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Nizoral Ketoconazole Cream 40 g

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Ketoconazole is used to treat skin infections such as athlete's foot, jock itch, ringworm, and certain kinds of dandruff. This medication is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Ketoconazole is an azole antifungal that works by preventing the growth of fungu.

Plase consult your doctor before to use any medication


Nizoral Cream 40g Janssen-Cilag (Johnson & Johnson)

Pharmacotherapeutic group of this medicine:

Topical antifungals. Imidazole derivatives. Topical ketoconazole is a nonsteroidal compound.

Cream for external use 2% white, homogeneous.

Active ingredient

per 1 g


20 mg


Excipients: propylene glycol - 200 mg (equivalent 193 μl), stearyl alcohol - 75 mg, cetyl alcohol - 20 mg, sorbitan stearate - 20 mg, polysorbate 60 (Tween 60) - 15 mg, isopropyl myristate - 10 mg, anhydrous sodium sulfite - 2 mg, polysorbate 80 (Tween 80) - 1 mg, purified water - up to 1 g (637 μl).

Еhe price of analogues of this cream is much lower, but if you want a quality product, then buy Nizoral in our store.

The drug has many analogues, on our online store you can find such ointment as Nastil (generic of Nizoral Ketoconazole Cream 2% 40 g).


Instructions for use

Only for external use.

Topical Nizoral (brand name) ointment is for use in adults to treat fungal infections of the epidermis, scalp and nails:

- Dermatomycosis of smooth skin

- Inguinal epidermophytosis

- Folliculitis caused by fungi of the Malassezia genus;

- Epidermophytosis of the hands and feet

- candidiasis of the skin and mucous membranes (including the mouth and throat)

- Chronic recurrent vaginal candidiasis

- Pityriasis versicolor

- Seborrheic dermatitis caused by Pityrosporum yeast

- Tinea Cruris

- Tinea Pedis

- Tinea Manus

- Ringworm.

For dandruff and dry scalp, it is recommended to use ketoconazole cream 40g in the form of a shampoo.


Who is contraindicated to use this medication?

The drug is not prescribed to patients with hypersensitivity to the components of the cream "Nizoral". It is forbidden for children under 12 years of age, for children older, check with specialists (medical advice).

It is also contraindicated in other forms of releases of this medication:

- Acute and chronic skin diseases.

- Lactose deficiency.

- Lactose intolerance.

- Simultaneous reception with some substrates of the CYP3A4 isoenzyme. Safe when interacting with other medications.

When taking the drug with alcohol, a disulfiram-like reaction may occur, characterized by redness, rash, swelling, nausea and headache.


How to use it for pregnant and nursing women

Due to the fact that ketoconazole cream is not absorbed by the blood, but only penetrates deep into the affected tissue, the drug is not contraindicated for pregnant and lactating patients. However, no clinical studies have been performed in this patient group. There is no official information about the risks of using this product for pregnant and breast-feeding women. Be sure to ask your doctor.



When using the drug in higher doses than recommended, a burning sensation, reduced flow and fluid retention in the tissue or reddening of the skin may occur. Side effects occur after stopping treatment with Nizoral cream.


Side effect information

Irritation and burning.

Local epidermis manifestations of an allergic nature, such as contact dermatitis, are rarely caused by the active component of the cream - ketoconazole or one of the auxiliary components - sodium sulfite or propylene glycol.

The side effects seen in post marketing studies with Nizoral Cream 2% are listed below.

Immune system disorders: very rare - hypersensitivity, hives.

Hapenia of the skin and subcutaneous tissue: very rarely - rash, itching, erythema.

Antifungal, works against dermatophytes, yeasts, dimorphic fungi and eumycetes. It is also effective against staph and streptococci.

The mechanism of action of NIZORAL is to inhibit the synthesis of ergosterol in the fungal membrane and to change the permeability of the cell wall.

Please contact the manufacturer or FDA if the medication causes other serious side effects.


Dosage and application drug information

Consult a doctor before use.

Usually, the duration of treatment with the drug lasts at least 14 days. It is recommended to apply the drug to dry and affected skin and in the surrounding area.

In diseases such as candidiasis of the skin, dermatomycosis of the smooth skin, epidermophytosis of the groin, hands and feet, pityriasis versicolor: it is recommended to spread the damage caused by the drug once a day on the affected area and the immediately adjacent epidermis.

Seborrheic dermatitis: Depending on the severity of the lesion, it is recommended to apply topical ketoconazole cream ointment to the affected epidermis once or twice a day (consult a specialist). The usual duration of treatment with this medication for seborrheic dermatitis is two to four weeks. For maintenance therapy, the cream is applied once or twice a week after the disappearance of all symptoms of the disease.

IMPORTANT: The diagnosis should be checked if there is no clinical improvement after 4 weeks of treatment (only a doctor can do this). General hygiene regulations must be observed to control the sources of infection and reinfection.

The usual duration of treatment for certain diseases is as follows: foot epidermophytosis 4-6 weeks, for fungal and yeast infections 2 to 3 weeks, inguinal epidermophytosis 2-4 weeks, pityriasis versicolor 14-21 days, dermatomycosis smooth skin up to by 4 weeks. Make sure you see your treating dermatologist.

Please follow your pharmacist’s advice.

You can buy the original ointment without a prescription in our online pharmacy medicmex.com


Nizoral for fungal acne

The very first thing that is prescribed for fungal acne (Malassezia folliculitis) are ointments and antifungals. They always work if the diagnosis is correct. These are ketoconazole, fluconazole and certain other substances. After diagnosis, this product should be the first, if not the only, treatment. It also helps to peel the skin.

When applying ointment to the epidermis of the face

Wait until the medicine is well absorbed on the treated skin area and only then apply makeup and other cosmetics.

How do I store the ointment?

The drug is stored in a place inaccessible to children at a temperature of not less than 15 ° C and not more than 30 ° C.

Conditions of sale

The drug is available without a prescription (over the counter).

You can buy cheaper analogs from Nizoral (ketoconazole generic) in our shop.


Avoid contact with the eyes. Wash your eyes as soon as possible. Follow your doctor’s advice.

If a medicine has expired or has expired, do not throw it into the sewage or onto the street! Put the medicine in the bag and throw it in the trash. These measures contribute to environmental protection.

Keep out of the reach of children.

Reviews Nizoral Ketoconazole Cream 40 g

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