Indication
The confirmed indication for Clotrimazole?ÿinclude:
All dermatomycoses due to dermatophytes (e.g. Trichophyton species).
All dermatomycoses due to yeasts (Candida species).
Dermatomycoses due to moulds and other fungi.
Skin diseases showing superinfections with these fungi.
To the dermatomycoses listed under 1-4 belong for example, interdigital myocoses (e.g. athlete??s foot), paronychias (associated with nail mycoses), myocoses in skin folds, Candida vulvitis, Candida balanitis, Pityriasis versicolor, erythrasma.
Pharmacology
Clotrimazole is a broad spectrum antifungal. It also exhibits activity against Trichomonus, Staphylococci, Streptococci and Bacteroides. Clotrimazole kills fungi and yeasts by interfering with their cell membranes. It works by stopping the production of ergosterol, which is an essential component of fungal cell membranes resulting in increased membrane permeability and leakage of essential constituents of the fungal cells.
Dosage
Wash skin with soap and water and dry thoroughly. Apply a thin layer of the cream or solution 2-3 times daily and gently massage over affected area as directed by the doctor. For Athlete??s foot, pay special attention to the spaces between the toes. Best results in Athlete's foot and ringworm are usually obtained with 4 weeks use of this product. The cream should be applied two or three times daily for one month or for at least two weeks after the disappearance of all signs of infection. If satisfactory results have not occurred within these times consultation with doctor is essential. For best results, follow directions and continue treatment for length of time indicated. The duration of treatment varies; it depends among other factors on the extent and localization of the disease.Recommended duration of treatment :
Dermatomycoses: 3-4 weeks
Candida vulvitis and candida balanitis: 1-2 weeks
Erythrasma and pityriasis versicolor (approx.): 3 weeks
In fungal infection of the feet, to prevent relapses:?ÿTreatment should be continued for about 2 weeks beyond the disappearance of all signs of disease.
Clotrimazole cream is odourless, can be washed off and does not stain.
Interaction
Contradiction
Hypersensitivity to clotrimazole.
Side Effect
Clotrimazole is generally well tolerated after local application but the few side effects have been reported infrequently like erythema, stinging, blistering, peeling, oedema, pruritus, urticaria and general irritation.
Pregnancy
Pregnancy?ÿCategory B. Clotrimazole is recommended during pregnancy only after first consulting a doctor.Lactation: Because systemic absorption of clotrimazole following topical application is marginal, there should be no risk for the infant during lactation.
Precaution
If local intolerance develops, consider withdrawal of the medicine and institution of appropriate therapy. Clotrimazole solution is not intended for ophthalmic use.
Overdose
Supportive measures should be taken incase of accidental oral ingestion.
Storage
Store at a cool and dry place. Protect from light. Do not freeze.