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Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Tell your healthcare professional if you are taking any other prescription or nonprescription over-the-counter [OTC] medicine. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur.
Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. It is very important that you use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects or skin irritation. This medicine is for use on the skin only. Do not get it in your eyes, nose, mouth, or vagina.
Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water.
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine.
If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, apply it as soon as possible.
However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. It is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and check you for any problems or unwanted effects that may be caused by this medicine.
If your skin problem does not improve within 2 weeks for cutaneous candidiasis, pityriasis versicolor, tinea corporis, or tinea cruris; or 4 weeks for seborrheic dermatitis; or 4 to 6 weeks for tinea pedis, or if it becomes worse, check with your doctor.
Good health habits are also required for patients using the cream form of this medicine to help clear up your infection completely and to help make sure it does not return. Ketoconazole kills fungi and yeasts by causing holes to appear in their cell membranes, allowing essential constituents of the cells to leak out.
This kills the fungi and yeast cells and helps clear up the infection. Ketoconazole cream may be prescribed to treat a number of different types of fungal and yeast infections. To treat athletes foot, the cream should be gently rubbed into the affected areas twice a day, usually for a week for mild cases.
More severe or extensive cases may take longer to clear up. You should keep using the cream twice a day for a few days after all the symptoms have cleared up to make sure the infection is fully treated and prevent it coming back.
To treat other skin infections the cream should be rubbed gently into the affected areas of skin once or twice a day, as directed by your doctor. The length of treatment will depend on the type and severity of the infection. You should keep using the cream for a few days after your symptoms have gone away, to make sure the infection has been fully treated. If there is no improvement in your symptoms after four weeks of treatment you should consult your doctor for advice.
Unless the infected skin is on your hands, wash your hands with soap and water after applying the cream to avoid spreading the infection to other areas of the body, or to other people. It should not be used inside the mouth, nose or eyes. This is to make sure that the infection is fully treated and thus prevent it coming back. Use the steroid treatment in the morning and the Nizoral cream in the morning. Ketonazole is not absorbed into the bloodstream when applied to the skin.
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