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 imidazole antifungal presented as a topical formulation for skin use. It treats a variety of superficial fungal infections in adults and children.

GNH India supplies Nizoral as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with a focus on quality and regulatory compliance.

Manufacturer / TM Owner

Stada Arzneimittel Ag

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Indications & Clinical Uses

Ketoconazole is used topically to treat fungal skin conditions by targeting dermatophyte and yeast infections.

  • Athlete's foot (tinea pedis): reduces itching and clears infection
  • Jock itch (tinea cruris): alleviates redness and eliminates fungal growth
  • Ringworm (tinea corporis): promotes healing of circular lesions
  • Seborrheic dermatitis: controls flaking and erythema on scalp and face
  • Pityriasis versicolor: restores normal skin pigmentation

How It Works

  • Ketoconazole inhibits the fungal enzyme lanosterol 14α‑demethylase, a key step in ergosterol synthesis. Disruption of ergosterol production compromises the integrity of the fungal cell membrane, leading to increased permeability and ultimately cell death. This targeted action limits fungal growth on the skin surface.

Side Effects

Topical ketoconazole may cause local skin reactions and, rarely, systemic adverse events.

Common Side Effects

  • Itching: mild to moderate pruritus at the application site
  • Burning sensation: transient heat feeling
  • Redness: localized erythema
  • Dryness: skin becomes flaky
  • Scaling: slight desquamation
  • Contact dermatitis: mild allergic response

Serious or Rare Side Effects

  • Severe allergic reaction: swelling, hives, or anaphylaxis
  • Skin ulceration: breakdown of the epidermis
  • Photosensitivity: increased sunburn risk
  • Systemic toxicity: liver enzyme elevation with extensive use
  • Stevens‑Johnson syndrome: rare mucocutaneous blistering

Precautions & Warnings

When using topical ketoconazole, consider the following safety measures.

  • Avoid use on broken skin: may increase systemic absorption
  • Do not apply near eyes or mucous membranes: risk of irritation
  • Check for hypersensitivity: discontinue if rash develops
  • Limit treatment duration: typically 2–4 weeks unless directed
  • Consult physician before combining with other topical agents: potential irritation
  • Store at room temperature: keep in original container, protect from moisture and light

Avoid Interactions

Ketoconazole can interact with certain medications and treatments.

Major Interactions (Avoid)

  • Concurrent oral ketoconazole therapy: duplicate antifungal effect and increased toxicity
  • Use with systemic CYP3A4 inhibitors (e.g., itraconazole, erythromycin): may raise systemic ketoconazole levels
  • Co‑application with other potent topical antifungals: risk of excessive irritation

Moderate Interactions (Monitor Closely)

  • Topical corticosteroids: may mask signs of irritation
  • Phototherapy (UV light): can enhance skin sensitivity
  • Other hepatotoxic drugs (e.g., high‑dose acetaminophen): monitor liver function if extensive absorption occurs

Frequently Asked Questions

Nizoral contains ketoconazole and is applied to the skin to treat superficial fungal infections such as athlete's foot, jock itch, ringworm, seborrheic dermatitis, and pityriasis versicolor. 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 fungal cell membranes. Without ergosterol, the membrane becomes unstable, leading to fungal cell death and clearance of the infection.

The prescribed amount of Nizoral is determined by a healthcare professional based on the infection type, severity, and patient age. Typically, a thin layer is applied to the affected area once or twice daily for a period recommended by the prescriber.

Safety data for topical ketoconazole during pregnancy or lactation are limited. Healthcare providers usually weigh potential benefits against risks before prescribing it to pregnant or nursing individuals. Patients should discuss any concerns with their clinician.

To order 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 (ketoconazole) belongs to the imidazole class, offering broad‑spectrum activity against dermatophytes and yeasts. Compared with allylamine agents such as terbinafine, ketoconazole has a slightly slower onset but is effective for a wide range of skin infections and is available in a convenient topical form.

Store Nizoral at room temperature, preferably below 25 °C, in its original packaging. Keep the container tightly closed, protect it from moisture and direct sunlight, and avoid freezing. Handle with clean hands and avoid contaminating the tube tip.

Clean and dry the affected skin area before use. Apply a thin, even layer of Nizoral to the lesion and a small margin of surrounding skin. Gently rub it in until it disappears, and wash hands after application unless the hands are being treated.

Although uncommon, serious reactions can include severe allergic responses such as swelling, hives, or anaphylaxis, as well as skin ulceration and rare systemic effects like liver enzyme elevation. If any of these occur, stop using the product and seek medical attention promptly.

Individuals with known hypersensitivity to ketoconazole or any component of the formulation should avoid Nizoral. It is also contraindicated on extensive broken skin, mucous membranes, or in patients who are simultaneously using oral ketoconazole without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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