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Ketoconazole cream is a drug that has antibacterial, fungicidal and fungistatic effects. A medication is used in the treatment of infectious diseases caused by fungi.

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Ketoconazole cream instruction for use

Fungal diseases of the skin, mucous membranes and nails are not as dangerous as they might seem at first glance. However, the symptoms of these pathologies are very unpleasant. They poison a person’s life, introducing discomfort, constraint, discomfort into it. It is not only possible to treat the fungus, but also necessary. Antibiotics and popular immunomodulators are not suitable for this. It is necessary to influence the source of the disease with the help of special drugs. Ketoconazole belongs to such.

The composition of the medication

Ketoconazole ointment is actually called a cream. Even the manufacturer names the drug with this word. At the same time, consumers stubbornly continue to declare that they use ointment. The effectiveness of the treatment and the essence of the problem does not change from this, so you should not focus on this issue. First, find out how the Ketoconazole (ointment) instructions characterize and what the manufacturer advises its potential customers.

The drug contains the same active substance: ketoconazole. Each gram of medication contains 20 mg of the main component. This allows you to declare the concentration of the ointment (2%). As auxiliary substances, the manufacturer chooses: cytostearyl alcohol, propylene glycol, octyldodecanol, anhydrous sodium sulfite, glycerin, propyl parahydroxybenzoate, methyl parahydroxybenzoate, and also purified water.

“Ketoconazole” (ointment) is called an antifungal, fungicidal and antiandrogenic drug intended for topical application. You can describe the medicine as a white substance without a pungent odor. The dense consistency prompts us not to call the ketoconazole ointment cream. Indeed, many consumers have the impression that the cream is something light, close to the gel. Then the substance is not like that.

The effect of this drug is due to its constituent components. Ketoconazole inhibits and alters the lipid components of fungi. Due to this, their reproduction and negative effect on the human body is suppressed. Clinical studies have shown that Ketoconazole ointment is not absorbed into the bloodstream. Even with prolonged use, its basic substances are not detected in plasma. After external application, the medicine acts quickly and effectively. Establishment of resistance of microorganisms to the active substance does not occur.

Indications for use

The effectiveness of ketoconazole has been proven in the treatment of systemic and superficial mycoses. Ointment is also used for prophylaxis to prevent fungal infections if a person has lowered immunological resistance. Indications for use of ketoconazole ointment:

  • seborrheic dermatitis;
  • candidiasis of the skin;
  • pityriasis versicolor;
  • epidermophytosis of the hands and feet;
  • dermatomycosis of smooth skin;
  • inguinal epidermophytosis;
  • pityriasis versicolor.

Acne Ketoconazole

The cream effectively and quickly removes acne, which has an antifungal nature. It is not recommended to treat any skin rash on your own. You need to start with a visit to a dermatologist, who will direct you to the tests to determine the type of pathogen, and then prescribe the appropriate therapy. If Ketoconazole cream is prescribed, then acne is caused by fungal skin lesions. The drug should be used until the last pimple disappears, so as not to provoke a relapse of inflammation. Apply ointment according to the scheme prescribed by the doctor for the time specified by him.

With dandruff

Among antifungal drugs with ketoconazole, the ointment is considered the most effective against dandruff. She is able to not only cope with scaly exfoliation of particles of the scalp, but also with dermatitis, eczema. The use of ointment relieves a person of seborrhea, unpleasant itching, improves hair condition. After use, the release of sebum is reduced, which allows the scalp to remain clean for a long time. Ketoconazole ointment is used as a prophylaxis and treatment of seborrheic dermatitis, if a person has the prerequisites for this disease.

From thrush

In gynecological practice, cream with ketoconazole is used for the prevention and treatment of thrush. The drug inhibits the reproduction of fungi and quickly kills them on the surface of the mucous membrane. Symptoms of thrush with Ketoconazole are already 3-4 days. With vaginal candidiasis, the ointment is used within 2-3 weeks after the acute symptoms subside. It should be remembered that if cracks and injuries of the mucous membrane or surrounding skin are present, this drug should not be used.

How to use Ketoconazole cream

If the dermatologist has not prescribed an individual treatment regimen, then the method of applying the cream is standard. A synthetic antifungal agent is applied to the affected skin in an even layer. Before use, it is necessary to prepare the surface: wash with soap and dry thoroughly. Ketoconazole should be applied once / day, preferably in the evening. For the best therapeutic effect of the ointment, it is necessary to ensure good absorption.

For this reason, in the treatment of foot mycosis after application of the drug, one should refrain from wearing shoes for some time. If dermatomycosis of the skin is in a serious stage, then applying the cream is allowed twice a day. An overdose even with prolonged use of this antifungal agent is unlikely. The course of treatment of dermatomycosis of the feet and nail fungus is 4-6 weeks, mycoses accompanied by skin itching – 3-4 weeks, pityriasis versicolor – up to 3 weeks, seborrheic dermatitis – from 2 to 4 weeks.

Ketoconazole during pregnancy

This dosage form of ketoconazole is allowed to be used during pregnancy. Since the cream only affects the desired area of ​​the skin, the active substance of the drug does not penetrate the blood. There are no official prohibitions on the use of the drug during lactation, but you must consult a doctor before use. During breastfeeding, the cream can not be applied to the area of ​​the mammary glands.
Drug interaction

It is undesirable to use Ketoconazole cream at the same time as hepatotoxic drugs, since the risk of impaired liver function and disulfiram-like reactions increases. The instructions for use indicate that ketoconazole enhances:

  • plasma concentration of triazolam, methylprednisolone, digoxin, cyclosporine, indirect anticoagulants;
  • bioavailability of indinavir;
  • phenytoin toxicity;
  • with simultaneous use along with oral contraceptives, which contain a small amount of hormones, there is a risk of bleeding;
  • with simultaneous use with cisapride, terfenadine, astemizole, there is a risk of ventricular tachycardia.

Usage Tips

If the drug is prescribed by a doctor, then the patient must be given individual recommendations. They are made based on complaints and the clinical picture. Self-medication with the described medication is not prohibited, but in order to achieve the desired result, some rules must be taken into account. If you exclude contacting a medical institution, then do not ignore the instructions.

  1. Ketoconazole cream is intended for external use. Do not apply medicine to eye area. If this incident occurred, then you need to rinse the organs of vision with clean water and appear to the doctor.
  2. If no improvement is observed within a month of regular use, then bacteriological seeding should be done and the sensitivity of the fungi to other drugs should be determined.
  3. Treatment with corticosteroids can be combined with the use of Ketoconazole ointment. A sharp cancellation of them can provoke the appearance of itching and redness. The doctor will help you choose the right regimen for changing the medication.
  4. Follow the rules of hygiene during therapy: often change clothes, use a personal towel and manicure accessories. When treating nail fungus, discard decorative varnishes.
  5. Try not to skip the use of the medication. If this happens, apply the ointment as soon as possible.

Keep the cream at a temperature of 15 to 25 degrees, you can not freeze. Protect the medicine from children.

Overdose and adverse reactions

Due to the fact that the cream is not absorbed into the bloodstream, it almost never causes overdose symptoms. But the manufacturer warns that excessive use of the drug and its uncontrolled application can provoke swelling, burning and redness of the skin. Additional therapy for this condition does not require. Reduce the dose of antifungal ointment and unpleasant symptoms disappear.

If at the place of application you find severe redness or burning, which is not caused by an overdose of the drug, then consult a doctor immediately. This is likely a sign of contact dermatitis, and you should choose another antifungal medicine.

Price and where to buy Ketoconazole cream online?

Typically, prices for Ketoconazole Cream range from $ 40 per tube, depending on the country of residence. To buy Ketoconazole cream online over the counter, use our website, you will receive a 10% discount and home delivery within 3 days after ordering.