Nizoral
Ketoconazole 200mg tablets, for severe fungal infections. An imidazole antifungal.
- Category
- Antifungals
- Active ingredient
- Ketoconazole
- Route
- Oral
- Form
- Tablet
- Strengths
- 200mg
You will receive a quality generic equivalent, depending on stock.
Shipped in a discreet, unmarked envelope.
Details
- Conditions
- Severe fungal infections
- Therapeutic Class
- Imidazole Antifungal
- Pharmacological Class
- Imidazoles
- Minor Side Effects
- Mild nausea, Itching
- Moderate Side Effects
- Stomach discomfort
- Dosage Forms
- Tablet
- Administration Route
- Oral
- Originator
- Janssen
- Onset Time
- 1–2 hours
- Duration
- 8–12 hours
- Storage Instructions
- Store at controlled room temperature.
- Drug Interactions
- Antacids, Proton pump inhibitors, Midazolam
- Age Restrictions
- Use with caution in paediatric patients.
What you will receive
Nizoral is the originator brand name, made by Janssen. We use it to identify the medicine; the pack you receive is a generic equivalent, not the original Nizoral.
- The same active ingredient (Ketoconazole) at the same strength.
- The exact brand supplied depends on what is in stock when your order ships.
FAQ
Which Nizoral strengths and pack sizes can I order?
Nizoral comes as 200mg tablets. You can order packs of 10, 30, 60, 90, 120 or 180 tablets. You receive generic ketoconazole, not the original Nizoral. Each page shows the price per tablet in Hong Kong dollars, and larger packs cost less per tablet.
How is Nizoral packaged for delivery to Hong Kong?
Nizoral tablets ship in plain, unbranded packaging with nothing on the outside about the contents. Tracked courier takes 5 to 9 business days and includes online tracking. Orders can be cancelled within 24 hours if not yet dispatched.
What should I do if I miss a scheduled administration of Nizoral?
Take the missed tablet as soon as you remember unless it is almost time for your next scheduled administration. In that case, skip the missed tablet and continue with your regular dosing schedule. Do not take extra medication.
Can I take Nizoral with other antifungal medications?
Concurrent use of other azole antifungals (e.g., itraconazole) is generally avoided because of additive liver toxicity risk.
Is Nizoral used for nail fungus?
No. The official drug information says ketoconazole tablets should not be used for fungal nail infections. They are kept for fungal infections when other medicines are not available or cannot be tolerated.
Are there any visual signs that indicate liver trouble while on Nizoral?
Yellowing of the skin or eyes (jaundice), dark urine, and unexplained fatigue can signal liver injury.
Will Nizoral affect my hormonal balance?
Ketoconazole can inhibit steroid synthesis, potentially leading to reduced cortisol or testosterone levels, especially with higher-strength or long-term use. Monitoring hormonal panels is advised for prolonged therapy.
Can I take Nizoral while on a cholesterol-lowering statin?
Ketoconazole can raise statin blood levels, increasing the risk of muscle toxicity.
Why does Nizoral sometimes cause a mild rash?
A rash may represent a mild hypersensitivity reaction to the drug or its inactive ingredients.
What inactive ingredients are in Nizoral tablets?
Typical excipients include microcrystalline cellulose, lactose monohydrate, and magnesium stearate.
How does Nizoral differ from topical ketoconazole creams?
Oral Nizoral delivers systemic drug levels, allowing treatment of deep-seated or widespread fungal infections, whereas topical creams act only on the skin surface and are used for localized conditions.
About Nizoral
What is Nizoral?
Nizoral is sold here as generic ketoconazole 200mg tablets. Ketoconazole is an imidazole antifungal. Taken by mouth, it is used for fungal infections when other medicines are not available or cannot be tolerated. It is not used for fungal nail infections or for fungal meningitis.
How it works
Ketoconazole slows the growth of the fungi that cause infection by blocking the making of ergosterol, a part of the fungal cell membrane, until the cell dies. Because the tablets work through the bloodstream, they reach deep-seated and widespread infections.
Taking Nizoral
The tablets are usually taken once a day at around the same time. A full course can take 6 months or longer, and treatment should go on until the doctor says to stop, even after the symptoms improve; stopping too soon lets the infection come back.
Risk profile
Common reactions
Headache, stomach pain, diarrhoea, constipation, heartburn, gas, a change in how food tastes and a dry mouth are among the common ones.
Serious reactions
Ketoconazole can damage the liver, sometimes seriously. Yellowing of the skin or eyes, dark urine, nausea and unusual tiredness need a doctor straight away. It can also lengthen the QT interval, an irregular heart rhythm that can cause fainting, seizures or sudden death.
Contraindications
Anyone with liver disease, or who drinks or has drunk large amounts of alcohol, should say so first. Ketoconazole is not taken with disopyramide, dofetilide, dronedarone, pimozide, quinidine, methadone or ranolazine. Adrenal insufficiency, pregnancy and breastfeeding also need to be mentioned.
Interaction awareness
Many medicines interact with ketoconazole, among them some statins and sedatives such as simvastatin, lovastatin, midazolam and triazolam. Antacids are taken 1 hour before or 2 hours after the tablets, and acid reducers such as omeprazole and famotidine can interfere with absorption. Alcohol raises the risk of liver damage and can cause flushing, rash, nausea and headache.
Storage
Store the tablets at controlled room temperature in the original container, away from heat and moisture.
Glossary
Imidazole: A class of antifungal medicines that block the making of ergosterol in fungal cell membranes.
QT prolongation: A change in the heart's electrical cycle that can lead to a dangerous irregular rhythm.
Sources
- Ketoconazole: MedlinePlus Drug Information — National Library of Medicine