Ketoconazole Topical Dosage

The information at Drugs.com is not a substitute for medical advice. ALWAYS consult your doctor or pharmacist.

Usual Adult Dose for:

Usual Pediatric Dose for:

Additional dosage information:

Usual Adult Dose for Cutaneous Candidiasis

2% Cream: Apply to the affected and surrounding area once to twice a day for 2 weeks.

Usual Adult Dose for Tinea Corporis

2% Cream: Apply to the affected and surrounding area once to twice a day for 2 weeks.

Usual Adult Dose for Tinea Cruris

2% Cream: Apply to the affected and surrounding area once to twice a day for 2 weeks.

Usual Adult Dose for Tinea Pedis

2% Cream: Apply to the affected and surrounding area once to twice a day for 6 weeks.

Usual Adult Dose for Tinea Versicolor

2% Cream: Apply to the affected and surrounding area once a day for 2 weeks.

2% Shampoo: Apply to damp skin of the affected area and a wide margin surrounding this area. One application should be sufficient; however, an application once a day for 3 days has also been used.

Ketoconazole shampoo should be lathered, left in place for 5 minutes, and then rinsed off with water.

Usual Adult Dose for Seborrheic Dermatitis

2% Cream: Apply to affected areas twice a day for 4 weeks or until clinical clearing.
2% Foam: Apply to affected areas twice a day for 4 weeks.
2% Gel: Apply to affected areas once a day for 2 weeks.

Usual Adult Dose for Dandruff

1% Shampoo: Apply every 3 or 4 days for up to 8 weeks. Then apply as needed to control dandruff.

Ketoconazole shampoo should be used in sufficient quantity to produce lather, left on the scalp for 1 minute, and then rinsed. The application should be repeated, left on scalp for an additional 3 minutes, and then rinsed.

Usual Pediatric Dose for Seborrheic Dermatitis

12 years or older:
2% Foam: Apply to affected areas twice a day for 4 weeks.
2% Gel: Apply to affected areas once a day for 2 weeks.

Usual Pediatric Dose for Dandruff

12 years or older:
1% Shampoo: Apply every 3 or 4 days for up to 8 weeks. Then apply as needed to control dandruff.

Ketoconazole shampoo should be used in sufficient quantity to produce lather, left on the scalp for 1 minute, and then rinsed. The application should be repeated, left on scalp for an additional 3 minutes, and then rinsed.

Usual Pediatric Dose for Tinea Corporis

2% Cream: Apply to the affected area once to twice a day.

Renal Dose Adjustments

Data not available

Liver Dose Adjustments

Data not available

Precautions

Severe hypersensitivity reactions, including anaphylaxis, have been reported with ketoconazole shampoo during postmarketing experience. Ketoconazole topical should be discontinued if signs of irritation or sensitivity occur.

Patients who develop allergic reactions (such as generalized rash, skin reactions, severe swelling, or dyspnea) should discontinue ketoconazole topical and contact their physician at once.

Patients should be reevaluated and the diagnosis reconsidered if no improvement is noted after completion of the treatment period.

Safety and efficacy of the 2% cream and 2% shampoo have not been established in pediatric patients less than 18 years of age. Safety and efficacy of the 2% foam, 2% gel, and 1% shampoo have not been established in pediatric patients less than 12 years of age.

Dialysis

Data not available

Other Comments

Topical ketoconazole products are intended for skin use only (not for use in the eyes, mouth, or vagina).

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