoloured gets better within 5 days of treatment with ketoconazole shampoo, or after 2 to 3 weeks of treatment with the cream.
However, it can take several weeks or months for your skin colour to return to normal. Talk to your pharmacist or doctor if your symptoms are no better after 4 weeks. After your skin infection has cleared up, continue to use the cream for a few days, to stop your symptoms coming back. Dandruff and other types of seborrhoeic dermatitis can come back. You can usually use ketoconazole again if it worked well before.
When the infection is under control again, you can continue to use ketoconazole shampoo less often, so the skin infection does not come back.
Some people use ketoconazole shampoo every 1 to 2 weeks for months, or even for years, to stop dandruff or seborrhoeic dermatitis returning. Athlete's foot , jock itch and sweat rash can come back.
You can usually use ketoconazole cream again if it worked well before and as long as the infection is mild and has not spread. Pityriasis versicolor a fungal infection that causes skin to become scaly and discoloured can come back. Warm, damp conditions or being in the sun sometimes bring it back. You can then use ketoconazole shampoo 1 to 4 times a month to stop symptoms coming back. There are many different antifungal medicines. Some are available to buy from a pharmacy, and others are available on prescription.
Your doctor or a pharmacist will be able to recommend the best treatment for you, based on your condition. No, you can eat and drink normally while using ketoconazole cream or shampoo. When ketoconazole is used as a cream or shampoo, only tiny amounts are absorbed into the body.
There's no evidence that it affects the fertility of men or women. When it's used as a cream or shampoo, ketoconazole does not affect any type of contraceptive, including the combined pill or emergency contraception. Yes, you can drive or ride a bike while using ketoconazole cream or shampoo.
Page last reviewed: 24 June Next review due: 24 June Ketoconazole - Brand names: Daktarin, Dandrazol, Nizoral On this page About ketoconazole Key facts Who can and cannot use ketoconazole How and when to use ketoconazole Side effects of ketoconazole How to cope with side effects of ketoconazole Pregnancy and breastfeeding Cautions with other medicines Common questions about ketoconazole.
About ketoconazole Ketoconazole is an antifungal medicine. It treats different types of fungal infections including: athlete's foot jock itch, an infection in the groin area sweat rash intertrigo , a rash that usually appears in folds of skin dandruff and seborrhoeic dermatitis, where your scalp or other areas of your skin become scaly and dry or greasy pityriasis versicolor , sometimes called tinea versicolour, where small patches of skin become scaly and change colour Ketoconazole is available as a cream or shampoo.
Help us improve our website Can you answer a quick question about your visit today? Ketoconazole usually works within 2 to 3 weeks for most fungal infections, but it can take 6 weeks for athlete's foot to get better. It works by killing the yeasts fungi that cause the infections. The most common side effects of the cream and shampoo are irritated or red skin. For most infections, you'll usually use the cream once or twice a day and the shampoo once or twice a week.
Some people use ketoconazole shampoo every 1 to 2 weeks to help stop dandruff coming back. How often to use cream for athlete's foot, jock itch and sweat rash Use the cream once or twice a day on the infected skin and surrounding area.
How often to use shampoo or cream for seborrhoeic dermatitis Use the shampoo twice a week for 2 to 4 weeks until your symptoms have cleared. How often to use shampoo for dandruff Use the shampoo twice a week for 2 to 4 weeks, then once every 1 to 2 weeks to stop your dandruff coming back. How often to use cream or shampoo for pityriasis versicolor Use the shampoo once a day, for up to 5 days. How to use ketoconazole cream Wash and dry the infected area of skin. If you're treating your feet, make sure you dry between your toes.
Use your own towel or flannel. This stops you passing the infection on to anyone else. Gently rub the cream into the infected area and surrounding skin. You'll usually need a small amount, depending on the size of the area you're treating. Be careful not to let the cream get into your eyes or mouth.
If it does get into your eyes or mouth, rinse them with water. Wash your hands afterwards. This stops you spreading the infection to other parts of your body or other people. Do not use near high heat or open flame, or while smoking. Avoid heat or smoking until the medicine has completely dried on your skin. Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication.
Call your doctor if your symptoms do not begin to improve after 2 to 4 weeks of treatment, or if your condition gets worse. Store ketoconazole topical at room temperature. Protect from light and do not refrigerate or freeze. Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose.
Do not use two doses at one time. An overdose of ketoconazole topical is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at if anyone has accidentally swallowed the medication. Do not get this medicine in your eyes.
If contact does occur, rinse with water. Avoid covering treated skin areas with tight-fitting, synthetic clothing such as nylon or polyester that doesn't allow air to circulate to your skin. If you are treating your feet, wear clean cotton socks and sandals or shoes that allow for air circulation. Keep your feet as dry as possible. You may need to avoid sunlight if you are treating pityriasis. Follow your doctor's instructions.
Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Avoid using other medications on the areas you treat with ketoconazole topical unless your doctor tells you to.
Get emergency medical help if you have signs of an allergic reaction : hives; difficult breathing; swelling of your face, lips, tongue, or throat. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. Medicine used on the skin is not likely to be affected by other drugs you use.
But many drugs can interact with each other.
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