Consumer Information

Extina

Generic Name: ketoconazole topical (kee toe KOE na zole)
Brand Names: Extina, Kuric, Nizoral A-D, Nizoral Topical, Xolegel

What is Extina?

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Extina is an antifungal medication. It prevents fungus from growing on your skin.

Extina Foam is used on the skin (topical) to treat a skin condition called seborrheic dermatitis in patients 12 years of age and older.

Extina may also be used for purposes other than those listed in this medication guide.

Important information about Extina

Use Extina for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Do not use bandages or dressings over the treated skin areas, unless your doctor has told you to. Avoid getting this medication in your eyes, nose, or mouth.

Wait at least 20 minutes after applying this medicine before you use cosmetics or sunscreen on the treated skin area. Do not wash the treated skin for at least 3 hours after applying Extina.

Keep the Foam can away from and do not spray it near fire, open flame, or direct heat. Extina Foam is flammable.

Call your doctor if your condition does not improve within 2 weeks, or if your symptoms get worse.

Stop using Extina and call your doctor if you have severe burning, irritation, redness, pain, or oozing where the medicine is applied. Do not use this medication on a child younger than 12 years old.

Before using Extina?

Do not use Extina if you are allergic to ketoconazole. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Extina passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication on a child younger than 12 years old.

How should I apply Extina?

Use Extina exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the instructions on your prescription label.

Do not use this medication for any skin condition that has not been diagnosed by a doctor.

Hold the can at an upright angle.
Push the button to spray Extina Foam directly into the cap of the can or other cool surface. Spray only the amount of Extina Foam that you will need to cover your affected skin. Do not spray Extina Foam directly onto your affected skin or your hands because the foam will begin to melt right away when it touches your skin.
If your fingers are warm, rinse them in cold water first. Be sure to dry them well before handling the Extina Foam. If the Extina Foam can seems warm or the foam seems runny, place the can under cool running water for a few minutes.
Using your fingertips, gently massage Extina Foam into the affected areas until the foam disappears.
If you are treating skin areas with hair such as your scalp, move any hair away so that the foam can be applied to the affected skin.
Do not get Extina Foam into your eyes, mouth, or vagina. If any Extina Foam gets into your eyes, mouth, or vagina, rinse areas well with water.
Wash your hands well after applying Extina Foam.

Use this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated.

Call your doctor if your condition does not improve within 2 weeks, or if your symptoms get worse.

Store Extina at room temperature away from moisture and heat. Extina foam is flammable. Do not use it while you are smoking or near an open flame.

What happens if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and use the medicine at the next regularly scheduled time. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it.

An overdose of Extina applied to the skin is not expected to produce life-threatening symptoms.

What should I avoid while using Extina?

Avoid getting Extina in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water.

Avoid covering treated skin areas with tight-fitting, synthetic clothing (such as nylon or polyester) that doesn't allow air to circulate to your skin. If you are treating your feet, wear clean cotton socks and sandals or shoes that allow for air circulation. Keep your feet as dry as possible.

Avoid using other skin or hair products that can cause irritation, such as harsh soaps or shampoos or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Do not use other medicated skin products unless your doctor has told you to.

Ketoconazole topical side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Extina and call your doctor if you have any of these serious side effects:

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; or
eye redness, swelling, or irritation.

Less serious side effects include:

mild skin itching or irritation;
dry skin; or
headache.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Extina?

There may be other drugs that can affect Extina. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about ketoconazole.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.