Product image of Nizax Activ (Ketoconazole) supplied by GNH India

Nizax Activ

Active Ingredient:
Ketoconazole
Origin:
EU

Nizax Activ (Ketoconazole)

Ketoconazole, the active ingredient in Nizax Activ, is an azole antifungal presented as a topical formulation for cutaneous use. It treats a range of superficial fungal skin infections in both adults and children.
GNH India supplies Nizax Activ as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Hasco-Lek

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Indications & Clinical Uses

Ketoconazole is used to treat fungal skin conditions by inhibiting the growth of dermatophytes and yeasts.

  • Tinea corporis (ringworm): clears lesions and stops fungal proliferation.
  • Tinea pedis (athlete's foot): reduces scaling and itching while eradicating the causative fungus.
  • Tinea cruris (jock itch): alleviates redness and irritation by eliminating fungal colonies.
  • Seborrheic dermatitis: controls flaking and erythema on scalp and face.
  • Candidal skin infection: treats localized Candida overgrowth on skin folds.
  • Pityriasis versicolor: restores normal skin pigmentation by removing Malassezia species.

How It Works

  • Ketoconazole inhibits the fungal enzyme lanosterol 14α‑demethylase, a key step in ergosterol synthesis. By blocking ergosterol production, the drug disrupts fungal cell membrane integrity, leading to increased permeability and ultimately cell death, which halts the progression of the infection on the skin surface.

Side Effects

Ketoconazole may cause local reactions when applied to the skin.

Common Side Effects

  • Burning or stinging sensation at the application site.
  • Itching or mild irritation.
  • Redness or erythema.
  • Dry or flaky skin.
  • Mild contact dermatitis.

Serious or Rare Side Effects

  • Severe allergic reaction (e.g., swelling, hives, difficulty breathing).
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Bullous dermatitis or extensive skin blistering.
  • Significant skin discoloration.
  • Systemic toxicity such as hepatic dysfunction (rare with topical use).

Precautions & Warnings

When using Nizax Activ, consider the following safety measures.

  • Avoid application on broken or inflamed skin: may increase systemic absorption.
  • Do not use on extensive body surface areas without medical supervision.
  • Keep away from eyes, ears, and mucous membranes: avoid irritation.
  • Discontinue use if severe irritation or allergic reaction occurs and seek medical advice.
  • Store at room temperature: keep in the original container, protect from moisture and direct light.

Avoid Interactions

Ketoconazole topical can interact with other agents applied to the skin or taken systemically.

Major Interactions (Avoid)

  • Concurrent systemic azole antifungals (e.g., oral itraconazole): increased risk of hepatotoxicity.
  • Use with potent topical corticosteroids on the same area: may mask infection signs.

Moderate Interactions (Monitor Closely)

  • Alcohol‑based skin products: may enhance local irritation.
  • Other topical irritants (e.g., retinoids, benzoyl peroxide): monitor for increased sensitivity.
  • Phototherapy or UV exposure: may heighten skin reaction risk.

Frequently Asked Questions

Nizax Activ is a topical formulation containing ketoconazole that is prescribed for superficial fungal skin infections such as ringworm, athlete's foot, jock itch, seborrheic dermatitis, candidal skin infections, and pityriasis versicolor. It works by eliminating the fungi responsible for these conditions, helping to clear lesions and relieve symptoms.

Ketoconazole blocks the fungal enzyme lanosterol 14α‑demethylase, which is essential for producing ergosterol, a key component of fungal cell membranes. Without ergosterol, the membrane becomes defective, leading to fungal cell death and halting the spread of infection on the skin.

The specific dosage and frequency for Nizax Activ are determined by the prescribing healthcare professional based on the type and severity of the infection, the patient’s age, and other clinical factors. Patients should follow the prescriber’s instructions and the product label.

Safety data for topical ketoconazole during pregnancy and lactation are limited. Healthcare providers generally weigh the benefits against potential risks before prescribing. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss use with their clinician.

To request Nizax Activ, visit the product page on gnhindia.com, enter the required quantity, and submit the enquiry form. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any necessary import documentation.

Compared with other topical antifungals such as clotrimazole or terbinafine, ketoconazole offers a broad spectrum against dermatophytes, yeasts, and some molds. Its azole class mechanism differs from allylamines like terbinafine, which target a separate step in ergosterol synthesis, providing clinicians with alternative options based on pathogen susceptibility and patient tolerance.

Nizax Activ should be stored at room temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct sunlight, and ensure the container is tightly closed when not in use.

Apply a thin layer of the cream or ointment to the affected skin area once or twice daily, as directed by the prescriber. Gently rub it in until fully absorbed, and wash hands before and after application to avoid accidental contact with eyes or mucous membranes.

While generally well tolerated, serious risks include severe allergic reactions such as swelling, hives, or difficulty breathing, and rare but severe skin conditions like Stevens‑Johnson syndrome or toxic epidermal necrolysis. Immediate medical attention is required if any of these symptoms develop.

Individuals with known hypersensitivity to ketoconazole or any component of the formulation should avoid using Nizax Activ. It is also contraindicated on extensive broken skin, in patients with severe liver disease when systemic absorption is possible, and in those where a safer alternative is available.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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