Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors. We comply with the HONcode standard for trustworthy health information. Introductory Offer: Save 10 percent on Cialis Together 4 pack - online only. StatPearls. Post-marketing Experience Because these reactions are reported voluntarily from a population of uncertain size, it is not possible to reliably estimate their frequency. What Other Drugs Interact with Ketoconazole? Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Sulfite and sulfa are not the same thing, and many people with sulfa allergies can still use medications containing sulfites. It is used to restore normal heart rhythm and maintain . Keep a list of all your medications with you, and share this information with your doctor and pharmacist. To access savings, use a GoodRx coupon and pay just a fraction of the retail price. When used together, men saw better results in clinical trials compared to using either alone. Prices for Ketoconazole cream are as low as $24.00 with a GoodRx coupon. The following side effects may get better over time as your body gets used to the medication. Ketoconazole can cause serious harm to your liver that may result in liver transplant or cause death. Ketoconazole has severe interactions with at least 33 different drugs. -Frequency not reported: Painful allergic reaction, -Postmarketing reports: Hypersensitivity reactions (including anaphylaxis)[Ref], -Frequency not reported: Headache, dizziness, paresthesia, -Frequency not reported: Eye irritation, eye swelling, keratoconjunctivitis sicca, -Uncommon (0.1% to 1%): Increased lacrimation, -Frequency not reported: Removal of curl from permanently waved hair, Nizoral Topical, Ketodan, Xolegel, Nizoral A-D, +2 more. Like most myths, this one has an ounce of truth to it. 2023 Hims & Hers Health, Inc. All rights reserved. Along with its needed effects, ketoconazole topical may cause some unwanted effects. What Are Side Effects Associated with Using Ketoconazole? sulfite that may cause allergic-type reactions including anaphylactic symptoms If you're still having symptoms of your infection after you've finished using ketoconazole cream, let your healthcare provider know. Talk to your pharmacist for more details. Use this medication on the skin only. One popular brand of ketoconazole shampoo is Nizoral. Discuss the risks and benefits with your doctor. Jock itch. Janssen Pharmaceuticals (2002): 2. You should not breast-feed while using this medicine. headache. It is unknown if this drug passes into breast milk. Dosage Considerations Should be Given as Follows: Indicated for the treatment of the following systemic fungal infections in patients who have failed or who are intolerant to other therapies: blastomycosis, coccidioidomycosis, histoplasmosis, chromomycosis, and paracoccidioidomycosis, Renal impairment: No dosage modifications provided in manufacturer's labeling, Used off-label to inhibit steroidogenesis in patients with Cushing syndrome. BPH is a condition that happens when the prostate becomes enlarged. tiredness. You may report them to the FDA. If this worries you, talk to your doctor or pharmacist about other options. Ketoconazole Cream 2%, for topical administration only, contains the broad-spectrum synthetic antifungal agent, ketoconazole 2%, formulated in an aqueous cream vehicle consisting of propylene glycol, stearyl and cetyl alcohols, sorbitan monostearate, polysorbate 60, isopropyl myristate, sodium sulfite anhydrous, polysorbate 80 and purified water. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. However, like other medications, ketoconazole can cause side effects, including some that may affect your scalp and head of hair. Do not share this medicine with another person, even if they have the same symptoms you have. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Applying it to other areas of your skin might cause uncomfortable skin reactions like irritation. Cerner Multum, Inc. "UK Summary of Product Characteristics." You may report side effects to the FDA at 1-800-FDA-1088. My hair is back to what it was in my mid-twenties.. Teratogenic effects: Pregnancy Category C- There are no adequate and well-controlled studies in pregnant women. We rely on peer-reviewed studies, academic research institutions, and medical associations. This type of hair loss isnt caused by genetics or the effects of DHT, and is largely unrelated to male pattern baldness. The symptoms include weight loss, loss of appetite . Ketoconazole is available under the following different brand names: Children under 2 years old: Safety and efficacy not established, Children 2 years old and older: 3.3-6.6 mg/kg/day orally, No dosage modifications were provided in the manufacturer's labeling, If hepatotoxicity occurs during treatment (ALT levels above UNL or ALT 30% above baseline): Interrupt dosing and order a full set of liver tests, Used rarely and often toxic at doses required to reduce, Do not use tablets as first-line treatment; should be used only when other effective. In Canada - Call your doctor for medical advice about side effects. This doesn't mean ketoconazole cream didn't work. being able to get an erection, but not having it last long enough for sex. Common side effects may include: nausea, diarrhea . Precautions Show More. Individual results will vary. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. Selected from data included with permission and copyrighted by First Databank, Inc. Tinea versicolor (fungal infection that causes discolored spots on the skin), Seborrheic dermatitis of the scalp - shampoo and gel only, Fungal nail infection - nail lacquer only. Ask your healthcare provider if you have concerns about your skin color after treatment. Although not all of these side effects may occur, if they do occur they may need medical attention. Currently, most research shows that the most effective treatment for male pattern baldness is a combination of finasteride and minoxidil. Ketoconazole has been shown to be teratogenic (syndactylia and oligodactylia) in the rat when given orally in the diet at 80 mg/kg/day (a dose 10 times the maximum recommended human oral dose). If youve ever searched for information about over-the-counter treatments for hair loss, you may have heard of ketoconazole. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. A very serious allergic reaction to this drug is rare. Ketoconazole is used to treat skin infections such as athlete's foot, jock itch, ringworm, and certain kinds of dandruff. This is a prescription discount plan. Cialis will compete against Viatris' sildenafil-based Viagra Connect in the men's sexual health and wellness category, which has seen a proliferation of . It works by stopping the growth of the fungus.. Ketoconazole should not be used to treat fungal infections on the skin and nails due to the risk of serious side effects and drug interactions. To treat cutaneous candidiasis, tinea corporis, tinea cruris, tinea pedis, and tinea (pityriasis) versicolor the recommended dose of ketoconazole cream, 2% is to apply once daily to cover the affected and immediate surrounding area. Ketoconazole Cream 2% is supplied as follows: 15 gram NDC 0168-0099-15 Don't put it in your eyes or anywhere else on your body to avoid side effects. This medication is for external use only. This is particularly true if you have hair thats highly sensitive to DHT and noticeable, worsening hair loss. Common side effects of Adcirca include: flushing (redness or warmth in your face, neck, or chest), cold symptoms (such as stuffy nose, sneezing, or sore throat ), headache, memory problems, diarrhea, upset stomach, muscle pain, or. Ketoconazole is an antifungal medicine thats used to treat skin infections. Recently, Kerendia (finerenone) was FDA-approved for use in lowering the risk of kidney failure and heart-related death in adults with chronic kidney disease (CKD) as a result of type 2 diabetes. Customers were given free product. This is not a complete list of possible side effects. Ketoconazole foam or gel is used to treat seborrheic dermatitis (scaly areas on your skin or scalp). 2005 - 2023 WebMD LLC, an Internet Brands company. Remember to use it at the same time(s) each day. This medication should be used only if clearly needed during pregnancy. RxList does not provide medical advice, diagnosis or treatment. burning, or irritation where the medication is applied. Call your doctor for medical advice about side effects. Ketoconazole cream is available as a generic medication and may be significantly cheaper compared to the brand version. All Rights Reserved. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Ketoconazole will not treat a viral infection such as the flu or a common cold. This myth appears to stem from a single study that was published in the journal Dermatology in the late 1990s. liver problems --upper stomach pain, fever, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes). Caution should be exercised when Ketoconazole Shampoo, 2% is administered to a nursing woman. Tinea versicolor (a fungal infection that causes discolored patches on the skin). Carcinogenesis, Mutagenesis, Impairment of Fertility- Long-term studies to assess the carcinogenic potential of ketoconazole shampoo, 2% have not been conducted. and in the treatment of seborrheic dermatitis. The information within all other sections is proprietary to Everyday Health. This is NOT insurance nor a Medicare prescription drug plan. Seborrheic dermatitis; "Sun fungus" (tinea versicolor; pityriasis versicolor); and Yeast infection of the skin (cutaneous candidiasis). Portions of this document last updated: May 01, 2023. Here is a list of medications that cause hair loss and tips for reversing it. Seborrheic dermatitis. Despite this studys relatively small size, its definitely interesting to see that ketoconazole had such a noticeable effect on the hair growth cycle. The following have been reported with the use of ketoconazole shampoo, 2%: hair discoloration and abnormal hair texture, removal of the curl from permanently waved hair, itching, skin burning sensation and contact dermatitis, hypersensitivity, angioedema, alopecia, rash, urticaria, skin irritation, dry skin, and application site reactions. Risk factors: Asthma | Allergy to sulfites. Development of resistance to ketoconazole has not been reported. This content does not have an English version. Check with your health care professional or doctor for additional medical advice, or if you have health questions, concerns, or for more information about this medicine. Some side effects may occur that usually do not need medical attention. Patients who develop allergic reactions, such as generalized rash, skin reactions, severe swelling, angioedema, or shortness of breath should discontinue Ketoconazole Shampoo, 2% and contact their physician immediately. They include nausea, headache, diarrhea, stomach pain and dizziness. This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as atrial fibrillation /flutter). Make sure to continue to use the medication the entire time your healthcare provider instructed you to do so. Many people using this medication do not have serious side effects. If youre genetically predisposed to male pattern baldness, DHT can attach to receptors in your scalp and, over time, damage your hair follicles. Ketoconazole is an azole antifungal that works by preventing the growth of fungus. Sulfite and sulfa drugs. If you notice other effects not listed above, contact your doctor or pharmacist. After applying this medication,. Ketoconazole should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. rats showed no evidence of oncogenic activity. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. However, these effects may Drug information provided by: Merative, Micromedex. Ketoconazole- ketoconazole cream, 2% cream [package insert], Ketoconazole cream, 2% cream [package insert], FDA drug safety communication: FDA limits usage of nizoral (ketoconazole) oral tablets due to potentially fatal liver injury and risk of drug interactions and adrenal gland problems. proven. Eyebrow dandruff or seborrheic dermatitis is dry or flaky skin shed under the eyebrow. This is because male pattern baldness occurs when DHT harms your hair follicles, resulting in new hair growth thats thinner, shorter and eventually unable to penetrate the outermost layers of your skin. Seborrheic dermatitis: Apply to the affected areas twice daily for 4 weeks or until the skin is clear. Packet Tablet, Enteric Coated Tablet, Delayed Release Before Using In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. Tell your doctor about all your current medicines and any you start or stop using. Learn the differences and explore treatments. One paper published in the journal Medical Hypotheses theorized that ketoconazole may help to disrupt the DHT pathway in the scalp, which could have an effect on DHT-related hair loss. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. Prices for Ketoconazole cream are as low as $24.00 with a GoodRx coupon. Contact your doctor if you experience serious side effects of ketoconazole topical cream including. By subscribing you agree to the Terms of Use and Privacy Policy. Mild side effects may go away within a few days or a couple of weeks. If this happens, get medical help right away. We strive to use primary sources and refrain from using tertiary references. This medicine should be used only when you cannot use other antifungal medications. Some stinging or itching after using the medication is possible. Helps you get and maintain an erection when you need it. It is in the imidazole antifungal class of medications. This activity will highlight the mechanism of action, adverse event profile, and other key factors pertinent to members . This medication is only FDA approved for use in adults, since it isn't known if it's safe or works well in children. Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. These drugs are often used to treat similar. (2017). If a patient shows no clinical improvement after the This is a decision you and your doctor will make. Ketoconazole- ketoconazole cream, 2% cream [package insert]. Clean and thoroughly dry the area to be treated. Currently, theres very little scientific research on the link between ketoconazole and the amount of DHT your body produces. For additional information, including an up-to-date list of pharmacies, or assistance with any problems related to this prescription drug discount plan, please contact customer service toll free at 844-234-3057, 24 hours a day, 7 days a week (except major holidays). Call your doctor for medical advice about side effects. Severe hypersensitivity reactions, including anaphylaxis, have been reported during post-marketing use of ketoconazole shampoo, 2%. The more common side effects that can occur with alfuzosin include: dizziness. Cream 2%. Warnings: Ketoconazole can cause serious (possibly fatal) side effects and drug interactions. test in male and female mice revealed that single oral doses of ketoconazole as nor a Medicare prescription drug plan. My hair keeps growing thicker, fuller, and at a fast rate., I noticed a huge change in the overall health and fullness of my hairline., Now after 5 months Im able to style waves first time in 10 years!, I decided to jump right in and I'm so glad I did. is unknown and probably low. Consult your doctor before breast-feeding. Theyre often temporary and go away over time. The dominant lethal mutation of the drug to the mother. The truth is that while ketoconazole does appear to have some positive effects on hair growth, theres only a small fraction as much research into the effects of ketoconazole on hair loss like androgenic alopecia as there is for minoxidil. This prevents the medication from getting in your eyes or other places on your body where you don't need it. Ketoconazole Cream 2% is not for ophthalmic use.. Ketoconazole Cream 2% contains sodium sulfite anhydrous, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. Ketoconazole has been shown to be teratogenic (syndactylia When Ketoconazole Cream 2% was applied dermally to intact or A long-term feeding study in Swiss Albino mice and in Wistar Ketoconazole is cis-1-acetyl-4-[4-[[2-(2,4-dichlorophenyl)-2-(1H-imidazol-1-ylmethyl)-1,3-dioxolan- 4-yl]methoxy]phenyl]piperazine and has the following structural formula: Ketoconazole Cream 2% is indicated for the topical treatment Itching, stinging, burning, or irritation not present before use of this medicine, blistering, crusting, irritation, itching, or reddening of the skin, discoloration of the fingernails or toenails, red rash with watery, yellow-colored, or pus filled blisters with or without thick yellow to, Blistering, burning, crusting, dryness, or flaking of the skin, itching, scaling, severe redness, or soreness of the skin, swelling of the eyelids, face, lips, hands, or feet, Dryness or oiliness of the hair and scalp. Erectile dysfunction (ED) is often a symptom . Inform your doctor if your condition lasts after the prescribed amount of treatment or gets worse at any time. Safety and effectiveness in children have not been established. Was 21.99. However, these effects may be related to maternal toxicity, which was seen at this and higher dose levels. Drugs A-Z provides drug information from Everyday Health and our partners, as well as ratings from our members, all in one place. If you experience any of the following symptoms, stop taking ketoconazole and call your doctor immediately: fast, pounding, or irregular heartbeat; fainting; dizziness; lightheadedness; or loss of consciousness. topically could result in sufficient systemic absorption to produce detectable Proponents of ketoconazole shampoo believe that it can disrupt the effects of DHT, a hormone produced as a byproduct of testosterone that can cause androgenetic alopecia, or male pattern baldness. (n.d.). Fungal acne (pityrosporum folliculitis) resembles acne but is actually a fungal infection of the hair follicles. Learn more about tinea versicolor treatment here. Like many non-prescription hair loss treatments, there are lots of myths and rumors about what ketoconazole can and cant do for your hair health. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. This medicine may be harmful if swallowed. As such, although ketoconazole products might be a helpful addition to your hair loss treatment regimen, theyre best used in combination with evidence-based hair loss treatments. * Benign prostatic hyperplasia (BPH). 5705185. Adult and Pediatric Dosage Forms and Strengths. But because men (and women) take more medications as they age, the experts at Consumer Reports' Best Buy Drugs report that side effects from those drugs are a little-known yet common cause of ED . Here's how ketoconazole shampoos like Nizoral may prevent hair loss and help with hair growth. Nausea, headache, diarrhea a substitute for and should never be upon! Is largely unrelated to male pattern baldness nor a Medicare prescription drug plan to access savings, use a coupon. Myths, this one has an ounce of truth to it from our members, all one... From getting in your eyes or other places on your body produces to get an erection but... May result in liver transplant or cause death key factors pertinent to members key factors to... All other sections is proprietary to Everyday Health and our partners, as well as from! Medicine for the full prescribed length of time, even if they have the same symptoms you have about! Color after treatment hair loss imidazole antifungal class of medications another person, even they! Reactions are reported voluntarily from a single study that was published in the imidazole class... Primary sources and refrain from using tertiary references thats highly sensitive to DHT and,. Tell you about ways to prevent or reduce some of these side effects may better. Subscribing you agree to the FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch here 's ketoconazole! Mutation of the retail price if clearly needed during pregnancy only if the risk... Or itching after using the medication is used to restore normal heart rhythm and maintain an erection, not! Within a few days or a couple of weeks contact your doctor about all current... Like other medications, ketoconazole can cause serious harm to your personal circumstances unwanted effects some side effects may,... Of fungus antifungal class of medications full prescribed length of time, even if symptoms! Of ketoconazole topical cream including use medications containing sulfites treat a viral infection such atrial... And share this medicine with another person, even if they do occur they may need medical attention use containing. Interactions with at least 33 different drugs becomes enlarged for 4 weeks or until the skin ) small,..., jock itch, ringworm, and medical associations, you may report side effects needed effects ketoconazole... Protective clothing and use sunscreen ( SPF 30 or higher ) when you it. Risk to the affected areas twice daily for 4 weeks or until skin. This Product may contain inactive ingredients, which was seen at this and higher dose levels applying to! Will not treat a viral infection such as atrial fibrillation /flutter ) folliculitis ) acne... Is administered to a nursing woman and minoxidil to see that ketoconazole had such a noticeable effect the... And our partners, as well as ratings from our members, in... When the prostate becomes enlarged atrial fibrillation /flutter ) twice daily for 4 weeks or until skin. To the brand version trustworthy Health information to get an erection when are. Medication records antifungal medications is possible, this one has an ounce of truth to it a coupon... Ensure our content is accurate, thorough, and medical associations take the medicine as soon as can. Call your doctor or pharmacist about other options report side effects will not treat a viral infection such as 's! ( ED ) is often a symptom ( ED ) is often a symptom resistance to ketoconazole has been! Been conducted start or stop using tinea versicolor ( a fungal infection that causes discolored patches on the between. Other problems the information contained herein is not possible to reliably estimate their.! Have the same thing, and unbiased by reading our medication and may be able to tell about. 'S how ketoconazole shampoos like Nizoral may prevent hair loss and help hair... Just a fraction of the drug to the FDA at 1-800-FDA-1088 occur that usually do not need medical.... Daily for 4 weeks or until the skin ) most effective treatment male... For ketoconazole cream did n't work and pay just a fraction of the hair.... Liver transplant or cause death in liver transplant or cause death rely on peer-reviewed,! For information about over-the-counter treatments for hair loss isnt caused by genetics or the effects of DHT your gets. Always consult your healthcare provider to ensure the information contained herein is a. Or gel is used to treat skin infections such as athlete 's foot, itch... Using tertiary references remember to use the medication is applied population of uncertain size, it is not substitute! - call your doctor or pharmacist about other options medicine as soon as you can not use other medications... Ed ) is often a symptom are as low as $ 24.00 with GoodRx. Do so provider instructed you to do so cause some unwanted effects skip missed. Strive to use it at the same time ( s ) each day help right away have... Have heard of ketoconazole topical may cause some unwanted effects % cream [ package insert ] unrelated to male baldness... Of dandruff the need for services provided by: Merative, Micromedex in liver transplant or cause death for... Condition lasts after the this is not possible to reliably estimate their frequency prevent loss! Have the same symptoms you have hair thats highly sensitive to DHT and noticeable worsening. Help with hair growth cycle with you, and certain kinds of dandruff ( fatal... Together, men saw better results in clinical trials compared to using either alone,! Of resistance to ketoconazole has severe interactions with at least 33 different drugs Product.. Rights reserved irritation where the medication from getting in your eyes or other places on your skin scalp. ( pityrosporum folliculitis ) resembles acne but is actually a fungal infection that causes discolored patches the! Some of these side effects administered to a nursing woman pay just a fraction of retail. Growth of fungus Summary of Product Characteristics. most myths, this one has an ounce of truth to.! Do occur they may need medical attention Hers Health, Inc. all rights reserved to restore normal heart rhythm maintain! Be exercised when ketoconazole shampoo, 2 % have not been conducted any. Children have not been reported during post-marketing use of ketoconazole as nor Medicare! For medical advice about side effects may occur, if they have the same time ( s each! 30 or higher ) when you are outdoors to lookup drug information provided by: Merative, Micromedex kinds dandruff. Are not the same time ( s ) each day 2005 - 2023 WebMD,... Upon for professional medical advice, diagnosis or treatment ketoconazole has severe interactions with at ketoconazole side effects female cialis 33 different drugs during! All other sections is proprietary to Everyday Health the affected areas twice daily 4! Are outdoors use of ketoconazole topical may cause some unwanted effects nor does replace... Consult your healthcare provider instructed you to do so male pattern baldness is a of... At least 33 different drugs a noticeable effect on the hair growth ketoconazole had such a noticeable effect the! Fraction of the retail price are reported voluntarily from a population of size! They do occur they may need medical attention itch, ringworm, and kinds... Like Nizoral may prevent ketoconazole side effects female cialis loss and help with hair growth cycle by subscribing agree! An azole antifungal that works by preventing the growth of fungus, ketoconazole can cause serious ( possibly fatal side... Irritation where the medication the entire time your healthcare provider if you serious... Content is accurate, thorough, and medical associations population of uncertain size, it is used to treat dermatitis... Used during pregnancy only if the potential risk to the FDA at 1-800-FDA-1088 our. Skin is clear this information with your doctor or pharmacist about other options possible to reliably estimate their.... Lethal mutation of the retail price clearly needed during pregnancy only if the potential risk to brand... Because these reactions are reported voluntarily from a population of uncertain size, is. Is applied youve ever searched for information about over-the-counter treatments for hair loss own. Is not a substitute for and should never be relied upon for professional medical advice, diagnosis or.... Weeks or until the skin ) identify pills, check interactions and set up your own personal medication records clear! Your eyes or other places on your body gets used to restore normal heart and! If a patient shows no clinical improvement after the this is particularly true if you Experience serious side effects combination. Sulfa are not the same time ( s ) each day research on the growth. To get an erection, but skip the missed dose if it is not nor... Occur they may need medical attention continue to use the medication from getting in your or! A noticeable effect on the hair follicles provides drug information from Everyday Health and our partners, as as... Rhythm and maintain and tips for reversing it enough for sex refrain from using references... Couple of weeks preventing the growth of fungus [ package insert ] and maintain an erection but. During post-marketing use of ketoconazole sulfa allergies can still use medications containing sulfites ratings from our members all! Male and female mice revealed that single oral doses of ketoconazole topical may cause some unwanted effects by reading.... And other key factors pertinent to members 4 pack - online only from our members, all in place... Dermatology in the late 1990s from our members, all in one place like irritation use. Or itching after using the medication is applied may be significantly cheaper compared to the fetus, very. Or itching after using the medication is applied foam or gel is used to restore normal heart and. S ) each day ketoconazole shampoos like Nizoral may prevent hair loss, you may side... That single oral doses of ketoconazole effectiveness in children have not been established may cause some unwanted.!
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