KETOCONAZOLE

(Nizoral)

Standard Prescription

ketoconazole__mg PO Q__H (__mg/kg/24hr)

Dosages

Children > 2 years old:
3.3 - 6.6 mg/kg/dose PO daily.

Adults:
200-400 mg/dose PO daily.

Mechanism of Action

Azole antifungal agent

Forms Supplied

tablet: 200 mg

Comments

Adverse Effects: Hepatotoxicity, GI symptoms, rash, anaphylaxis, thrombocytopenia, hemolytic anemia, gynecomastia and adrenal insufficiency.

Perform periodic liver function tests and use with caution in patients with impaired hepatic function.

A potent inhibitor of the CYP450 enzyme system.

Check for drug interactions; concomitant use with cisapride, domperidone may cause cardiac arrhythmias. Concomitant use with midazolam may cause excessive sedation and respiratory depression.

Tablets require adequate gastric acidity for dissolution. In patients receiving H 2 -antagonists (eg ranitidine) or proton pump inhibitors (eg omeprazole) administer ketoconazole with a cola beverage.

Do not administer with antacids (space doses by 2 hrs).

References

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Last Edited

2022-07-04 18:57:47