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NIZORAL CREAM 2%

Product Information

Registration Status: Active

SIN01117P

NIZORAL CREAM 2% is approved to be sold in Singapore with effective from 1988-05-13. It is marketed by JOHNSON & JOHNSON PTE LTD, with the registration number of SIN01117P.

This product contains Ketoconazole 20mg/g in the form of CREAM. It is approved for TOPICAL use.

This product is manufactured by JANSSEN PHARMACEUTICA NV in BELGIUM.

It is an Over-the-counter Medicine that can be freely obtained from any retailer

Product Reference
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Description

Broad spectrum antifungal agent used for long periods at high doses, especially in immunosuppressed patients. It is a racemate consisting of equimolar amounts of (2R,4S)- and (2S,4R)-ketoconazole with the chiral centers on the acetal ring.

Indication

For the treatment of the following systemic fungal infections: candidiasis, chronic mucocutaneous candidiasis, oral thrush, candiduria, blastomycosis, coccidioidomycosis, histoplasmosis, chromomycosis, and paracoccidioidomycosis.

Mechanism of Action

Ketoconazole interacts with 14-α demethylase, a cytochrome P-450 enzyme necessary for the conversion of lanosterol to ergosterol. This results in inhibition of ergosterol synthesis and increased fungal cellular permeability. Other mechanisms may involve the inhibition of endogenous respiration, interaction with membrane phospholipids, inhibition of yeast transformation to mycelial forms, inhibition of purine uptake, and impairment of triglyceride and/or phospholipid biosynthesis. Ketoconazole can also inhibit the synthesis of thromboxane and sterols such as aldosterone, cortisol, and testosterone.

Pharmacokinetics

Absorption
Moderate
Distribution
Metabolism
Hepatic
Elimination

Toxicity

Hepatotoxicity, LD50=86 mg/kg (orally in rat)

Active Ingredient/Synonyms

Ketoconazol | Ketoconazole | Ketoconazolum | Ketozole | Ketoconazole |


Source of information: Drugbank (External Link). Last updated on: 3rd July 18. *Trade Name used in the content below may not be the same as the HSA-registered product.

References

  1. Health Science Authority of Singapore - Reclassified POM
  2. Drugbank

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