Ketoconazole Topical

  • Brand Name : Nizoral
  • Drug Class : N/A
  • Medical Author : Nazneen Memon, BHMS, PGDCR
  • Medical Reviewer : Divya Jacob, Pharm. D.
  • _eael_post_view_count : 10

What Is Ketoconazole Topical and How Does It Work?

Ketoconazole Topical is a prescription medicine used to treat the symptoms of fungal infections such as athlete’s foot, jock itch, ringworm, and seborrhoea (dry, flaking skin or dandruff).

What Are Dosages of Ketoconazole Topical?

Adult and pediatric dosage

Cream/Gel/Foam

  • 2%

Shampoo

  • 1%
  • 2%

Seborrheic Dermatitis

Adult dosage

  • Foam: Apply to the affected area every 12 hours for 4 weeks
  • Cream: Apply every 12 hours for 4 weeks or until clear
  • Shampoo: Apply twice weekly for 4 weeks, with at least 3 days between each shampoo
  • Gel: Apply to affected area once daily for 2 weeks

Pediatric dosage

  • Children below 12 years: Safety and efficacy not established
  • Children above 12 years (cream/foam): Apply to the affected area every 12 hours for 4 weeks
  • Children above 12 years (gel): Apply to affected area once daily for 2 weeks

Dandruff

Adult and pediatric dosage

Shampoo (1%; OTC label)

  • Adults and children above 12 years: Use every 3-4 days for up to 8 weeks; then apply only as needed for dandruff control

Tinea Versicolor

Adult dosage 

Shampoo (2%)

  • Apply to the affected area of damp skin, lather, wait 5 min, and rinse (one application usually sufficient)

Cream

  • Apply once daily to cover affected and immediate surrounding area for 2 weeks

Tinea Corporis, Tinea Cruris, Tinea Pedis

Adult dosage

  • Cream: Apply once daily for 2 weeks (6 weeks for tinea pedis), covering the affected area

Dosage Considerations – Should be Given as Follows: 

  • See “Dosages”

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