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 formulation for skin use. It treats fungal infections such as tinea corporis, tinea cruris, tinea pedis, seborrheic dermatitis and pityriasis versicolor in adults and children.

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 that interferes with fungal cell membrane synthesis, making it effective for a range of superficial mycoses.

  • Tinea corporis: reduces lesion size and clears infection on body skin.
  • Tinea cruris: alleviates itching and eliminates fungal growth in the groin area.
  • Tinea pedis: treats athlete's foot by eradicating dermatophytes on the feet.
  • Seborrheic dermatitis: controls flaking and redness on scalp and face.
  • Pityriasis versicolor: restores normal skin pigmentation by eliminating 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. This targeted action limits fungal growth on the skin surface.

Side Effects

Ketoconazole may cause local skin reactions when applied topically.

Common Side Effects

  • Itching: mild to moderate sensation at the application site.
  • Burning: transient heat sensation during or after use.
  • Redness: localized erythema around the treated area.
  • Dryness: skin may feel less moisturized.
  • Irritation: mild discomfort or stinging.
  • Scaling: flaking of the outer skin layer.

Serious or Rare Side Effects

  • Contact dermatitis: severe allergic skin reaction requiring medical attention.
  • Severe skin irritation: extensive redness or swelling.
  • Systemic absorption leading to liver enzyme abnormalities (rare with topical use).
  • Allergic reactions: hives, swelling of face or throat.
  • Stevens‑Johnson syndrome: rare but life‑threatening skin disorder.
  • Photosensitivity: increased sensitivity to sunlight.

Precautions & Warnings

When using topical ketoconazole, observe the following safety measures.

  • Avoid application on broken skin: limit use to intact epidermis.
  • Do not use with occlusive dressings: may increase drug absorption.
  • Discontinue if severe irritation occurs: seek medical advice.
  • Avoid use in patients with known ketoconazole hypersensitivity: risk of allergic reaction.
  • Store at room temperature below 25°C: keep in the original pack, protect from moisture and light.

Avoid Interactions

Ketoconazole can interact with other topical agents; consider the following.

Major Interactions (Avoid)

  • Concurrent use of oral ketoconazole: may increase systemic exposure.
  • Co‑application with other azole antifungals: risk of additive irritation.
  • Use with potent corticosteroid creams: may mask infection signs.
  • Use with photosensitizing agents: increased risk of phototoxicity.

Moderate Interactions (Monitor Closely)

  • Use with topical retinoids: may increase skin irritation.
  • Use with products containing alcohol: may cause excessive dryness.

Frequently Asked Questions

Nizoral is a topical antifungal medication indicated for the treatment of superficial fungal infections such as tinea corporis (body ringworm), tinea cruris (jock itch), tinea pedis (athlete’s foot), seborrheic dermatitis, and pityriasis versicolor. It works on the skin surface to eliminate the causative fungi and relieve associated 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 increased permeability and cell death, thereby clearing the infection.

The exact dosing regimen for Nizoral is determined by the prescribing healthcare professional based on the specific indication, severity of infection, patient age, and skin area involved. Typically, the product is applied once or twice daily to the affected area, but the prescriber provides the final instructions.

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

To request Nizoral, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details (including any cold‑chain requirements) and required import documentation.

Nizoral belongs to the azole class, which inhibits ergosterol synthesis. Compared with allylamine agents such as terbinafine, azoles have a broader spectrum against yeasts and dermatophytes but may cause more local irritation. Choice of therapy depends on the specific fungus, infection site, patient tolerance and clinician preference.

Store Nizoral at room temperature 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 to maintain stability.

Clean and gently dry the affected skin area before use. Apply a thin layer of the cream or lotion to the lesion and a small margin of surrounding skin, usually once or twice daily as directed by the prescriber. Wash hands after application unless treating the hands themselves.

While most reactions are mild, serious adverse events can include severe contact dermatitis, systemic absorption leading to liver enzyme changes (rare with topical use), allergic reactions such as hives or swelling, and, in extremely rare cases, Stevens‑Johnson syndrome. Prompt medical attention is required if any severe symptoms develop.

Nizoral should be avoided in individuals with a known hypersensitivity to ketoconazole or any other azole antifungal. It is also contraindicated on severely damaged or broken skin, and caution is advised in patients with pre‑existing liver disease when systemic absorption is possible.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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