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Nizoral instructions


Common Brand Names: Nizoral

Generic Name: Ketoconazole

The following product information is not intended to replace the physician's or manufacturer's instructions.

Nizoral Common Medical Uses :
Nizoral is an antifungal type of antibiotic. It treats fungal infections such as ringworm of the body (tinea corporis), ringworm of the groin (tinea cruris or jock itch), sun fungus (tinea versicolor, pityriasis versicolor), dandruff, and other systemic (throughout the body) fungal infections. This medication is used to treat yeast infections of the mouth, throat, and esophagus; fungal infections throughout the whole body; and serious fungal infections of the skin and nails. Generic ketoconazole oral tablets are available.

How to Use Nizoral:
Take Nizoral tablets by mouth. Take your doses at regular intervals. Nizoral works best if you take it with food. If you have a low production of stomach acid you may have to take your tablets dissolved in dilute hydrochloric acid. Drink this mixture through a straw to avoid contact with the teeth. Then drink a glass of water, swishing it round your teeth before you swallow. Do not take or use your medicine more often than directed. Finish the full course prescribed by your prescriber or health care professional even if you feel better. Do not stop taking Nizoral except on your prescriber's advice.

Nizoral Possible Side Effects:
Nizoral may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

  • breast swelling and tenderness, or sexual difficulties (impotence) in men
  • drowsiness or dizziness
  • eyes get more sensitive to light
  • nausea, vomiting

Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor as soon as possible:

  • loss of appetite
  • redness, blistering, peeling or loosening of the skin, including inside the mouth
  • skin rash, itching
  • stomach pain
  • liver damage (pale stools, yellowish skin or eyes, abdominal pain, unusual fatigue, or dark urine)

Side effects other than those listed here may also occur.

Nizoral Precautions:
Alcohol should be used with moderation while taking Nizoral. Alcohol and Nizoral can both affect the liver. Rarely, flushing, nausea, vomiting, headache, swelling, and rashes have occurred when alcohol has been used during Nizoral therapy. Use caution when driving or performing other hazardous activities. This medication may cause dizziness. If you experience dizziness, avoid these activities. Nizoral may make your eyes more sensitive to light. Wear dark glasses in bright sun, or under any bright lights.

Tell your prescriber or health care professional if your symptoms do not begin to improve in 1 to 2 weeks. Some fungal infections can take many weeks or months of treatment to cure. Take your medicine regularly for as long as your health care professional tells you to.

Before taking Nizoral, tell your doctor or/and pharmacist:

  • if you have any of these conditions: an alcohol abuse problem; low stomach acid production (achlorhydria or hypochlorhydria); liver disease; other chronic illness; an unusual or allergic reaction to ketoconazole, itraconazole, miconazole, other foods, dyes or preservatives; pregnant or trying to get pregnant; breast-feeding.

Drug Interactions:
The following drugs and foods may interact with Nizoral:

  • alcohol
  • antacids
  • astemizole (Hismanal)
  • bosentan
  • cisapride (Propulsid)
  • cyclosporine (Sandimmune, Neoral)
  • didanosine (ddI)
  • triazolam (Halcion) or midazolam (Versed)
  • dofetilide
  • ergotamine, dihydroergotamine or methysergide
  • hormones such as prednisone or cortisone
  • isoniazid
  • medicines for movement abnormalities as in Parkinson's disease, or for gastrointestinal problems
  • medicines for stomach ulcers and other stomach problems: cimetidine (Tagamet, Tagamet HB), nizatidine (Axid, Axid AR), famotidine (Pepcid, Pepcid AC), or ranitidine (Zantac, Zantac 75); omeprazole (Prilosec), lansoprazole (Prevacid), or rabeprazole (Aciphex)
  • other medicines for fungal or yeast infections
  • pimozide
  • pioglitazone
  • quinidine
  • phenytoin (Dilantin)
  • rifampin (Rifadin, Rimactane)
  • tacrolimus ((Prograf)
  • terfenadine
  • tolbutamide
  • an oral diabetes medicine such as glipizide (Glucotrol), glyburide (Diabeta, Micronase, Glynase), tolbutamide (Orinase), tolazamide (Tolinase), chlorpropamide (Diabinese)
  • warfarin (Coumadin)

Tell your health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products.

Missed Dose:
Take the missed dose as soon as you remember. If it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

Overdose:
Seek emergency medical attention if an overdose is suspected. Symptoms of a Nizoral overdose are not well known but might include dizziness, ringing in the ears, headache, nausea, vomiting, diarrhea, and abdominal pain.

Antifungal
Diflucan
Ketoconazole (Nizoral)


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