Nizoral
(ketoconazole) - ORAL
(kee-toe-CON-uh-zole)
COMMON BRAND NAME(S):
Nizoral® , Nizoral AD®.
WARNING:
Nizoral has caused severe, even fatal, liver problems.
Notify your doctor immediately if you develop dark
urine, abdominal or stomach pain, yellowing of the
skin or eyes, or unusual fatigue. Cisapride must not
be used when using ketoconazole. Serious heart problems
could result. You will be closely monitored while using
Nizoral.
USES:
Nizoral (ketoconazole) cream is used to treat tinea corporis
(ringworm; fungal skin infection that causes a red
scaly rash on different parts of the body), tinea cruris
(jock itch; fungal infection of the skin in the groin
or buttocks), tinea pedis (athlete's foot; fungal infection
of the skin on the feet and between the toes), tinea
versicolor (fungal infection that causes brown or light
colored spots on the chest, back, arms, legs, or neck),
and yeast infections of the skin.
HOW TO USE:
Take Nizoral (ketoconazole) as directed by your doctor.
Nizoral is usually given as a single daily dose. Nizoral
may be taken with a meal or snack to alleviate stomach
upset. Nizoral may take from several days to several
months to complete treatment. This depends upon the
type and location of the infection. Take Nizoral (ketoconazole)
at least 2 hours before taking any antacid or acid-reducing
drugs. Continue to take Nizoral until the full prescribed
amount is finished, even if symptoms disappear after
a few days. Stopping Nizoral too early may allow the
infection to continue, resulting in a return of the
infection.
SIDE EFFECTS:
You may experience diarrhea, nausea, vomiting, drowsiness,
dizziness, menstrual irregularities, impotence, increased
sensitivity of eyes to light, breast tenderness or
enlargement, or headache as your body adjusts to the
med. If these symptoms persist or get worse, contact
your doctor. Notify your doctor if you experience:
loss of appetite, dark urine, pale stools, yellowing
of the eyes or skin, soreness of the mouth/tongue/throat,
fatigue. In the unlikely event you have an allergic
reaction to Nizoral (ketoconazole), seek immediate
medical attention. Symptoms of an allergic reaction
include: rash, itching, swelling, dizziness, trouble
breathing. If you notice other effects not listed above,
contact your doctor or pharmacist.
PRECAUTIONS:
Tell your doctor your medical history especially: liver
disease, history of alcohol use, digestion problems,
any drug allergies. Do not consume alcoholic beverages
while taking this drug. Nizoral should be used during
pregnancy only when clearly needed. Discuss the risks
and benefits with your doctor. Ketoconazole may be
excreted into breast milk. The manufacturer of Nizoral
(ketoconazole) recommends you do not breast-feed while
using this drug. Consult your doctor before breast-feeding.
DRUG INTERACTIONS:
Nizoral (ketoconazole) is not recommended for use with:
nevirapine. Ask your doctor or pharmacist for more
details. Tell your doctor of all prescription and nonprescription
drugs you may use, especially: drugs used for ulcers
or heartburn (e.g., cimetidine or omeprazole-like drugs),
antacids, certain antihistamines (terfenadine, astemizole),
warfarin, phenytoin, rifampin, rifabutin, cisapride,
certain anticholinergic drugs (e.g., propantheline),
indinavir. Do not start or stop any medicine without
doctor or pharmacist approval.
OVERDOSE:
If Nizoral overdose is suspected, contact your local
poison control center or emergency room immediately.
NOTES:
Nizoral is prescribed for your current condition only.
Do not use it for another infection or share it with
others. Another infection later on may require a different
medicine.
MISSED DOSE:
If you miss a dose, take it as soon as remembered. If
it is almost time for the next dose, take the missed
dose and the scheduled dose 12 hours apart, then resume
your usual dosing schedule.
STORAGE:
Store Nizoral (ketoconazole)at room temperature away
from sunlight and moisture. Do not store in the bathroom.
