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 superficial fungal infections such as ringworm, athlete’s foot and seborrheic dermatitis by targeting the causative organisms on the skin.

GNH India supplies Nizoral as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches of EU‑origin product for global distribution.

Manufacturer / TM Owner

Stada Arzneimittel Ag

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Indications & Clinical Uses

Nizoral (ketoconazole) is employed to manage dermatological fungal conditions by disrupting fungal cell membranes.

  • Tinea corporis: reduces fungal proliferation and clears the body rash.
  • Tinea cruris: alleviates itching and resolves the groin infection.
  • Tinea pedis: eliminates athlete’s foot symptoms and prevents spread.
  • Seborrheic dermatitis: controls yeast overgrowth and improves scalp flaking.
  • Other superficial fungal skin infections: treats various cutaneous candidiasis and dermatophyte infections.

How It Works

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

Side Effects

Topical ketoconazole may cause local skin reactions.

Common Side Effects

  • Itching or pruritus at the application site.
  • Burning or stinging sensation.
  • Redness or erythema.
  • Dryness or flaking of the skin.
  • Mild irritation or tingling.
  • Scaling or peeling.

Serious or Rare Side Effects

  • Severe allergic reaction (e.g., angioedema, anaphylaxis).
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Contact dermatitis with extensive rash.
  • Hepatotoxicity in cases of significant systemic absorption.
  • Photosensitivity leading to exaggerated sunburn.
  • Urticaria or widespread hives.

Precautions & Warnings

Before using Nizoral, consider the following safety measures.

  • Pregnancy: consult a healthcare professional before application.
  • Breastfeeding: discuss potential risks with a physician.
  • Skin integrity: avoid use on broken, inflamed, or damaged skin.
  • Concomitant topical agents: inform the prescriber of other creams or ointments being used.
  • Allergy: discontinue immediately if signs of hypersensitivity appear.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Ketoconazole may interact with other medications when applied to the skin.

Major Interactions (Avoid)

  • Systemic azole antifungals: may increase overall azole exposure.
  • Topical corticosteroids: can mask infection signs and reduce efficacy.
  • Warfarin: potential for increased bleeding risk if systemic absorption occurs.

Moderate Interactions (Monitor Closely)

  • Oral antihistamines: may heighten local irritation.
  • Other topical antifungals: risk of cumulative skin irritation.
  • Alcohol‑based skin products: could affect drug absorption and increase dryness.

Frequently Asked Questions

Nizoral is a prescription topical antifungal indicated for superficial fungal skin infections such as tinea corporis (body ringworm), tinea cruris (jock itch), tinea pedis (athlete’s foot), seborrheic dermatitis, and other dermatophyte or yeast‑related skin 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 defective, leading to cell leakage and death of the fungus.

The dosage of Nizoral is determined by the prescribing clinician based on the infection type, severity, and patient factors. The prescriber will specify the amount of cream to apply, the frequency, and the duration of therapy.

Safety data for topical ketoconazole in pregnancy and lactation are limited. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss potential risks and benefits with their healthcare provider before using Nizoral.

To place an order, submit an enquiry on the product page at gnhindia.com, indicating 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.

Ketoconazole offers broad‑spectrum activity against dermatophytes and yeasts and is applied topically, which limits systemic exposure. Compared with allylamine agents such as terbinafine, ketoconazole may be preferred for seborrheic dermatitis, while terbinafine is often chosen for nail infections due to its longer half‑life.

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

Apply a thin layer of the cream to the affected skin area, usually twice daily, unless otherwise 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.

While rare, serious adverse reactions can include severe allergic responses such as anaphylaxis, Stevens‑Johnson syndrome, toxic epidermal necrolysis, and significant liver toxicity if systemic absorption occurs. Patients should seek immediate medical attention if they notice widespread rash, blistering, or signs of liver dysfunction.

Individuals with a known hypersensitivity to ketoconazole, other azole antifungals, or any component of the formulation should avoid using Nizoral. It is also contraindicated on severely damaged or inflamed skin until the underlying condition is resolved.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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