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Spectazole Side Effects

Generic name: econazole topical

Medically reviewed by Last updated on Mar 31, 2024.

Note: This document contains side effect information about econazole topical. Some dosage forms listed on this page may not apply to the brand name Spectazole.

Applies to econazole topical: topical cream, topical foam.

Serious side effects of Spectazole

Along with its needed effects, econazole topical (the active ingredient contained in Spectazole) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking econazole topical:

Less common

For Healthcare Professionals

Applies to econazole topical: compounding powder, topical cream, topical foam.


Topical Cream:

-Common (1% to 10%): Pruritus/itching, skin burning sensation/burning, erythema

-Frequency not reported: Pruritic rash

-Postmarketing reports: Angioedema, contact dermatitis, rash, urticaria, blister, skin exfoliation

Vaginal Cream and Pessaries:

-Common (1% to 10%): Pruritus, skin burning sensation

-Uncommon (0.1% to 1%): Rash

-Rare (0.01% to 0.1%): Erythema

-Postmarketing reports: Angioedema, urticaria, contact dermatitis, skin exfoliation[Ref]


Topical Cream:

-Common (1% to 10%): Pain/stinging

-Uncommon (0.1% to 1%): Discomfort, swelling[Ref]


Vaginal Cream and Pessaries:

-Uncommon (0.1% to 1%): Vulvovaginal burning sensation[Ref]


Topical Cream:

-Frequency not reported: Lesions with vesiculation at site of application

Topical Foam:

-Uncommon (0.1% to 1%): Application site reactions

Vaginal Cream and Pessaries:

-Postmarketing reports: Application site pain, application site irritation, application site swelling[Ref]

One patient developed erythematous, edematous, urticarial-like lesions with vesiculation at the site of drug application. Sensitivity to this drug was confirmed by patch testing.[Ref]


Topical Cream:

-Frequency not reported: Drug sensitivity

-Postmarketing reports: Hypersensitivity

Vaginal Cream and Pessaries:

-Postmarketing reports: Hypersensitivity[Ref]


1. (2022) "Product Information. Spectazole (econazole topical)." Apothecon Inc

2. Cerner Multum, Inc. "UK Summary of Product Characteristics."

3. Millikan LE, Galen WK, Gewirtzman GB, Horwitz SN, Landow RK, Nesbitt LT Jr, Roth HL, Sefton J, Day RM (1988) "Naftifine cream 1% versus econazole cream 1% in the treatment of tinea cruris and tinea corporis." J Am Acad Dermatol, 18, p. 52-6

4. Valsecchi R, Tornaghi A, Tribbia G, Cainelli T (1982) "Contact dermatitis from econazole." Contact Dermatitis, 8, p. 422

5. Heel RC, Brogden RN, Speight TM, Avery GS (1978) "Econazole: a review of its antifungal activity and therapeutic efficacy." Drugs, 16, p. 177-201

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.