Product image of Nizoral (Ketoconazole) supplied by GNH India

Nizoral

Active Ingredient:
Ketoconazole
Origin:
EU

Nizoral (Ketoconazole)

Ketoconazole, the active ingredient in Nizoral, is an azole antifungal presented as a topical cream for topical use. It treats common fungal skin conditions such as tinea corporis, tinea cruris, tinea pedis, seborrheic dermatitis and pityriasis versicolor in both adults and children, and is marketed throughout the European Union.

GNH India supplies Nizoral as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Stada Arzneimittel Ag

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Indications & Clinical Uses

Ketoconazole is an azole antifungal used to manage superficial fungal infections of the skin and scalp.

  • Tinea corporis: reduces redness, scaling and itching caused by body ringworm.
  • Tinea cruris: clears fungal infection in the groin area, relieving irritation and rash.
  • Tinea pedis: eliminates athlete's foot symptoms, including peeling and odor.
  • Seborrheic dermatitis: controls flaking and redness of the scalp and face.
  • Pityriasis versicolor: restores normal skin pigmentation by eradicating yeast overgrowth.

How It Works

  • Ketoconazole inhibits the fungal enzyme lanosterol 14α‑demethylase, a key step in ergosterol synthesis. By blocking ergosterol production, the drug disrupts the integrity of the fungal cell membrane, leading to increased permeability and ultimately cell death, thereby limiting the growth of susceptible dermatophytes and yeasts.

Side Effects

Ketoconazole topical therapy may cause local skin reactions.

Common Side Effects

  • Burning sensation: mild to moderate discomfort at the application site.
  • Itching: transient pruritus during treatment.
  • Irritation: redness or mild inflammation of the skin.
  • Dryness: temporary loss of skin moisture.
  • Redness: localized erythema.
  • Scaling: flaking of the outer skin layer.

Serious or Rare Side Effects

  • Allergic reaction: hives, swelling, or difficulty breathing.
  • Severe skin rash: widespread erythema or blistering.
  • Contact dermatitis: intense inflammation and itching.
  • Swelling of face or lips: angioedema.
  • Systemic absorption symptoms: rare, may include nausea or headache.
  • Photosensitivity: heightened skin sensitivity to sunlight.

Precautions & Warnings

Before using Nizoral, consider the following safety measures.

  • Avoid use on broken skin: apply only to intact epidermis to reduce irritation.
  • Do not apply near eyes: prevent accidental contact with ocular mucosa.
  • Limit sunlight exposure: use sunscreen if treated area will be exposed to UV light.
  • Review concurrent topical agents: discuss with a healthcare professional before combining with other creams or ointments.
  • Monitor for allergic reactions: discontinue use and seek medical advice if signs of hypersensitivity appear.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Ketoconazole topical may interact with certain other dermatologic products.

Major Interactions (Avoid)

  • Concurrent systemic azole antifungals: increased risk of systemic toxicity.
  • Use with potent corticosteroid creams: may amplify local skin thinning.

Moderate Interactions (Monitor Closely)

  • Alcohol‑based skin products: can alter absorption and increase irritation.
  • Other antifungal topicals: overlapping use may cause cumulative irritation.
  • Herbal or cosmetic preparations: monitor for unexpected skin reactions.

Frequently Asked Questions

Nizoral contains ketoconazole and is indicated for superficial fungal infections such as tinea corporis (body ringworm), tinea cruris (jock itch), tinea pedis (athlete's foot), seborrheic dermatitis (scalp and facial flaking), and pityriasis versicolor (skin discoloration). It works by eliminating the fungi that cause these conditions.

Ketoconazole blocks the fungal enzyme lanosterol 14α‑demethylase, which is essential for producing ergosterol, a key component of the fungal cell membrane. Without ergosterol, the membrane becomes unstable, leading to fungal cell death and resolution of the infection.

The specific amount and frequency of Nizoral application are determined by the prescribing healthcare professional based on the infection type, severity, patient age, and treatment site. Patients should follow the prescriber’s instructions and the product label.

Safety data for ketoconazole topical use in pregnancy and lactation are limited. Healthcare providers should evaluate the potential benefits against any possible risks before prescribing Nizoral to pregnant or nursing individuals.

To request Nizoral, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. 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.

Nizoral’s active ingredient, ketoconazole, belongs to the azole class, which offers broad‑spectrum activity against dermatophytes and yeasts. Compared with allylamine agents such as terbinafine, ketoconazole may have a slightly slower onset but is effective for a wide range of skin infections and is available in a convenient topical formulation.

Store Nizoral at room temperature, ideally below 25 °C. Keep the tube tightly closed, in its original packaging, and protect it from moisture and direct sunlight to maintain product stability.

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

Although rare, serious adverse reactions can include severe allergic responses such as hives, swelling of the face or lips, and widespread skin rash or blistering. If any of these symptoms occur, discontinue use immediately and seek medical attention.

Individuals with known hypersensitivity to ketoconazole, other azole antifungals, or any component of the formulation should avoid using Nizoral. It should also not be applied to broken or inflamed skin, and caution is advised for patients with extensive skin conditions without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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