Find out about the 200 mg ketoconazole, a medication for fungal infections. Dose, side effects and precautions discussed for your knowledge.

Learn about Ketoconazole 200 mg, a medicine for fungal infections. Dosage, side effects and precautions discussed for your knowledge.

Ketoconazole 200 mg is a powerful antifungal medicine used to treat various fungal infections. It belongs to the class of medications known as azolic antifungals and acts by stopping the growth of fungi that cause infections. This medicine is presented in the form of tablets and is usually prescribed by health professionals to treat fungal skin infections, scalp, nails and mucous membranes.

In the treatment of fungal infections, the 200 mg ketoconazole has proven to be very effective. It acts inhibiting the synthesis of ergosterol, a crucial component of fungal cell membranes. Without ergosterol, fungal cells weaken and are unable to survive. In addition, this medicine has a broad spectrum activity against a wide range of fungal organisms, which makes it a versatile option to treat different types of infections.

Before starting treatment with Ketoconazole 200 mg, it is important to consult a healthcare professional who will evaluate his medical history and give him the appropriate positive instructions. This medicine is usually taken orally once a day, with or without food. The exact dose and duration of treatment will depend on the seriousness of the infection and individual factors. It is essential to complete all the treatment prescribed by the doctor, although the symptoms improve, to guarantee the complete eradication of fungal infection.

What is Ketoconazole?

  • Mode of action: ketoconazole inhibits ergosterol synthesis, a vital component of fungal cell membranes, which leads to the interruption of the cell membrane function and, finally, to the death of the fungus.
  • Available forms: Ketoconazole is available in the form of tablets, creams, shampoos and foams.
  • Indications: This medication is mainly used to treat fungal infections such as athlete’s foot, dandruff, dye, yeast infections of the skin and inguinal ringworm.
  • Dosage: The ketoconazole dose can vary depending on the specific condition to be treated. Usually, it is taken once a day for a certain time as prescribed by the doctor.

“Ketoconazole is a powerful antifungal drug that effectively attacks various fungal infections.”

Ketoconazole acts interfering with the synthesis of ergosterol, a key component of the cell membranes of fungi. This alteration weakens the cell membrane, which causes the leakage of the cell content and, ultimately, the death of the fungus. The medicine is available in different forms, including tablets, creams, shampoos and foams, so it is suitable for both topical and systemic use.

  1. Use and precautions: Ketoconazole should be used exactly as prescribed by the health professional. It is essential to complete the entire course of treatment, even if the symptoms improve before the end of the prescribed duration. Certain precautions must be followed during the use of this medication, such as avoiding contact with eyes or mucous membranes and informing the doctor about any other medication you are taking.
  2. Possible side effects: the common side effects of ketoconazole can include nausea, diarrhea, abdominal pain, dizziness and cutaneous eruption. It is important to seek medical attention if serious side effects or allergic reactions occur.
  3. Drug interactions: ketoconazole can interact with certain medications, such as oral contraceptives, warfarin and statins. It is crucial to inform the health professional about all medications, herbal supplements and vitamins that are being used to avoid possible interactions.

Ketoconazole summary
Class Action mode Shapes Indications
IMIDOZICAL ANTIMICOTHIC Inhibition of ergosterol synthesis Tablets, creams, shampoos, foams Athlete’s foot, dandruff, dye, fungal infections, inguinal rib

Important Precautions and Interactions

Precautions: Before starting to take ketoconazole 200 mg, report to your medical care provider about any existing medical condition, especially if you have liver problems or history of liver disease. This medicine can cause liver damage or worsen liver function, so it may be necessary to perform periodic tests of liver function during treatment. If you experience symptoms such as loss of appetite, fatigue, yellowish coloration of the skin or eyes, dark urine or pale stool, contact your doctor immediately. In addition, Ketoconazole 200 mg should not be used during pregnancy unless a healthcare professional is specifically prescribed.

Interactions with Other Medications

Ketoconazole 200 mg may interact with certain medications, potentially affecting their effectiveness or increasing the risk of side effects. It is crucial that you tell your doctor about all the medications you are currently taking, including prescription medications, over-the-counter medications, vitamins, and herbal supplements.

  • Oral anticoagulants: Ketoconazole 200 mg may potentiate the effects of oral anticoagulant medications, increasing the risk of bleeding. Close monitoring of coagulation parameters is advised when both medications are used simultaneously.
  • Corticosteroids: Concomitant use of Ketoconazole 200 mg and corticosteroids may increase the risk of adrenal insufficiency. Frequent monitoring of adrenal function and adjustment of corticosteroid dosage may be necessary.
  • Statins: Ketoconazole 200 mg may inhibit the metabolism of certain statins, leading to increased statin concentrations and an increased risk of muscle-related side effects such as rhabdomyolysis. This combination should be used with caution, and the statin dose should be adjusted accordingly.

Note: This is not an exhaustive list of all possible drug interactions. Consult your doctor or pharmacist for a complete evaluation of possible interactions before starting or stopping taking any medication.

Author of the article
Dr.Greenblatt M.
Dr.Greenblatt M.
Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont

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