I had an extreme allergic reaction to Ketaconazole. My son was given Ketaconazole for a severe skin rash when he was 20 and he had a reaction that lasted for weeks! Should we also stay away from these other antifungals? I use Nystatin and do fine with it. Can I use triamcinolone acetonide for rashes if I am allergic to ketoconazole?
What is the difference between ketoconazole, clotrimazole, miconazole, ciclopirox?
Question posted by 3bra1964 on 25 June 2010
Last updated on 28 June 2010
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Answers
GENERIC NAME: ketoconazole
BRAND NAME: Nizoral, Extina, Xolegel, Kuric
DRUG CLASS AND MECHANISM: Ketoconazole is an anti-fungal medication in the same family of drugs as fluconazole (Diflucan), itraconazole (Sporanox), and miconazole (Micatin, Monistat). It prevents growth of several types of fungi by preventing production of the membranes that surround fungal cells. The FDA approved ketoconazole in June 1981.
PRESCRIPTION: Yes
GENERIC AVAILABLE: Yes
PREPARATIONS: Tablets: 200 mg; Shampoo: 1 and 2%; Cream: 2%, Gel: 2%, Foam: 2%
PRESCRIBED FOR: Oral ketoconazole treats a variety of fungal infections such as candidiasis of the skin or mouth (thrush), blastomycosis, histoplasmosis, coccidiomycosis, and others. Ketoconazole is also used to treat fungal infections that have not responded to griseofulvin, another antifungal medication. Topical ketoconazole is used for treating ringworm, jock itch, athlete's foot, dandruff, and tinea versicolor.
GENERIC NAME: clotrimazole
BRAND NAME: Lotrimin, Mycelex
DRUG CLASS AND MECHANISM: Clotrimazole is an anti-fungal medication related to fluconazole (Diflucan), ketoconazole (Nizoral), itraconazole (Sporanox), and miconazole (Micatin, Monistat). It prevents growth of several types of fungi by preventing production of the membranes that surround fungal cells. It is used topically on the skin, inserted vaginally or allowed to dissolve in the mouth for local fungal infections.
PRESCRIPTION: Yes, for some brands and/or preparations
GENERIC AVAILABLE: Yes
PREPARATIONS:
• Topical cream, solution or lotion: 1%; buccal troche: 10 mg;
• Vaginal suppositories: 100 and 200 mg;
• Vaginal cream: 1% and 2%.
GENERIC miconazole
BRAND NAME: Monistat; Femizol; Vagistat; M-Zole; Micatin; Lotrimin
DRUG CLASS AND MECHANISM: Miconazole is an anti-fungal medication related to fluconazole (Diflucan), ketoconazole (Nizoral), itraconazole (Sporanox), and clotrimazole (Lotrimin, Mycelex). It is used either on the skin or in the vagina for fungal infections. Miconazole was approved by the FDA in 1974.
GENERIC AVAILABLE: yes, for some formulations
PRESCRIPTION: no for most formulations; yes (Monistat-Derm)
PREPARATIONS: Vaginal suppositories: 200 mg (Monistat-3), 100 mg (Monistat-7); Vaginal cream 2% (Monistat-7; Femizol-M); Topical cream 2% (Monistat; Monistat-Derm). Vaginal suppositories: 100 mg with topical cream 2% (Monistat 7; M-Zole 7); 200 mg with topical cream 2% (Vagistat; Monistat 3; M-Zole 3); 1200 mg with topical cream 2% (Monistat 1). Ointment 2% (Tetterine); Powder 2% (Lotrimin AF); solution 2% (Fungoid Tincture); Liquid Spray 2% (Lotrimin AF); Gel 2% (Zeasorb-AF)
PRESCRIBED FOR: Miconazole is used to treat vaginal infections due to Candida albicans (yeast) and several fungal infections of the skin, including tinea versicolor, tinea pedis ("athlete's foot"), tinea cruris ("jock itch") and tinea corporis ("ringworm").
GENERIC NAME: ciclopirox
BRAND NAME: Penlac
DRUG CLASS AND MECHANISM: Ciclopirox is a synthetic broad-spectrum antifungal agent that inhibits the growth of dermatophytes, a type of fungus that grows on the skin, hair, and nails. Approved for use in the U.S. by the FDA in December, 1999.
GENERIC AVAILABLE: no
PRESCRIPTION: yes
PREPARATIONS: Topical Solution 8%
PRESCRIBED FOR: Penlac Topical Solution 8% is topical therapy without systemic side effects to treat finger or toenail fungus that does not involve the white portion of the nail (lunula) in persons with normal immune systems. In controlled clinical trials it was found to be safe and effective in treating nail fungus, with some patients experiencing resolution of the infection.
GENERIC NAME: clotrimazole
BRAND NAME: Lotrimin, Mycelex
DRUG CLASS AND MECHANISM: Clotrimazole is an anti-fungal medication related to fluconazole (Diflucan), ketoconazole (Nizoral), itraconazole (Sporanox), and miconazole (Micatin, Monistat). It prevents growth of several types of fungi by preventing production of the membranes that surround fungal cells. It is used topically on the skin, inserted vaginally or allowed to dissolve in the mouth for local fungal infections.
PRESCRIPTION: Yes, for some brands and/or preparations
GENERIC AVAILABLE: Yes
PREPARATIONS:
* Topical cream, solution or lotion: 1%; buccal troche: 10 mg;
* Vaginal suppositories: 100 and 200 mg;
* Vaginal cream: 1% and 2%.
PRESCRIBED FOR: Clotrimazole is used for the treatment of local fungal infections due to Candida albicans (for example, vaginal yeast infections or oral thrush), tinea versicolor, tinea pedis ("athlete's foot"), tinea cruris ("jock itch") or tinea corporis.
Im male did some research called some exes and I hope this clarifies the differences and help you out
Thank you so much for the datail of each of these drugs. I will print it off and keep it with me. It sounds like we don't need to take ANY of these meds because of the relation of each one! I will continue to research this though. The reason I'm asking is because I have been cleaning out my medicine cabinet and have found some of these and wondered if they would be of use to us now. Thanks again.
Related topics
allergic reactions, skin rash, ciclopirox, clotrimazole, ketoconazole, miconazole
Further information
- Ciclopirox uses and warnings
- Clotrimazole uses and warnings
- Ketoconazole uses and warnings
- Miconazole uses and warnings
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