INTRODUCTION
AL KETOCER TABLET contains Ketoconazole which belongs to the group of medicines called Antifungals. It is used in adults to treat systemic fungal infections, chronic mucocutaneous and vaginal candidiasis, oral rush candiduria (fungal infection of the mouth), etc.
Avoid consumption of alcohol during treatment with AL KETOCER TABLET. Before taking AL KETOCER TABLET, inform your doctor if you have any liver, or heart problems, or adrenal insufficiency.
AL KETOCER TABLET should be used during pregnancy only if the potential benefit justifies the potential risk to the baby. AL KETOCER TABLET is not recommended for use in breastfeeding women. AL KETOCER TABLET is not for use in children (especially under 2 years of age) so, consult your doctor for advice.
The most common side effects of taking AL KETOCER TABLET are?nausea, headache, diarrhea, stomach pain, etc. If any of the symptoms worsen, contact your doctor.
USES OF AL KETOCER TABLET
Treats
Systemic fungal infections

Candidiasis (chronic mucocutaneous and vaginal)

Oral rush candiduria

HOW AL KETOCER TABLET WORKS
AL KETOCER TABLET works by blocking the synthesis of ergosterol (a key component of the fungal cell membrane) thus weakening the structure and function of the fungal cell membrane.
DIRECTIONS FOR USE
Take AL KETOCER TABLET as advised by your physician. Do not crush or chew it. Swallow AL KETOCER TABLET as whole with a glass of water. Your doctor will decide the right dose and duration of therapy for you according to your age, body weight and disease condition. Do not stop taking AL KETOCER TABLET unless your doctor advises you to stop.
SIDE EFFECTS OF AL KETOCER TABLET

COMMON

Nausea, diarrhoea, stomach pain

Headache

Abnormal liver function tests

RARE
Stop taking AL KETOCER TABLET and contact your doctor immediately if you experience any of the following side effects:
Liver problems (loss of appetite, nausea, vomiting, stomach pain, tiredness, yellow skin or whites of the eyes, dark urine, pale stools, fever, rash)

Changes in the electrical activity of your heart (feeling faint, lightheaded, dizzy, or your heart beating irregularly or fast)

Adrenal insufficiency (tiredness, dizziness, weakness, nausea, vomiting)

Serious allergic reaction (rash, itching, hives, fever, swollen lips or tongue, chest pain, or trouble breathing)

Muscle problems

HOW TO MANAGE SIDE EFFECTS
Nausea:
Take AL KETOCER TABLET with, or just after meals. Stick to simple meals. Avoid eating oily or spicy foods. If nausea persists, contact your doctor.
Vomiting:
Get adequate rest. Drink lots of fluids, especially water. Have small sips if you feel sick. Eat when you feel like it ? you don?t have to eat or avoid any specific foods. Do not take any medicine for vomiting without your doctor?s consultation. If vomiting persists, contact your doctor.
Diarrhoea:
Drink lots of liquids like water or fruit juice to maintain hydration. Call your doctor before taking any medicine for diarrhoea. If diarrhoea persists, contact your doctor.
Loss of appetite:
Eat when you are hungry. Eat smaller meals more often than usual. Snack only when you?re hungry. Eat protein-rich or other healthy snacks such as dried fruit and nuts. If your appetite does not get better, contact your doctor.
Headache:
Drink plenty of water and get adequate rest. Try to be relaxed and stress-free. Call your doctor before taking any medicine for headaches. If the headache persists, consult your doctor.
Dizziness:
Lie down until the dizziness gets better, then get up slowly. Don?t hurry and move slowly and carefully. Get adequate rest. Drink plenty of water and other fluids. Avoid coffee, cigarettes, alcohol, and drugs. If dizziness persists, consult your doctor.
WARNING & PRECAUTIONS

PREGNANCY
AL KETOCER TABLET should be used during pregnancy only if the potential benefit justifies the potential risk to the baby. Consult your doctor before taking it.
BREASTFEEDING
AL KETOCER TABLET is not recommended for use in breastfeeding women as it can pass into the breast milk. Consult your doctor before taking it.
ALCOHOL
Do not consume alcohol while taking AL KETOCER TABLET as it can lead to a disulfiram-like reaction (a very uncomfortable reaction characterized by severe flushing). Consult your doctor for advice.
LIVER
AL KETOCER TABLET is not recommended for use in patients with liver problems. Consult your doctor before taking it.
HEART DISEASE
AL KETOCER TABLET should be used with caution if you or any of your family members had an abnormal heart rhythm tracing (ECG) or a heart problem called ?congenital long QT syndrome?. Consult your doctor before taking it.
OTHERS
Before taking AL KETOCER TABLET, inform your doctor if you:
Have adrenal insufficiency
Use in pediatrics:
AL KETOCER TABLET is not recommended for use in children (especially those under 2 years of age). Consult your child?s doctor for advice.
Use in geriatrics:
AL KETOCER TABLET should be used with caution in elderly patients to avoid the risk of fracture. Consult your doctor before taking it.
INTERACTIONS
A. Drug ? Drug interactions:
Before taking AL KETOCER TABLET, inform your doctor if you are taking any of the following medicines:
Medicines used to treat acidity or heartburn (Ex. aluminum hydroxide, ranitidine, omeprazole, cisapride)

Medicines used to treat bacterial infections (Ex. rifampicin, rifabutin, isoniazid, telithromycin)

Medicines used to treat fits (Ex. carbamazepine, phenytoin)

Tamsulosin (used in benign prostate enlargement)

Medicines used to reduce severe pain (Ex. methadone, alfentanil, buprenorphine, fentanyl, oxycodone, sufentanil)

Medicines used to treat irregular heartbeat (Ex. disopyramide, dofetilide, dronedarone, quinidine, digoxin)

Medicines used to treat blood clots (Ex. rivaroxaban, cilostazol, warfarin, dabigatran)

Medicines used to reduce blood sugar levels (Ex. repaglinide, saxagliptin)

Praziquantel (used to treat protozoal infections)

Medicines used to treat migraine headaches (Ex. dihydroergotamine, ergometrine, ergotamine, methylergometrine, eletriptan)

Medicines used in cancer treatment (Ex. irinotecan, dasatinib, lapatinib, nilotinib)

Medicines used to treat certain psychiatric conditions (Ex. alprazolam, lurasidone, midazolam, pimozide, triazolam, risperidone)

Medicines used to treat viral infections (Ex. indinavir, maraviroc, saquinavir)

Medicines used to reduce blood pressure (Ex. felodipine, nisoldipine)

Ranolazine (used to treat angina)

Eplerenone (used to treat fluid retention)

Medicines used to suppress your immunity (Ex. everolimus, rapamycin, sirolimus, temsirolimus)

Medicines used to reduce high cholesterol (Ex. lovastatin, simvastatin)

Salmeterol (used in respiratory conditions like COPD)

Colchicine (used to treat gout)

Tolvaptan (used to control low blood sodium levels)
Overdosage:
If you or anyone else accidentally take too much of AL KETOCER TABLET, consult your doctor immediately or visit the nearby hospital.
SYNOPSIS

Drug :?? Ketoconazole

Pharmacological Category :?? Azole antifungal

Therapeutic Indication :?? Fungal infections

Dosage Forms :?? Tablet, Solution, Scalp Solution, Cream, Gel, Lotion, Ointment, Shampoo, Soap, Body Wash, Bar, Eye Drops, Dusting Powder, Scrub?

MORE INFORMATION

Keep AL KETOCER TABLET out of reach of children

Store between 20-25?C

FAQs ABOUT AL KETOCER TABLET
Can AL KETOCER TABLET be used to treat fungal infections of nails?
No. AL KETOCER TABLET is not recommended to treat fungal infections of nails. It should not be used for any other condition other than prescribed for. Consult your doctor for further doubts.
What if I forget to take a dose of AL KETOCER TABLET?
If you forget to take a dose of AL KETOCER TABLET, take it as soon as you remember. However, leave out the missed dose if it?s almost time for the next one. Do not take AL KETOCER TABLET two times to make up for the missed dose.
Can AL KETOCER TABLET be taken with acidic beverages?
AL KETOCER TABLET should be taken with an acidic beverage (Ex. non-diet cola) only upon co-treatment with medicines reducing stomach acidity. Acid neutralizing medicines should be taken at least 1 hour before or 2 hours after taking AL KETOCER TABLET. Consult your doctor for further doubts.
Can AL KETOCER TABLET lead to an excessive reduction in my cortisol levels?
Yes. Adrenal insufficiency (excessive drop in cortisol levels) can occur during AL KETOCER TABLET treatment and so, your adrenal function will be monitored regularly. Consult your doctor immediately if you have symptoms such as tiredness, weakness, dizziness, nausea, or vomiting.
Can I stop taking AL KETOCER TABLET?
Do not stop taking AL KETOCER TABLET until your doctor tells you to do so, as it may cause your cortisol levels to increase again, and your symptoms may come back. Consult your doctor for further doubts.
REFERENCES
Barbara G. Wells, Joseph T. DiPiro, Terry L. Shwinghammer, Cecily V. DiPiro. Adrenal Gland Disorders. Pharmacotherapy Handbook. Ninth edition. Page- 155.
Sharquie, Khalifa E., Adil A. Noaimi, Wasnaa S. Al-Salam. The safety of oral ketoconazole in the treatment of skin diseases (single blinded, therapeutic, comparative study). Scientific Research- An Academic Publisher. December 2018. [Accessed 17th May 2022] https://www.scirp.org/journal/paperinformation.aspx?paperid=89299
Sinawe H, Casadesus D. Ketoconazole. NIH National Library of Medicine, National center for biotechnology information. StatPearls [Internet]. June 2022. [Accessed 17th October 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2888552/
anssen Pharmaceuticals, Inc. U.S. Food & Drug Administration. [Revised in July 2013] [Accessed on 17th May 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/018533s040lbl.pdf
A-S Medication Solutions. Ketoconazole tablet. Dailymed. [Revised in October 2022] [Accessed on 17th October 2022] https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=517c29fc-2a2a-4bd5-a8bb-b464a65d2be0#ID316
Taj Life Sciences. Ketoconazole 200mg tablet. [Accessed on 17th October 2022].https://tajlifesciences.com/portfolio/ketoconazole-tablets-200mg/
USEFUL DIAGNOSTIC TESTS

Complete Blood Count (CBC)

Net Qty

1 N

Item Weight

17.5 g

Ingredient

KETOCONAZOLE 200 mg

Hsn Code

30049029

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