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Ketoconazole kills fungi and yeasts by interfering with their cell membranes. It works by stopping the fungi from producing a substance called ergosterol, which is an essential component of fungal cell membranes. The disruption in production of ergosterol disrupts the fungal cell membrane, causing holes to appear in it.
The cell membranes of fungi are vital for their survival. They keep unwanted substances from entering the cells and stop the contents of the cells from leaking out. As ketoconazole causes holes to appear in the cell membranes, essential constituents of the fungal cells can leak out. This kills the fungi and treats the infection.
Ketoconazole cream may be prescribed to treat a number of different types of fungal and yeast infections. These include ringworm, athletes foot, jock itch, thrush infections of the skin and vagina (candidosis), and skin conditions that are caused by infection with the yeast Pityrosporum, such as seborrheic dermatitis and pityriasis versicolor.
To treat athletes foot the cream should be applied to the affected areas twice a day, usually for a week for mild cases. More severe or extensive cases may take longer to clear up.
To treat other skin infections the cream should be applied to the affected area(s) of skin once or twice a day, as directed by your doctor. The length of treatment will depend on the type and severity of the infection. You should keep using the cream for a few days after your symptoms have gone away, to make sure the infection has been fully treated. If there is no improvement in your symptoms after four weeks of treatment you should consult your doctor for advice.
Ask your doctor or pharmacist for further advice on treating your particular infection.
What is it used for?
Warning!
Not to be used in
This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.
Pregnancy and breastfeeding
Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.
Side effects
Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.
The side effects listed above may not include all of the side effects reported by the drug's manufacturer.
How can this medicine affect other medicines?
This medicine is not absorbed into the bloodstream and does not affect other medicines.
If you have seborrheic dermatitis and you have previously been using a potent corticosteroid to treat the condition, you should wait two weeks before using this cream, because it may make your skin more sensitive to the steroid.
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