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 topical use. It treats common superficial fungal infections such as tinea corporis, tinea cruris, tinea pedis, seborrheic dermatitis and pityriasis versicolor in adults and children.\n\nGNH India supplies Nizoral as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Stada Lda.

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Indications & Clinical Uses

  • Ketoconazole is an azole antifungal used to treat superficial fungal infections affecting the skin and scalp.\n\n- Tinea corporis: clears ring‑shaped skin lesions caused by dermatophytes.\n- Tinea cruris: resolves itching and redness in the groin area.\n- Tinea pedis: eliminates athlete's foot symptoms on the feet.\n- Seborrheic dermatitis: reduces flaking and erythema on the scalp and face.\n- Pityriasis versicolor: normalises skin pigmentation disrupted by 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 the integrity of the fungal cell membrane, leading to increased permeability and ultimately cell death, while sparing human cells.

Side Effects

  • Ketoconazole topical therapy may cause local skin reactions.\n\nCommon Side Effects:\n- Burning sensation: mild to moderate discomfort at the application site.\n- Itching: transient pruritus following use.\n- Redness: erythema localized to treated area.\n- Dryness: skin may feel less moisturised.\n- Peeling: superficial desquamation of skin.\n\nSerious or Rare Side Effects:\n- Severe allergic reaction: swelling, hives or difficulty breathing.\n- Contact dermatitis: intense rash or blistering.\n- Systemic absorption leading to hepatotoxicity: rare but possible with extensive use.

Precautions & Warnings

  • Before using Nizoral, consider the following precautions.\n\n- Avoid occlusive dressings: may increase systemic absorption.\n- Do not apply to broken skin: risk of irritation.\n- Limit use to prescribed area: avoid spreading to unaffected skin.\n- Monitor for allergic reactions: discontinue if severe rash develops.\n- Pregnancy and lactation: consult healthcare professional before use.\n- Store below 25°C: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

  • Ketoconazole topical can interact with certain substances and treatments.\n\nMajor Interactions (Avoid):\n- Oral ketoconazole: additive risk of hepatotoxicity.\n- Systemic azole antifungals (e.g., itraconazole): may increase systemic exposure.\n\nModerate Interactions (Monitor Closely):\n- Concurrent topical corticosteroids: may enhance skin irritation.\n- Occlusive dressings: can raise systemic absorption.\n- Alcohol‑based skin products: may affect barrier function and increase irritation.

Frequently Asked Questions

Nizoral, containing ketoconazole, is indicated for superficial fungal infections such as tinea corporis (ringworm), tinea cruris (jock itch), tinea pedis (athlete’s foot), seborrheic dermatitis (scalp flaking) and pityriasis versicolor (skin discoloration).

Ketoconazole blocks the fungal enzyme lanosterol 14α‑demethylase, preventing the synthesis of ergosterol, an essential component of the fungal cell membrane. This disruption compromises membrane integrity, leading to fungal cell death while sparing human cells.

The specific dose and frequency of Nizoral are determined by the prescribing healthcare professional based on the infection type, severity, patient age and other clinical factors. Patients should follow the prescriber’s instructions exactly.

Safety of ketoconazole topical use in pregnancy or lactation has not been fully established. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss potential risks and benefits with their healthcare provider before using Nizoral.

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.

Ketoconazole belongs to the azole class, offering 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 and scalp infections, especially those involving Malassezia species.

Store Nizoral below 25 °C in its original packaging, protecting it from moisture, heat and direct sunlight. Ensure the container is tightly closed to maintain product stability throughout its shelf life.

Apply a thin layer of the cream to the affected skin area once or twice daily, as directed by the prescriber. Gently massage 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 swelling, hives, or difficulty breathing, and systemic effects like hepatotoxicity if significant absorption occurs. Immediate medical attention is required if these symptoms develop.

Nizoral should not be used on broken or severely inflamed skin, in individuals with known hypersensitivity to ketoconazole or any formulation component, and it is contraindicated when occlusive dressings are applied over the treated area without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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