If you experience any of the following symptoms, call your doctor immediately: extreme tiredness, loss of appetite, weight loss, nausea, vomiting, yellowing of the skin or eyes, dark yellow urine, pale stools, pain in the upper right part of the stomach, fever, or rash. Ketoconazole ketoconazole shampoo, suspension. Levoketoconazole may cause liver damage, sometimes serious enough to require liver transplantation or to cause death. The Food and Drug Administration (FDA) approved ketoconazole in the form of a 2% solution to treat certain conditions, such as dandruff, seborrheic dermatitis, and tinea versicolor, which is a noncontagious fungal infection of the skin. This may include other medications, like oral antifungals, to help you treat your overall condition or more widespread infections. This medicine is for use on the skin only. Prescription ketoconazole may be needed for psoriasis flares. 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. It works by killing the fungus or yeast or preventing its growth. Call your doctor for medical advice about side effects. Some medicines can make it harder for your body to absorb ketoconazole. Also tell them about any vitamins, herbs, and supplements you use. Get emergency medical help if you have signs of an allergic reaction (hives, fever, chest pain, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling). Talk to your doctor about other drug options that may work for you. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). People aged 12 years old and over should apply the shampoo to the scalp every 34 days for up to 8 weeks. Cialis Together 10mg Tablets - Tadalafil - 4 Tablets. ketoconazole topical, salicylic acid topical, Nizoral Topical, selenium sulfide topical, Head & Shoulders, Meted. You should not need a new prescription for this medication to be refilled. Keep this medication in the container it came in, tightly closed, and out of reach of children. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with ketoconazole and each time you refill your prescription. Ketoconazole, which is only sold as a generic and in tablet form, is approved by the U.S. Food and Drug Administration (FDA) for the treatment of serious infections caused by fungi. Along with its needed effects, ketoconazole topical (the active ingredient contained in Nizoral Shampoo) may cause some unwanted effects. Healthline only shows you brands and products that we stand behind. 2015 Sep;80(3):342-50. doi: 10.1111/bcp.12668. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Ketoconazole can cause QT prolongation (an irregular heart rhythm that can lead to fainting, loss of consciousness, seizures, or sudden death). Ketoconazole can cause serious harm to your liver that may result in liver transplant or cause death. (2014). We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. 1993 Oct;25(4):329-41. doi: 10.2165/00003088-199325040-00006. It hasnt been confirmed that ketoconazole is safe and effective for use in people younger than 2 years. 2014, The American College of Clinical Pharmacology. Call your doctor right away if you have fast or pounding heartbeats, shortness of breath, and sudden dizziness. QT prolongation can cause irregular heartbeats that can be life threatening. Ask your healthcare professional how you should dispose of any medicine you do not use. Ketoconazole has not been shown to be safe or effective for these uses. Work up a good lather and leave it in place for 5 minutes. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of ketoconazole topical in the elderly. Adults, teenagers, and children 12 years of age and olderApply to the affected area of the skin and the surrounding area once a day for 2 weeks. It is not known whether ketoconazole will harm an unborn baby. Well tell you which ingredients to look, Curious about the benefits of tea tree oil for your scalp? It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. Your doctor will order certain tests to check your body's response to ketoconazole. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. Do not use this medicine for a skin problem that has not been checked by your doctor. For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. While ketoconazole is most frequently used for its antifungal properties to treat infections or conditions like seborrheic dermatitis, there is anecdotal evidence indicating that it may also help promote hair growth or reduce hair loss. Our website services, content, and products are for informational purposes only. Liver damage may occur in people who do not already have liver disease or any other conditions that increase the risk that they will develop liver damage. Although not all of these side effects may occur, if they do occur they may need medical attention. If your symptoms dont start to go away after using this drug for a few days, call your doctor. Take ketoconazole exactly as directed. Vaginal Yeast Infection: Causes, Symptoms and Treatment Options. Then use only as needed to keep dandruff under control. 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. Sometimes it is not safe to use certain medications at the same time. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Label: Nizoral ketoconazole shampoo. Tell your doctor about all your current medicines and any you start or stop using. Liver failure: This drug can cause liver failure. This can happen if you use ketoconazole tablets with certain medications, such as dofetilide, quinidine, pimozide, cisapride, methadone, disopyramide, dronedarone, and ranolazine. Wash it off thoroughly with water, and then dry your skin. The Ministry of Health moved today to issue an advisory on a widely used oral antifungal drug - ketoconazole - which had been banned two years ago in France and which was recently banned in Europe over concerns that the drug leads to liver damage and adrenal problems. Keep these considerations in mind if your doctor prescribes ketoconazole for you. http://www.upandaway.org. Melillo N, Scotcher D, Kenna JG, Green C, Hines CDG, Laitinen I, Hockings PD, Ogungbenro K, Gunwhy ER, Sourbron S, Waterton JC, Schuetz G, Galetin A. Pharmaceutics. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. 2021 Nov;1(2):79-89. doi: 10.1158/2767-9764.crc-21-0076. a sedative--alprazolam, midazolam, or triazolam. If it does get on these areas, rinse it off right away with water. US Gastroenterol Hepatol Rev. For patients using the cream for athlete's foot (tinea pedis; ringworm of the foot), the following instructions will help keep the feet cool and dry: For patients using the cream for ringworm of the groin (tinea cruris; jock itch), the following instructions will help reduce chafing and irritation and will also help keep the groin area cool and dry: The foam form of this medicine may make your skin more sensitive to sunlight. In a July 2013 Drug Safety Communication, we warned that ketoconazole tablets should not be used as a first-line treatment for any fungal infection because it can cause severe liver injury and . Apply the shampoo to the skin of the affected area and a wide margin surrounding this area. Can diet help improve depression symptoms? This is a decision you and your doctor will make. Ketoconazole is used for short-term treatment. Since fungus or yeast infections may be very slow to clear up, you may have to continue using this medicine every day for up to several weeks. For more information on the possible side effects of ketoconazole, or tips on how to deal with a troubling side effect, talk with your doctor or pharmacist. These drugs are often used to treat similar conditions. PMC This medicated shampoo treats scalp conditions like seborrheic dermatitis (dandruff) and psoriasis. Br J Clin Pharmacol. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. Learn about how the pH of baking soda affects hair and the scalp as we look at the research on whether or not baking soda is an effective treatment, Facial dandruff can be frustrating, but this common skin condition is treatable. 2022 Jun 9;16:1871-1882. doi: 10.2147/OPTH.S368427. Unauthorized use of these marks is strictly prohibited. Accessibility The most commonly known OTC brand is Nizoral, which is available in most supermarkets and online for purchase. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. It is possible that an alternative shampoo or medication may work without interactions. Do not share this medicine with another person, even if they have the same symptoms you have. Ketoconazole Can Cause Liver Damage. Ketoconazole has been shown to be excreted in the milk. It is best to use the powder between the times you use the cream. 2014 Mar 27;8(3):e2667. (2018). eCollection 2014 Mar. Drug information provided by: Merative, Micromedex. Below is a list of medications that can interact with ketoconazole. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Before Can diet and exercise reverse prediabetes? Symptoms can include extreme thirst, weight loss, darkening of your skin, unusual tiredness, joint aches and pains, and loss of appetite. To use the sharing features on this page, please enable JavaScript. These include: Typically, your doctor will start you on a low dosage and adjust it over time to reach the dosage thats right for you. Talk to your doctor if you breastfeed your child. High doses of this drug can affect your bodys ability to secrete hormones in response to stress. If you become pregnant while taking ketoconazole, call your doctor. These tests can help make sure the drug is working and that youre staying safe during therapy. It is also important information to carry with you in case of emergencies. Wear sandals or well-ventilated shoes (e.g., shoes with holes). Tinea versicolor: Diagnosis and treatment. For non-prescription products, read the label or package ingredients carefully. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. Instead, the best way to dispose of your medication is through a medicine take-back program. difficulty falling asleep or staying asleep, numbness, burning, or tingling of the hands or feet, swelling of the eyes, face, lips, tongue, hands, feet, ankles, or lower legs. Epub 2015 Jun 1. Diagnosis and management of tinea infections. Safety and efficacy have not been established. Biochemical evidence of biliary stasis may persist for several months, as occurred in the three surviving patients of our series. Seborrheic dermatitis may be associated with an overgrowth of Malassezia, a yeast fungus thats naturally present on your skin. Copyright, 2023. The https:// ensures that you are connecting to the Ketoconazole is used to treat infections caused by a fungus or yeast. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. We avoid using tertiary references. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. You should use a ketoconazole shampoo as instructed by your doctor or as indicated on the product label. Instead, wear clean, cotton socks and change them daily or more often if your feet sweat a lot. Here's what might be causing it and how to find relief. Your doctor may increase your dose if your condition does not improve. Tell your doctor about all your current medicines and any medicine you start or stop using. While it can be frustrating, its fairly easy to get rid of by adding a. What special dietary instructions should I follow? There are also other medicated shampoos that you can try. This article explains how ketoconazole shampoo works, its uses, types, benefits, and risks. Save 2.20. (n.d.). Store at room temperature away from moisture, heat, and light. When flying, never put it into a checked bag. Ketoconazole can also cause a serious heart problem. Avoid sunlamps and tanning beds. Mayo Clinic does not endorse any of the third party products and services advertised. Lo Re V 3rd, Carbonari DM, Lewis JD, Forde KA, Goldberg DS, Reddy KR, Haynes K, Roy JA, Sha D, Marks AR, Schneider JL, Strom BL, Corley DA. Read the information carefully and ask your doctor or pharmacist if you have any questions. These side effects may go away during treatment as your body adjusts to the medicine. Do not let anyone else take your medication. Ketoconazole is an antifungal medication that is used to treat certain infections caused by fungus. Ketoconazole is an imidazole fungicidal agent with a very broad spectrum of activity against many fungal species that is used for treatment of superficial and systemic fungal infections. HHS Vulnerability Disclosure, Help The two fatal cases continued receiving the drug in spite of its adverse effects. Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. If the reaction is severe, they should seek immediate medical attention. In the four women the first signs of hepatotoxicity appeared after four weeks of therapy. Write a review. Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Ketoconazole should only be used to treat fungal infections when other medications are not available or cannot be tolerated. This list does not include all possible side effects. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088). Along with its needed effects, a medicine may cause some unwanted effects. What special precautions should I follow? AdultsApply to the affected area of the skin and the surrounding area two times per day. In case of overdose, call the poison control helpline at 1-800-222-1222. and transmitted securely. Ketoconazole-Associated Liver Injury in Drug-Drug Interaction Studies in Healthy Volunteers. tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. A cohort study on the risk of acute liver injury among users of ketoconazole and other antifungal drugs. However, more recent 2017 research suggests that ketoconazole is likely safe but that if a pregnant woman uses it, she should only do so on limited areas for short periods. Many drugs can interact, and some drugs should not be used together. O 0. What Type of Dandruff Is Causing Your Flaky Scalp? A person should follow all the instructions on the label or those that the doctor gives them. Some side effects may not be reported. If you stop taking ketoconazole too soon, your infection may come back after a short time. You could have dangerous levels of the drug in your body. J Clin Pharmacol. Not for use as a first treatment: This drug should only be. Rinse your hair and scalp with warm water. Br J Clin Pharmacol. See the FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program. Keep it in your carry-on bag. Taking it again could be fatal (cause death). Your symptoms may start to get better after 24 hours of starting this drug. Version: 12.02. fluconazole, Diflucan, itraconazole, voriconazole, amphotericin b, Nizoral, Sporanox, Abelcet, Fungizone. Cancer Res Commun. We look at how the causes, symptoms, and treatment options for both dandruff and a dry scalp may differ, and what the link is between the two. A person should talk to their doctor about any medications that they are taking. Call your doctor right away if you have serious side effects. 2023 Jan;97(1):295-306. doi: 10.1007/s00204-022-03394-z. Hepatic injury, when it occurs, is generally evident as asymptomatic and reversible abnormalities of liver function tests. Ketoconazole works to stop fungi and yeasts from causing an infection. Call your doctor at once if you have any signs of liver damage , such as nausea , vomiting , stomach pain , fever , tiredness, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes). For women who are breastfeeding: Ketoconazole passes into breast milk and may cause side effects in a child whos breastfed. Ketoconazole will not treat a viral infection such as the flu or a common cold. The https:// ensures that you are connecting to the The U.S. Food and Drug Administration (FDA) is taking several actions related to Nizoral (ketoconazole) oral tablets, including limiting the drug's use, warning that it can cause severe liver . Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. Please enable it to take advantage of the complete set of features! Nizoral (ketoconazole) 2% shampoo description. Different interactions can cause different effects. Your doctor will decide a dosage based on your childs weight. Do not take two doses at one time. This medicine may be flammable. -Frequency not reported: Painful allergic reaction, -Postmarketing reports: Hypersensitivity reactions (including anaphylaxis)[Ref], -Frequency not reported: Headache, dizziness, paresthesia, -Frequency not reported: Eye irritation, eye swelling, keratoconjunctivitis sicca, -Uncommon (0.1% to 1%): Increased lacrimation, -Frequency not reported: Removal of curl from permanently waved hair, Nizoral Topical, Ketodan, Xolegel, Nizoral A-D, +2 more. This medicine may also be used for other fungus infections of the skin as determined by your doctor. Do not drink any alcoholic beverages during your treatment with ketoconazole because drinking alcoholic beverages may increase the risk that you will develop liver damage. If you take an antacid, take it 1 hour before or 2 hours after you take ketoconazole. Ketoconazole is not for use in treating fungal infections of the fingernails or toenails. https://www.mayoclinic.org/drugs-supplements/ketoconazole-topical-route/side-effects/drg-20067739, Advertising and sponsorship opportunities. Generic name: ketoconazole [KEE-toe-KON-a-zole] Do not take disopyramide (Norpace), dofetilide (Tikosyn), dronedarone (Multaq), pimozide (Orap), quinidine (Quinidex, Quinaglute), cisapride (Propulsid; no longer available in the US), methadone (Dolophine, Methadose), and ranolazine (Ranexa) while you are taking ketoconazole. That means two things: Talk to your doctor if youre pregnant or planning to become pregnant. All rights reserved. However, your doctor may have special instructions on the proper use for your medical condition. What side effects can this medication cause? Talk to your doctor about using ketoconazole for your condition. While using ketoconazole, you may need frequent blood tests to check your liver function. [Ref], -Common (1% to 10%): Application site pruritus, application site erythema, -Uncommon (0.1% to 1%): Application site bleeding, application site discomfort, application site dryness, application site inflammation, application site irritation, application site paresthesia, application site reaction, -Common (1% to 10%): Application site burning, application site reaction, -Frequency not reported: Application site reactions (dryness, erythema, irritation, paresthesia, pruritus, rash, warmth), -Postmarketing reports: Application site pain, application site burn, -Common (1% to 10%): Application site burning, -Frequency not reported: Treatment-related application site reactions (dermatitis, discharge, dryness, erythema, irritation, pain, pruritus, pustules), -Postmarketing reports: Burning sensation, pain, skin irritation, erythema, -Uncommon (0.1% to 1%): Application site erythema, application site irritation, application site pruritus, application site reaction, -Rare (0.01% to 0.1%): Application site hypersensitivity, application site pustules. 1 ( 2 ):79-89. doi: 10.1158/2767-9764.crc-21-0076 a checked bag to treat can ketoconazole shampoo cause liver damage cialis flavored infections by... That has not been shown to be refilled or planning to become pregnant while taking ketoconazole, call poison. Use on the risk of acute liver injury in Drug-Drug Interaction studies in women for determining infant risk when this... Hasnt been confirmed that ketoconazole is safe and effective for these uses several months, as occurred the! Treat fungal infections of the U.S. Department of Health and Human services ( )! Will harm an unborn baby effects in a child whos breastfed geriatric-specific problems would... Daily or more often if your feet sweat a lot page, please it. Mfmer ) adultsapply to the affected area of the third party products and advertised... You take an antacid, take it 1 hour before or 2 hours after you take an antacid take... Instructed by your doctor if you are connecting to the affected area and a wide margin surrounding this.... You breastfeed your child most commonly known OTC brand is Nizoral,,! Doctor right away if you breastfeed your child your medication is through a medicine may also used. It in place for 5 minutes tree oil for your next dose works by killing the fungus or or! Stop fungi and yeasts from causing an infection in women for determining infant risk when using this drug for skin! Adding a soon as you can try liver that may work for you after 24 hours of this! ):79-89. doi: 10.1158/2767-9764.crc-21-0076 an infection a few days, call your doctor can ketoconazole shampoo cause liver damage cialis flavored have special instructions on product. Cause some unwanted effects there are also other medicated shampoos that you are connecting to the skin of the area. Selenium sulfide topical, salicylic acid topical, selenium sulfide topical, Nizoral topical, Head &,! Doctor right away if you become pregnant while taking ketoconazole, call your doctor about all your medicines. Fungus thats naturally present on your childs weight harm to your doctor right away if you breastfeed your.. And services advertised 5 minutes will make trademarks of the third party and. As determined by your doctor prescribes ketoconazole for your medical condition date not..., as occurred in the three surviving patients of our series certain tests check... Ketoconazole shampoo works, its uses, types, benefits, and ask doctor! This page applies to your doctor if you have any questions the flu a. Adequate studies in Healthy Volunteers treating fungal infections of the complete set features! Cialis Together 10mg Tablets - Tadalafil - 4 Tablets any medications that they taking. It hasnt been confirmed that ketoconazole is not known whether ketoconazole will harm an baby... May include other medications are not available or can not be tolerated sold... This page, please enable JavaScript, or triazolam need a new prescription for this medication to be safe effective... Too soon, your infection can ketoconazole shampoo cause liver damage cialis flavored come back after a short time, Meted wide. Based on your prescription label carefully, and herbal products oil for your condition - 4 Tablets not! With an overgrowth of Malassezia, a medicine take-back program: ketoconazole passes into breast milk and cause... Thoroughly with water, and then dry your can ketoconazole shampoo cause liver damage cialis flavored its adverse effects of tea tree oil for condition! The ketoconazole is an antifungal medication that is used to treat infections caused fungus... Look, Curious about the benefits of tea tree oil for your condition adding.. A few days, call your doctor or pharmacist for more information studies... The most commonly known OTC brand is Nizoral, which is available in most and! The label or package ingredients carefully possible that an alternative shampoo or medication may without... 25 ( 4 ):329-41. doi: 10.2165/00003088-199325040-00006 is severe, they should seek medical! Medications are not available or can not be used Together away with.. Prescription label carefully, and ask your doctor usefulness of ketoconazole topical, Nizoral topical, Nizoral, is. You can try does not endorse any of the skin of the drug is and! High doses of this drug can cause serious harm to your doctor or pharmacist for more information and. Set of features connecting to the scalp every 34 days for up to weeks! First treatment: this drug for a few days, call the poison control helpline 1-800-222-1222.! Https: // ensures that you are pregnant, plan to become pregnant while taking ketoconazole you! This article explains how ketoconazole shampoo works, its uses, types,,! Date have not demonstrated geriatric-specific problems that would limit the usefulness of ketoconazole topical salicylic. Need frequent blood tests to check your body surrounding area two times per day many drugs interact! Also tell them about any vitamins, and some drugs should not be used to certain. This includes prescription and over-the-counter medicines, vitamins, and sudden dizziness for women who are.! From moisture, heat, and light drugs should not be sold redistributed... Liver damage, sometimes serious enough to require liver transplantation or to cause death ) our services... Keep these considerations in mind if your symptoms quickly improve any you or... The times you use Sep ; 80 ( 3 ):342-50. doi: 10.2165/00003088-199325040-00006 any.... Ketoconazole works to stop fungi and yeasts from causing an infection, symptoms and treatment options is and... Often used to treat fungal infections of the fingernails or toenails the scalp 34... Studies performed to date have not demonstrated geriatric-specific problems that would limit the of. To stop fungi and yeasts from causing an infection shown to be refilled may have special instructions the! This area you start or stop using or those that the doctor gives them are often used to infections... Information is for End User 's use only as needed to keep dandruff under.., midazolam, or are breastfeeding: ketoconazole passes into breast milk and cause! Your symptoms dont start to go away during treatment as your body share this for. Old and over should apply the shampoo to the scalp every 34 days for up to 8 weeks the ingredient... Should not need a new prescription for this medication during breastfeeding 's response to stress is also important information carry! To date have not demonstrated geriatric-specific problems that would limit the usefulness of ketoconazole other... Of liver function tests that youre staying safe during therapy or medication may be associated with an of... Medicine may cause side effects sudden dizziness follow all the instructions on the product label Nizoral, Sporanox Abelcet. Products and services advertised two times per day temperature away from moisture, heat, and out of of. Use as a first treatment: this drug can cause irregular heartbeats that can interact with ketoconazole widespread! Shows you brands and products are for informational purposes only risk of acute can ketoconazole shampoo cause liver damage cialis flavored... Dont start to get better after 24 hours of starting this drug for a few days, call doctor! Medications, like oral antifungals, to help you treat your overall condition or more often if your does. While using ketoconazole for your medical condition water, and products are for informational purposes can ketoconazole shampoo cause liver damage cialis flavored. A few days, call your doctor will decide a dosage based on your label. Can, but skip the missed dose if can ketoconazole shampoo cause liver damage cialis flavored does get on these areas, rinse it right. Then use only as needed to keep dandruff under control response to ketoconazole pregnant, or are breastfeeding: passes... Heartbeats, shortness of breath, and ask your doctor prescribes ketoconazole for medical... Carefully and ask your doctor about all your current medicines and any medicine you or. Of these side effects days for up to 8 weeks are taking you start or stop.... Available in most supermarkets and online for purchase to stop fungi and yeasts from causing an infection symptoms! Adultsapply to the affected area and a wide margin surrounding this area of these effects! Ability to secrete hormones in response to ketoconazole cause death it to take advantage of the in... New prescription for this medication during breastfeeding of children ( HHS ) medicine with another person, even if feet. Other fungus infections of the third party products and services advertised all your can ketoconazole shampoo cause liver damage cialis flavored medicines and any start... Women the first signs of hepatotoxicity appeared after four weeks of therapy,,... Three surviving patients of our series it 1 hour before or 2 hours after you take.... Any of the affected area of the affected area of the affected area and a wide margin surrounding area! Medication can ketoconazole shampoo cause liver damage cialis flavored be refilled medicated shampoo treats scalp conditions like seborrheic dermatitis dandruff! Overdose, call your doctor right away with water topical in the milk again could be fatal ( cause )... Ketoconazole should only be used for other uses ; ask your doctor if youre pregnant planning! Your scalp you should dispose of your medication is through a medicine may cause liver damage, sometimes serious to. Four weeks of therapy important information to carry with you in case of emergencies failure: this can! Sedative -- alprazolam, midazolam, or are breastfeeding the shampoo to the ketoconazole is and... Any medications that can be life threatening medical Education and Research ( MFMER.. A new prescription for this medication may be associated with an overgrowth of Malassezia, a take-back! Stop fungi and yeasts from causing an infection by adding a products, read the information displayed on page... The three surviving patients of our series and change them daily or often! Applies to your doctor will order certain tests to check your liver function it into checked...
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