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INTRODUCTION

K ZPTO CREAM contains Ketoconazole which belongs to the group of medicines called Antifungals. It is used in adults to treat fungal and yeast infections which may appear on the skin of the hands, feet, genital area, trunk, groin, scalp, face, chest or back.

K ZPTO CREAM is not recommended for eye infections. Before applying K ZPTO CREAM, inform your doctor if you are using a cream, ointment or lotion that contains a steroid.

K ZPTO CREAM can be used if you are pregnant or breast-feeding, however, consult your doctor for advice. K ZPTO CREAM is not recommended for use in children and adolescents (under 18 years of age).

The most common side effects of applying K ZPTO CREAM are burning sensation, skin redness, or itching. If any of the symptoms worsen, contact your doctor.

USES OF K ZPTO CREAM

Treats the fungal or yeast infections of skin appearing on:

  • trunk, chest, back
  • hands, feet
  • scalp, face
  • groin, genitals

HOW K ZPTO CREAM WORKS

K ZPTO CREAM reduces fungal infection by inhibiting the growth of the fungus by weakening the structure and function of the fungal cell membrane.

DIRECTIONS FOR USE

Apply K ZPTO CREAM as advised by your physician. It is for external use only. Wash the infected area and dry it well.  Apply it to the affected and immediate surrounding area with clean fingers. Unless the affected skin is on your hands, wash your hands with soap and water after using K ZPTO CREAM in order to stop you from spreading the infection to other parts of your body or to other people.

Keep using K ZPTO CREAM until a few days after all symptoms have completely disappeared. This is to prevent your symptoms from recurring.

Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition. Usually, you will see improvement after 4 weeks but if you don’t, talk to your doctor.

SIDE EFFECTS OF K ZPTO CREAM

COMMON

  • burning sensation
  • skin redness or itching

UNCOMMON

  • hypersensitivity
  • raised blisters or inflammation of the skin
  • shedding of the skin
  • problems where the medicine is applied (bleeding, discomfort, dryness, inflammation, tingling)
  • skin irritation like rash
  • sticky skin

RARE

Stop applying K ZPTO CREAM and contact your doctor immediately if you experience any of the following side effects:

  • severe irritation or reddening of the skin where the medicine has been applied, or other signs of allergy during initial treatment days
  • peeling or blistering of the skin

HOW TO MANAGE SIDE EFFECTS

Rash:

Applying a cold compress, damp cloth, or cool showers can bring immediate relief to swelling and reduce itching. Avoid hot showers because hot water can further irritate your skin. Do not scratch the affected area. Use protective clothing when going outdoors. Regularly moisturize your skin. Consult your doctor if your skin rash persists.

WARNING & PRECAUTIONS

PREGNANCY

K ZPTO CREAM can be used if you are pregnant, however, consult your doctor for advice.

BREASTFEEDING

K ZPTO CREAM can be used if you are breast-feeding, however, consult your doctor for advice.

DRIVING AND USING MACHINES

K ZPTO CREAM is unlikely to affect your ability to drive or to use machinery.

ALLERGY

Do not apply K ZPTO CREAM if you are allergic to Ketoconazole or any of the other ingredients of this medicine.

OTHERS

K ZPTO CREAM is not recommended for eye infections. Consult your doctor for advice.

Use in pediatrics:

K ZPTO CREAM is not recommended for use in children and adolescents (under 18 years of age). Consult your child’s doctor for advice.

INTERACTIONS

A. Drug - Drug interactions:

Before applying K ZPTO CREAM, inform your doctor if you are using the following medicines:

  • medicines used to treat inflammatory conditions (Ex. betamethasone, hydrocortisone)

Overdosage:

If you or anyone else accidentally apply too much of K ZPTO CREAM, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose include burning sensation, redness or swelling.

SYNOPSIS

Drug :   Ketoconazole
Pharmacological Category :   Azole antifungal
Therapeutic Indication :   Fungal infections
Dosage Forms :   Tablet, Solution, Scalp Solution, Cream, Gel, Lotion, Ointment, Shampoo, Soap, Body Wash, Bar, Eye Drops, Dusting Powder, Scrub 

MORE INFORMATION

  • Keep K ZPTO CREAM out of reach of children
  • Do not store above 25°C

FAQs ABOUT K ZPTO CREAM

How often should I apply K ZPTO CREAM?

Your doctor will decide the correct dose and duration of K ZPTO CREAM for you depending upon your age, body weight and disease condition. Depending on the infection type, treatment may last 2 to 6 weeks. Do not apply it for more duration than advised by your doctor.

What if I swallow K ZPTO CREAM?

Accidental swallowing of small quantities of K ZPTO CREAM is usually harmless but, consult your doctor immediately if you or anyone else swallow it. Take the medicine with you for the doctor to know what you have ingested.

How do I apply K ZPTO CREAM?

Apply K ZPTO CREAM as directed by your physician. Wash the infected area and dry it properly. Keep a towel and a flannel for your personal use to prevent infecting anyone else. Apply the medicine gently into the affected area and surrounding skin with clean fingers. Clothing which touches the infected areas should be washed and changed frequently. Consult your doctor if you have any doubts regarding its use.

What if I forget to apply K ZPTO CREAM?

If you forget to apply K ZPTO CREAM, use as per the directions next time you apply it. Do not use the medicine two times to make up for the missed dose.

Can I stop applying K ZPTO CREAM?

Do not stop applying K ZPTO CREAM without asking your doctor. You will usually see signs of improvement after 4 weeks. If not, talk to your doctor. Continue using the medicine until a few days after all symptoms have completely disappeared. Even after your skin is completely cured, you sometimes have to apply the medicine once weekly or once per 2 weeks to prevent your symptoms from coming back.

Can I use other medicines with K ZPTO CREAM for my skin condition?

Before using K ZPTO CREAM, inform your doctor if you are taking, have taken, or might take any other medicine, including prescription, over the counter or any herbal medicine. If you have been regularly using a lotion or cream, containing a steroid (Ex. betamethasone or hydrocortisone) for your skin condition, you should wait for two weeks before starting treatment with K ZPTO CREAM. This will stop your condition flaring up while K ZPTO CREAM starts to work. If you have any queries about stopping your steroid lotion or cream, consult your doctor.

REFERENCES

1. KD. Tripathi. Antifungal Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 791, 792.

2. Hadeer Sinawe, Damian Casadesus. Ketoconazole. NIH National Library of Medicine. National Centre for Biotechnology Information. StatPearls [Internet]. June 2022. [Accessed 18th October 2022] https://www.ncbi.nlm.nih.gov/books/NBK559221/

3. Choi FD, Juhasz MLW, Atanaskova Mesinkovska N. Topical ketoconazole: a systematic review of current dermatological applications and future developments. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. October 1987. [Accessed on 18th October 2022] https://pubmed.ncbi.nlm.nih.gov/30668185/

4. Janssen Pharmaceutica NV. Health Products Regulatory Authority (HPRA). [Revised in July 2022] [Accessed on 18th October 2022] https://www.hpra.ie/img/uploaded/swedocuments/4bf3b755-f85e-41e5-916a-b7c9a7fc10d6.pdf

5. Janssen Pharmaceutica NV. Electronic Medicines Compendium (EMC). [Revised in March 2021] [Accessed 18th October 2022] https://www.medicines.org.uk/emc/files/pil.970.pdf

6. Palsons Derma. Novale scalp lotion (Ketoconazole 2%). [Accessed on 18th October 2022] https://www.palsonsderma.com/novale-scalp-lotion

7. Praise Pharma. Esava ointment. (Ketoconazole 2%). [Accessed on 18th October 2022] http://www.praisepharma.com/products/anti-fungal_esava-ointment.html

USEFUL DIAGNOSTIC TESTS

  • Microscopic examination of skin

AUTHOR DETAILS

Written By Dr. Jeenal Rajani, Pharm.D.
Last updated on 22 Oct 2022 | 07:02 PM(IST)

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