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Nizoral Cream

Brand names: Nizoral Cream
Generic name: Ketoconazole
Manufacturer: Janssen-Cilag

Read all of this information carefully before you start using this medicine. You may need to read it again If you have any further questions, ask your doctor or pharmacist
This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours If you get side effects and they become serious or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist

1. What Nizoral cream is and what it is used for
2. Before you use Nizoral cream
3. How to use Nizoral cream
4. Possible side effects
5. How to store Nizoral cream
6. Further information

1. What Nizoral cream is and what it is used for
The name of this medicine is Nizoral cream.
Nizoral cream contains a medicine called ketoconazole. This belongs to a group of medicines called ‘antifungals’.
Nizoral cream is used for fungal and yeast infections of the skin. Infections may appear on the: Trunk, chest or back Hands or feet Scalp or face Groin or genitals
Nizoral cream works by killing the fungus that causes the infection.

2. Before you use Nizoral cream
Do not use Nizoral cream: If you are allergic to anything in Nizoral cream (listed in section 6 below) For eye infections
Do not use this medicine if the above applies to you. If you are not sure, talk to your doctor or pharmacist before using Nizoral cream.
Take special care with Nizoral cream
Check with your doctor or pharmacist before using this medicine if: You have recently used a cream, ointment or lotion on your skin infection that contains a steroid, such as betamethasone:
You should wait for 2 weeks before using Nizoral cream. If you use Nizoral cream straight away your skin might become red and itchy
If you have any questions about stopping your steroid cream, ointment or lotion, ask your doctor or pharmacist.
Taking other medicines
Nizoral cream does not normally react with other medicines. However, please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines that you buy without a prescription or herbal medicines.
Pregnancy and breast-feeding
Please tell your doctor before using Nizoral cream if you are pregnant, think you may be pregnant or might become pregnant.

You may still be able to use Nizoral cream if your doctor thinks you need to.
Talk to your doctor before using this medicine if you are breast-feeding.
Ask your doctor or pharmacist for advice before taking any medicine if you are pregnant or breast-feeding.
Driving and using machines
Nizoral cream is not likely to affect you being able to drive or use any tools or machines.
Important information about some of the ingredients of Nizoral cream Nizoral cream contains propylene glycol. This may cause skin irritation Nizoral cream also contains cetyl alcohol and stearyl alcohol. These may cause skin reactions such as contact dermatitis

3. How to use Nizoral cream
Always use Nizoral cream exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
How often you should use Nizoral cream
This will depend on the type of infection and how serious it is. Your doctor will tell you how often to use Nizoral cream and for how long.
The cream is normally used: Once or twice each day for 1 to 6 weeks
Do not use the cream more often than your doctor has told you.
Preparing your skin Wash the infected skin and dry it well
Using Nizoral cream Each tube of Nizoral cream is sealed. You will need to use the cap to pierce the seal Rub the cream gently into the affected area and surrounding skin with clean fingers Do not put Nizoral cream in the eyes
Personal hygiene Unless the affected skin is on your hands, wash your hands with soap and water after using the cream

Washing your hands after using the cream will stop you spreading the infection to other parts of your body or to other people Do not allow other people to use your flannel or towel. This will stop them from getting your infection Clothing that touches infected skin should be washed and changed often. Nizoral cream is non-greasy and should not stain clothes
When to stop using Nizoral cream
Keep using the cream for several days after all the symptoms have gone away. This will stop the symptoms from coming back.
If your symptoms do not improve after 4 weeks, talk to your doctor.
If you swallow Nizoral cream
If you swallow any cream, tell your doctor straight away.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, Nizoral cream can cause side effects, although not everybody gets them.
Stop using Nizoral cream and tell your doctor straight away if you notice or suspect any of the following. You may need urgent medical treatment.
Severe irritation or reddening of the skin where the cream has been used, or other signs of allergy during the first few days of treatment. This can affect fewer than 1 in 10 people Peeling or blistering of the skin. This can affect fewer than 1 in 100 people
Tell your doctor or pharmacist if you notice or suspect any of the following side effects:
Common side effects (affects fewer than 1 in 10 people) Burning sensation
Uncommon side effects (affects fewer than 1 in 100 people) Problems where the cream has been used such as:
- Bleeding
- Discomfort
- Dryness
- Inflammation (contact dermatitis)
- Tingling Rash, hives (also known as nettle rash or urticaria) Sticky skin

5. How to store Nizoral cream
Keep out of the reach and sight of children.
Store the cream in its original packaging. Do not store above 25°C.
Do not use Nizoral cream after the expiry date which is stated on the packaging. The expiry date refers to the last day of that month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Further information
The active substance in Nizoral cream is ketoconazole. Each gram (g) of Nizoral cream contains 20 milligrams (mg) of ketoconazole (2 % w/w).
The other ingredients are purified water, propylene glycol, cetyl alcohol, stearyl alcohol, sorbitan stearate, polysorbate 60, polysorbate 80, sodium sulphite (E221) and isopropyl myristate.

What Nizoral cream looks like and contents of the pack
Nizoral cream comes in a tube containing 10 g of white cream.
The product licence is held by:
JANSSEN-CILAG LTD, 50 –100 Holmers Farm Way, High Wycome, Buckinghamshire, HP12 4EG, UK
Nizoral cream is made by:
Janssen Pharmaceutica NV, Turnhoutseweg 30, B-2340 Beerse, Belgium
McGregor Cory Ltd, Exel, Middleton Close, Banbury, OX16 4RS, UK
For information in large print, tape, CD or Braille, telephone 0800 7318450.

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