Ciclopirox Topical

Indications

Ciclopirox Topical is used for: Tineapedis, Tineacruris, Tineacorporis, Tinea (pityriasis) versicolor, Tinea unguium or Onychomycosis (Fungal nail infection), Skin fungal infections, Prophylaxis or treatment of Seborrheic dermatitis, Dandruff & Tinea capitis of the scalp & hairy parts of the body.

Adult Dose

Topical/Cutaneous Seborrhoeic dermatitis Adult: As 1% ciclopirox base shampoo: Apply 5-10 mL into the scalp twice weekly for 4 weeks, with a Min of 3 days between application. Skin fungal infections Adult: As cream: Apply onto affected areas bid. Topical nail solution Onychomycosis (Fungal nail infection) It should be applied once daily (preferably at bedtime) to all affected nails with the applicator brush provided up to 48 weeks.

Child Dose

Children <10 yr: Safety & Efficacy not established.

Renal Dose

Administration

Cream should be gently massaged onto the affected and surrounding skin areas twice daily for four weeks. Wet hair and apply approximately 1 teaspoon (5 ml) of Ciclopirox Olamine Shampoo to the scalp. Up to 2 teaspoons (10 ml) may be used for long hair. Lather and leave on hair and scalp for 3 minutes. Treatment should be repeated twice per week for 4 weeks, with a minimum of 3 days between applications.

Contra Indications

Hypersensitivity; occlusive wrappings/dressings.

Precautions

Children <12 yr; pregnancy, lactation. Avoid contact with eyes. For external use only.

Pregnancy-Lactation

Pregnancy Category: B Lactation: not known if distributed in breast milk

Interactions

Adverse Effects

Side effects of Ciclopirox Topical : Skin & Scalp Pruritus, burning sensation; headache, rash, irritation, dryness. Nail Commonly redness/ burning of treated skin or changes in shape/color of nail may occur. Allergic reaction to Ciclopirox is rare.

Mechanism of Action

Ciclopirox has a wide spectrum of antifungal activity and some antibacterial activity. Inhibits most Candida, Epidermophyton, Microsporum, Trichophyton species and M. furfur by inhibiting transport of essential elements in fungal cells, thus disrupting DNA, RNA and protein synthesis.