Ciclopirox

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Generic Name: Ciclopirox Brand Name(s): Generics only. No brands available.

Uses

What is Ciclopirox used for?

Ciclopirox is commonly used to treat certain fungal skin infections such as ringworm and athlete’s foot between the toes. It is also used to treat a certain scalp condition (seborrheic dermatitis). Ciclopirox is an antifungal medication that works by stopping the growth of fungus.

How should I take Ciclopirox?

Use this medication on the skin only. Clean and dry the area to be treated. Apply a thin layer of the medication on and around the affected area and gently rub into the skin or scalp, usually twice daily or as directed by your doctor. Wash your hands after using unless the area being treated includes the hands. Do not wrap, cover, or bandage the area unless directed to do so by your doctor.

Do not apply the medication in the eyes, nose, or mouth, or inside the vagina. If you do get the medication in those areas, rinse with plenty of water.

Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same times each day.

Continue to use this medication for the full time prescribed, even if symptoms disappear after a few days. Stopping the medication too early may result in a return of the infection.

Tell your doctor if your condition worsens or does not improve after 4 weeks.

How do I store Ciclopirox?

Ciclopirox is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Ciclopirox in the bathroom or the freezer. There may be different brands of Ciclopirox that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Ciclopirox down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Ciclopirox?

Before using ciclopirox, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history.

Before having surgery, tell your doctors or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

Is it safe during pregnancy or breast-feeding?

There are no adequate studies in women for determining risk when using this Ciclopirox during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking this Ciclopirox. This Ciclopirox is pregnancy risk category B according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk,
  • B=No risk in some studies,
  • C=There may be some risk,
  • D=Positive evidence of risk,
  • X=Contraindicated,
  • N=Unknown

Side effects

What side effects can occur from Ciclopirox?

Burning, stinging, redness, or itching at the application site may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if any of these unlikely but serious side effects occur: blistering/swelling/oozing at the application site.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Ciclopirox?

Ciclopirox may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Ciclopirox?

Ciclopirox may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Ciclopirox?

Ciclopirox may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using this Ciclopirox.

What is the dose of Ciclopirox for an adult?

Usual Adult Dose for Onychomycosis – Fingernail

8% topical solution: Apply once a day (preferably at bedtime or 8 hours before washing) to all affected nails with the applicator brush provided. Apply evenly over the entire nail plate and 5 mm of surrounding skin. If possible, the solution should be applied to the nail bed, hyponychium, and the under surface of the nail plate when it is free of the nail bed.
The product should not be removed on a daily basis. Daily applications should be made over the previous coat and removed with alcohol every 7 days. This cycle should be repeated throughout the duration of treatment.
Up to 48 weeks of daily applications and professional removal, as frequently as monthly, of the unattached, infected nail are considered the full treatment to achieve a clear or almost clear nail. Six months of therapy with professional removal of the unattached, infected nail may be required before initial improvement of symptoms is noticed.

Usual Adult Dose for Onychomycosis – Toenail

8% topical solution: Apply once a day (preferably at bedtime or 8 hours before washing) to all affected nails with the applicator brush provided. Apply evenly over the entire nail plate and 5 mm of surrounding skin. If possible, the solution should be applied to the nail bed, hyponychium, and the under surface of the nail plate when it is free of the nail bed.
The product should not be removed on a daily basis. Daily applications should be made over the previous coat and removed with alcohol every 7 days. This cycle should be repeated throughout the duration of treatment.
Up to 48 weeks of daily applications and professional removal, as frequently as monthly, of the unattached, infected nail are considered the full treatment to achieve a clear or almost clear nail. Six months of therapy with professional removal of the unattached, infected nail may be required before initial improvement of symptoms is noticed.

Usual Adult Dose for Seborrheic Dermatitis

0.77% topical gel: Apply to affected scalp areas twice a day (in the morning and evening) for 4 weeks.
1% topical shampoo: Wet hair and apply approximately 5 mL to the scalp. Up to 10 mL may be used for long hair. Lather and leave on hair and scalp for 3 minutes, then rinse off. Treatment should be repeated twice a week for 4 weeks, with at least 3 days between applications.

Usual Adult Dose for Cutaneous Candidiasis

0.77% topical cream, suspension (lotion): Gently massage into affected and surrounding skin areas twice a day (in the morning and evening). Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment.
Patients with tinea versicolor usually exhibit clinical and mycological clearing after 2 weeks of treatment.

Usual Adult Dose for Tinea Cruris

0.77% topical cream, suspension (lotion): Gently massage into affected and surrounding skin areas twice a day (in the morning and evening). Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment.
Patients with tinea versicolor usually exhibit clinical and mycological clearing after 2 weeks of treatment.

Usual Adult Dose for Tinea Versicolor

0.77% topical cream, suspension (lotion): Gently massage into affected and surrounding skin areas twice a day (in the morning and evening). Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment.
Patients with tinea versicolor usually exhibit clinical and mycological clearing after 2 weeks of treatment.

Usual Adult Dose for Tinea Corporis

0.77% topical cream, suspension (lotion): Gently massage into affected and surrounding skin areas twice a day (in the morning and evening). Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment.
0.77% topical gel: Gently massage gel into affected areas and surrounding skin twice a day (in the morning and evening) immediately after cleaning or washing areas to be treated. Interdigital tinea pedis and tinea corporis should be treated for 4 weeks.

Usual Adult Dose for Tinea Pedis

0.77% topical cream, suspension (lotion): Gently massage into affected and surrounding skin areas twice a day (in the morning and evening). Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment.
0.77% topical gel: Gently massage gel into affected areas and surrounding skin twice a day (in the morning and evening) immediately after cleaning or washing areas to be treated. Interdigital tinea pedis and tinea corporis should be treated for 4 weeks.

What is the dose of Ciclopirox for a child?

Usual Pediatric Dose for Onychomycosis – Fingernail

12 years or older:
8% topical solution: Apply once a day (preferably at bedtime or 8 hours before washing) to all affected nails with the applicator brush provided. Apply evenly over the entire nail plate and 5 mm of surrounding skin. If possible, the solution should be applied to the nail bed, hyponychium, and the under surface of the nail plate when it is free of the nail bed.
The product should not be removed on a daily basis. Daily applications should be made over the previous coat and removed with alcohol every 7 days. This cycle should be repeated throughout the duration of treatment.
Up to 48 weeks of daily applications and professional removal, as frequently as monthly, of the unattached, infected nail are considered the full treatment to achieve a clear or almost clear nail. Six months of therapy with professional removal of the unattached, infected nail may be required before initial improvement of symptoms is noticed.

Usual Pediatric Dose for Onychomycosis – Toenail

12 years or older:
8% topical solution: Apply once a day (preferably at bedtime or 8 hours before washing) to all affected nails with the applicator brush provided. Apply evenly over the entire nail plate and 5 mm of surrounding skin. If possible, the solution should be applied to the nail bed, hyponychium, and the under surface of the nail plate when it is free of the nail bed.
The product should not be removed on a daily basis. Daily applications should be made over the previous coat and removed with alcohol every 7 days. This cycle should be repeated throughout the duration of treatment.
Up to 48 weeks of daily applications and professional removal, as frequently as monthly, of the unattached, infected nail are considered the full treatment to achieve a clear or almost clear nail. Six months of therapy with professional removal of the unattached, infected nail may be required before initial improvement of symptoms is noticed.

Usual Pediatric Dose for Seborrheic Dermatitis

16 years or older:
0.77% topical gel: Apply to affected scalp areas twice a day (in the morning and evening) for 4 weeks.
1% topical shampoo: Wet hair and apply approximately 5 mL to the scalp. Up to 10 mL may be used for long hair. Lather and leave on hair and scalp for 3 minutes, then rinse off. Treatment should be repeated twice a week for 4 weeks, with at least 3 days between applications.

Usual Pediatric Dose for Cutaneous Candidiasis

10 years or older:
0.77% topical cream, suspension (lotion): Gently massage into affected and surrounding skin areas twice a day (in the morning and evening). Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment.
Patients with tinea versicolor usually exhibit clinical and mycological clearing after 2 weeks of treatment.

Usual Pediatric Dose for Tinea Cruris

10 years or older:
0.77% topical cream, suspension (lotion): Gently massage into affected and surrounding skin areas twice a day (in the morning and evening). Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment.
Patients with tinea versicolor usually exhibit clinical and mycological clearing after 2 weeks of treatment.

Usual Pediatric Dose for Tinea Versicolor

10 years or older:
0.77% topical cream, suspension (lotion): Gently massage into affected and surrounding skin areas twice a day (in the morning and evening). Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment.
Patients with tinea versicolor usually exhibit clinical and mycological clearing after 2 weeks of treatment.

Usual Pediatric Dose for Tinea Corporis

10 years or older:
0.77% topical cream, suspension (lotion): Gently massage into affected and surrounding skin areas twice a day (in the morning and evening). Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment.

16 years or older:
0.77% topical gel: Gently massage gel into affected areas and surrounding skin twice a day (in the morning and evening) immediately after cleaning or washing areas to be treated. Interdigital tinea pedis and tinea corporis should be treated for 4 weeks.

Usual Pediatric Dose for Tinea Pedis

10 years or older:
0.77% topical cream, suspension (lotion): Gently massage into affected and surrounding skin areas twice a day (in the morning and evening). Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment.

16 years or older:
0.77% topical gel: Gently massage gel into affected areas and surrounding skin twice a day (in the morning and evening) immediately after cleaning or washing areas to be treated. Interdigital tinea pedis and tinea corporis should be treated for 4 weeks.

How is Ciclopirox available?

Ciclopirox is available in the following dosage forms and strengths:

  • topical lotion
  • Topical cream
  • Topical solution
  • Topical gel
  • Topical shampoo
  • Topical kit
  • Compounding powder
  • Topical suspension

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Ciclopirox, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Review Date: January 15, 2018 | Last Modified: January 16, 2018

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