Nizoral Cream

By Medically reviewed by hellodoktor

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


What is Nizoral cream® (Ketoconazole) used for?

Nizoral cream® is a cream for cutaneous administration containing a medicinal active pharmaceutical ingredient called Ketoconazole. Ketoconazole is an antifungal, commonly used for treating fungal infections of the skin such as athlete’s foot, jock itch, ringworm, and seborrhea (dry, flaking skin).

How should I take Nizoral cream® (Ketoconazole)?

You should:

  • Take Nizoral cream® as directed by your doctor concerning: dose, schedule.
  • Do not use ketoconazole topical to treat any skin condition that has not been checked by your doctor.
  • Wash your hands before and after using Nizoral cream®.
  • Clean and dry the affected area. Apply a thin layer of the cream or gel to the affected skin area as directed. Nizoral cream® is usually used for only 2 to 4 weeks.
  • Wait at least 20 minutes after applying Nizoral cream® before you use cosmetics or sunscreen on the treated skin area. Do not wash the treated skin for at least 3 hours after applying ketoconazole topical.
  • Do not use bandages or dressings over the treated skin areas, unless your doctor has told you to.
  • Avoid getting Nizoral cream® in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water.
  • Read the label carefully before using Nizoral cream®.
  • Consult your doctor for any information on the label that you do not clearly understand.

How do I store Nizoral cream® (Ketoconazole)?

Nizoral cream® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Nizoral cream® in the bathroom or the freezer. There may be different brands of Nizoral cream® 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 Nizoral cream® 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 Nizoral cream® (Ketoconazole)?

Before using Nizoral cream®, tell your doctor if you have:

  • Allergic reaction to excipients using for dosage form containing Nizoral cream®.
  • Allergic reaction to any other medicines, foods, dyes, preservatives, or animals.
  • Used any other health conditions, drugs that have a risk of interaction with Nizoral cream®.

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using Nizoral cream® during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Nizoral cream®. Nizoral cream® is pregnancy risk category C, 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 Nizoral cream® (Ketoconazole)?

As taking others medicines, taking Nizoral cream® can cause some side effects. Most of them are rarely occurring and do not need any supplementary treatment. However, it is always important for you to consult your doctor if you have any problem after taking this medicine.

Some of side effects are listed below:

  • Severe itching, burning, or irritation (where the medicine is applied)
  • Oily or dry scalp, mild hair loss
  • Redness, pain, or oozing of treated skin areas
  • Eye redness, swelling, or irritation
  • Mild skin itching or irritation
  • Dry skin
  • Headache

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.


What drugs may interact with Nizoral cream® (Ketoconazole)?

Nizoral cream® 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 Nizoral cream® (Ketoconazole)?

Nizoral cream® 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 Nizoral cream® (Ketoconazole)?

Nizoral cream® 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.


The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Nizoral cream® (Ketoconazole).

What is the dose of Nizoral cream® (Ketoconazole) for an adult?

Consult your doctor for information about the dose of Nizoral cream®.

Recommended doses in some cases are listed below:

  • For tinea pedis: Nizoral cream® should be applied to the affected areas twice daily. The usual duration of treatment for mild infections is 1 week.
  • For more severe or extensive infections (e.g., involving the sole or sides of the feet): treatment should be continued until a few days after all signs and symptoms have disappeared in order to prevent relapse.
  • For other infections: Nizoral 2% cream should be applied to the affected areas once or twice daily, depending on the severity of the infection. The treatment should be continued until a few days after the disappearance of all signs and symptoms. The usual duration of treatment is tinea versicolor 2–3 weeks, tinea corporis 3–4 weeks. The diagnosis should be reconsidered if no clinical improvement is noted after 4 weeks. General measures in regard to hygiene should be observed to control sources of infection or reinfection.

What is the dose of Nizoral cream® (Ketoconazole) for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is Nizoral cream® (Ketoconazole) available?

Nizoral cream® is available in the following dosage forms and strengths:

  • Cream 2 %, tube 30 g.

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 Nizoral cream®, 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 7, 2017 | Last Modified: September 13, 2019

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