Nizoral

Ketoconazole

This treatment is utilized to mitigate severe systemic fungal conditions and designed to address hormone-related pathologies such as cushing's syndrome.

Category
Antifungals
Active ingredient
Ketoconazole
Supply
Pharmacy
Route
Oral use
Form
Tablet
Strengths
200mg

Nizoral details

Therapeutic class
Antifungal
Pharmacological class
Imidazole
Precautions and warnings
monitor liver function tests; monitor for signs of adrenal insufficiency
Minor side effects
nausea; diarrhoea; headache; dizziness
Moderate side effects
gynaecomastia; menstrual abnormalities
Dosage forms
Tablet
Administration route
Oral use
Supply category
Pharmacist only, dispensed without a prescription
Manufacturer
Janssen-Cilag
Onset Time
1–2 weeks
Duration
ongoing
Storage instructions
Store at room temperature away from moisture.
Drug interactions
Alcohol; Antacids; Proton pump inhibitors; Warfarin
Age restrictions
Not recommended for children.
Contraindications

hypersensitivity to imidazole; acute or chronic liver disease; concurrent use of cisapride; concurrent use of terfenadine

Serious side effects

hepatotoxicity, requires immediate medical attention; adrenal insufficiency, requires immediate medical attention

Patient summary

This treatment is utilized to mitigate severe systemic fungal conditions and designed to address hormone-related pathologies such as cushing's syndrome.

Mechanism of action

Ketoconazole inhibits the cytochrome P450-dependent synthesis of ergosterol in fungal cell membranes. It also possesses a secondary pharmacological effect of inhibiting adrenal steroid biosynthesis, which is how it is used to manage high cortisol levels.

Pregnancy and breastfeeding

Pregnancy: contraindicated. Breastfeeding: breastfeeding must be discontinued during treatment.

Where this medicine is registered

  • Singapore
  • Hong Kong
  • Thailand
  • Malaysia
  • Philippines
  • Indonesia
  • Taiwan
  • South Korea
  • Japan
  • Australia
  • New Zealand
  • UAE
  • South Africa

About Nizoral

Nizoral is the original antifungal medication containing ketoconazole, which is used for the management of Cushing’s syndrome and severe systemic fungal infections. As a product manufactured by Janssen-Cilag, this treatment is available as a 200mg tablet.

Buying Nizoral online

Nizoral is registered across 14 markets including the Philippines, Indonesia and Taiwan, with additional availability found in South Korea, Japan and the UAE. Generic ketoconazole, much of it made in India, is far more affordable than the original brand, offering an accessible solution for expats and people situated far from a nearby pharmacy. As one of the most ordered products across the region, it is available to order online with delivery throughout many of these locations.