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Ketoconazole 1% Topical Lotion

FDA-approved generic
Dose form
Topical Lotion
Active ingredients
Ketoconazole

Description: Ketoconazole 1% Topical Lotion is a liquid or semi-liquid formulation intended for external application to the skin. This lotion is crafted to have a smooth and spreadable consistency, which not only provides moisturizing and soothing effects but also facilitates the localized treatment of specific skin conditions. The active ingredient, ketoconazole, is an antifungal agent that is absorbed through the skin to effectively treat fungal infections such as athlete's foot, jock itch, ringworm, and certain kinds of dandruff. This topical lotion is designed to offer therapeutic benefits by targeting and alleviating the symptoms associated with these dermatological conditions.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Ketoconazole
Topical Lotion
65aece8ef7914ad3582e6356
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Ketoconazole 1% Topical Lotion is a specially formulated medication designed for the treatment of various fungal skin infections. As a liquid or semi-liquid preparation, it is intended for external application to the skin. The lotion provides a smooth and spreadable consistency, which not only facilitates easy application over the affected area but also ensures that the skin remains moisturized and soothed during treatment. The 1% concentration of ketoconazole in the lotion acts as an antifungal agent, effectively targeting the cell membranes of the fungi. By altering the permeability of the fungal cell membrane, it causes the cell contents to leak out, which results in the death of the fungus and, consequently, the resolution of the infection.

The Ketoconazole 1% Topical Lotion is particularly beneficial for treating conditions such as tinea pedis (athlete's foot), tinea cruris (jock itch), tinea corporis (ringworm), and seborrheic dermatitis. Its formulation is designed to promote the absorption of ketoconazole into the skin, ensuring that the active ingredient is delivered directly to the site of infection for localized treatment. This targeted approach helps to minimize systemic absorption and potential side effects.

For patients, it is important to apply the lotion as directed by a healthcare provider, usually once or twice daily to the clean, dry skin of the affected area. It is also crucial to continue using the lotion for the full prescribed treatment period, even if symptoms improve, to prevent the recurrence of the infection.

If you have any questions regarding the Ketoconazole 1% Topical Lotion or its use in treating specific skin conditions, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the best possible outcomes for both patients and prescribers.

Drug Interactions

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Ketoconazole is an antifungal medication used to treat a variety of fungal infections of the skin such as athlete's foot, jock itch, ringworm, and certain kinds of dandruff. As a 1% topical lotion, it is applied to the affected area to inhibit the growth of fungi by disrupting the cell membrane formation, thus treating the infection. While the risk of systemic drug interactions with topical ketoconazole is generally low due to minimal absorption, there are still some considerations to keep in mind.

When using ketoconazole topical lotion, it is important to be aware of potential interactions with other topical products. Concurrent use of other topical medications, creams, or ointments should be approached with caution. Specifically, topical corticosteroids can sometimes be prescribed in combination with antifungal treatments; however, they can also mask symptoms or alter the appearance of infections, potentially leading to misdiagnosis or delayed appropriate treatment. It is advisable to consult with a healthcare provider before combining treatments.

Although systemic absorption is minimal with the topical application of ketoconazole, if the lotion is used over large surface areas of the skin or under occlusive dressings, there is a possibility of increased absorption. In such cases, the potential for systemic interactions increases. For example, ketoconazole can inhibit the metabolism of certain drugs metabolized by the cytochrome P450 enzyme system, particularly CYP3A4. This could potentially increase the levels of these drugs if they are taken orally and could lead to increased side effects or toxicity. Drugs that are particularly sensitive to this interaction include certain anticoagulants, lipid-lowering agents, immunosuppressants, and some anticonvulsants.

Alcohol-containing products applied to the skin in conjunction with ketoconazole lotion may cause a reaction similar to disulfiram due to the presence of an imidazole ring in ketoconazole. This can lead to skin irritation or a rash and should be avoided. Additionally, products that alter the pH of the skin may affect the absorption or efficacy of ketoconazole. For instance, certain soaps and cleansers with a high pH may reduce the antifungal activity of ketoconazole.

Patients should be advised to inform their healthcare provider of all the products they are using, including over-the-counter medications, herbal products, and supplements, as well as if they have any other skin conditions or are receiving phototherapy, as these may affect the use and effectiveness of ketoconazole lotion. It is also important to use the medication only for the condition for which it was prescribed and not to use it more frequently than directed, as this could lead to increased side effects or resistance of the fungus to treatment.

If you have any questions or require further information about the use of ketoconazole 1% topical lotion or potential drug interactions, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the support and guidance you need to ensure appropriate treatment.

How Does it Work

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Ketoconazole 1% Topical Lotion is a specially designed formulation that serves as an antifungal medication used to treat a variety of skin conditions caused by fungal infections. The active ingredient, ketoconazole, works by disrupting the cell membrane of the fungi, leading to the leakage of essential cellular components and ultimately causing the death of the fungal cells.

The lotion itself is a liquid or semi-liquid preparation that is intended for external application to the skin. Its consistency is designed to be smooth and spreadable, making it easy to apply over the affected area. The formulation not only allows for the active ingredient to be delivered directly to the site of infection but also often includes emollients and moisturizers that help soothe the skin and reduce irritation. This is particularly beneficial for inflamed or itchy skin, which is a common symptom of fungal infections.

Upon application, the ketoconazole lotion is absorbed into the skin, where it begins to take effect. The concentration of 1% is specifically chosen to maximize efficacy while minimizing the potential for side effects. It is important for patients to apply the lotion as directed by their healthcare provider, usually once or twice daily, depending on the severity of the infection. Consistent use as prescribed is crucial for the successful treatment of the infection and to prevent recurrence.

It is contraindicated in individuals with known hypersensitivity to ketoconazole or any of the excipients in the lotion. Additionally, prescribers should consider the patient's overall medical history, including any other medications they are taking, to avoid potential drug interactions.

Patients should be advised to monitor the affected area for signs of improvement as well as for any adverse reactions. If the condition does not improve, or if it worsens, they should contact their healthcare provider. It is also important for patients to understand that while the lotion provides symptomatic relief, it is the antifungal activity of ketoconazole that is treating the underlying infection. Therefore, they should continue to use the lotion for the full duration prescribed, even if symptoms appear to resolve, to ensure that the infection is fully treated.

If you have any questions about Ketoconazole 1% Topical Lotion or its use in treating fungal skin infections, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage these conditions.

Other Uses

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Ketoconazole 1% topical lotion is a versatile formulation primarily used for the treatment of various fungal infections of the skin, due to its antifungal properties. It can effectively manage conditions like tinea pedis (athlete's foot), tinea cruris (jock itch), tinea corporis (ringworm), and candidiasis (yeast infections). Additionally, its application may extend to the treatment of seborrheic dermatitis and dandruff, as ketoconazole has been shown to reduce the inflammation and scaling associated with these conditions. By inhibiting the growth of the fungi and yeast that contribute to these conditions, ketoconazole provides relief and promotes healing. Moreover, due to its anti-inflammatory qualities, the use of ketoconazole lotion might incidentally improve symptoms like itching, redness, and discomfort often caused by these dermatoses.

Aside from these common indications, off-label uses of ketoconazole lotion may include the management of other skin conditions where yeast and fungi are known to play a role. For instance, anecdotal evidence suggests it might be beneficial in reducing the symptoms of some forms of folliculitis, where yeast or fungi cause inflammation of hair follicles. However, it's important to note that these off-label uses require more scientific substantiation and should be considered only in consultation with a healthcare provider. Patients with specific skin conditions that are not listed might experience benefit from the antifungal properties of ketoconazole lotion, but should discuss its applicability to their condition with their prescriber.

Considering that the formulation provides a moisturizing effect, it may also serve to preserve skin barrier integrity and hydration, which can be valuable in the management of dry skin or to complement the treatment of various other skin conditions requiring a moisturized environment. Care should be taken when using ketoconazole 1% lotion in conjunction with other topical medications, as interactions may occur. It is also important to avoid contact with mucous membranes such as the eyes and mouth. If you have any questions about the use of ketoconazole 1% topical lotion for conditions not mentioned here, or if you would like more information regarding this medication, we encourage you to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is always available to provide the guidance and support you need for optimal treatment outcomes.

Frequently Asked Questions

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What is Ketoconazole 1% Topical Lotion used for?

Ketoconazole 1% Topical Lotion is used to treat a variety of fungal skin infections such as athlete's foot, jock itch, ringworm and certain kinds of dandruff. It works by stopping the growth of the fungus that is causing the infection.

How should I apply Ketoconazole 1% Topical Lotion?

Apply the lotion to the affected area once a day or as directed by your healthcare provider. Ensure that the skin is clean and dry before application. Use enough lotion to cover the affected area and some of the surrounding skin. After applying, wash your hands unless your hands are the area being treated.

Can Ketoconazole 1% Topical Lotion be used on the face?

Yes, it can be used on the face, but be careful to avoid contact with your eyes. If it does get into your eyes, rinse thoroughly with water. Do not use on the face unless directed by your healthcare provider.

How long does it take for Ketoconazole 1% Topical Lotion to work?

It can take several days to see an improvement in your skin condition. However, it's important to use the lotion for the full duration prescribed by your healthcare provider, even if your symptoms seem to have disappeared, to ensure the infection is completely treated.

Are there any side effects of using Ketoconazole 1% Topical Lotion?

Side effects are typically mild and may include irritation, itching, or a burning sensation at the application site. If these persist or worsen, or if you experience severe side effects such as blistering or open sores, contact your healthcare provider immediately.

Can I use other skincare products alongside Ketoconazole 1% Topical Lotion?

You can use other skincare products, but it's advisable to wait at least 20-30 minutes after applying the lotion before applying any other products. This allows enough time for the Ketoconazole lotion to be absorbed properly.

Should Ketoconazole 1% Topical Lotion be refrigerated after opening?

No, there is no need to refrigerate this medication. Store it at room temperature away from moisture and heat. Refer to the storage instructions provided by your pharmacist or on the product label.

Can pregnant or breastfeeding women use Ketoconazole 1% Topical Lotion?

If you are pregnant or breastfeeding, you should consult with your healthcare provider before using this medication. While topical Ketoconazole is generally considered safe, your doctor will determine if the benefits outweigh any potential risks to you or your baby.

Can children use Ketoconazole 1% Topical Lotion?

The safety and effectiveness of Ketoconazole 1% Topical Lotion in pediatric patients have not been established. It's important to consult a pediatrician before using this medication on a child.

What should I do if I miss a dose of Ketoconazole 1% Topical Lotion?

If you forget to apply your Ketoconazole lotion, apply it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your usual dosing schedule. Do not double apply to catch up.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Ketoconazole 1% Topical Lotion
Topical Lotion
30 g
controlled

Apply topically to affected area(s)

Twice daily