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Molecule

Ketoconazole

Azole Antifungal
Available on requestCold chainEndocrinologyAntifungalsDermatology
Presentations
6
Brands
1
Manufacturers
1
Available from stock
0

Ketoconazole is an azole antifungal indicated for the topical treatment of tinea corporis, tinea cruris and tinea pedis caused by Trichophyton rubrum, T. mentagrophytes and Epidermophyton floccosum, among other approved uses. MedsAcross supplies Ketoconazole for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Azole Antifungal, Cytochrome P450 3A4 Inhibitors, Cytochrome P450 3A5 Inhibitors, P-Glycoprotein Inhibitors
ATC classification
D01AC08 Ketoconazole · Antifungals for the skin, subgroup D01A, subgroup D01ACG01AF11 Ketoconazole · Gynaecological anti-infectives, subgroup G01A, subgroup G01AFH02CA03 Ketoconazole · AnticorticosteroidJ02AB02 Ketoconazole · Antifungals for systemic use, subgroup J02A, subgroup J02ABV03 Antidotes and other therapeutic products
US FDA first approval
12 June 1981
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Topical, Oral
Dosage forms
Cream, Topical suspension, Tablet, Foam, Shampoo
Identifiers
UNII R9400W927IRxCUI 6135CAS 79156-75-5DrugBank DB01026Q407883

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Ketoconazole cream, 2% is indicated for the topical treatment of tinea corporis, tinea cruris and tinea pedis caused by Trichophyton rubrum, T. mentagrophytes and Epidermophyton floccosum, in the treatment of tinea (pityriasis) versicolor caused by Malassezia furfur (Pityrosporum orbiculare), in the treatment of cutaneous candidiasis caused by Candida spp. and in the treatment of seborrheic dermatitis.

Source: US FDA prescribing information

How it works

Mode of Action In vitro studies suggest that ketoconazole impairs the synthesis of ergosterol, which is a vital component of fungal cell membranes. It is postulated that the therapeutic effect of ketoconazole in seborrheic dermatitis is due to the reduction of M. ovale, but this has not been proven.

Source: US FDA prescribing information

Dosing overview

Cutaneous candidiasis, tinea corporis, tinea cruris, tinea pedis, and tinea (pityriasis) versicolor It is recommended that ketoconazole cream, 2% be applied once daily to cover the affected and immediate surrounding area. Clinical improvement may be seen fairly soon after treatment is begun, however, candidal infections and tinea cruris and corporis should be treated for two weeks in order to reduce the possibility of recurrence. Patients with tinea versicolor usually require two weeks of treatment. Patients with tinea pedis require six weeks of treatment. Seborrheic dermatitis Ketoconazole cream, 2% should be applied to the affected area twice daily for four weeks or until clinical clearing. If a patient shows no clinical improvement after the treatment period, the diagnosis should be redetermined.

Source: US FDA prescribing information

Contraindications

Ketoconazole cream, 2% is contraindicated in persons who have shown hypersensitivity to the active or excipient ingredients of this formulation.

Source: US FDA prescribing information

Warnings and precautions

Ketoconazole Cream, 2% is not for ophthalmic use. Ketoconazole Cream, 2% contains sodium sulfite anhydrous, a sulfite that may cause allergic-type reactions, including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.

Source: US FDA prescribing information

Side effects

During clinical trials 45 (5.0%) of 905 patients treated with ketoconazole cream, 2% and 5 (2.4%) of 208 patients treated with placebo reported side effects consisting mainly of severe irritation, pruritus and stinging. One of the patients treated with ketoconazole cream developed a painful allergic reaction. In worldwide postmarketing experience, rare reports of contact dermatitis have been associated with ketoconazole cream or one of its excipients, namely propylene glycol.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

6 presentations of Ketoconazole, sorted by availability.

MedicineManufacturerRegisterAvailability
Ketoconazole 2% creamTopicalGeneric name—US FDAAvailable on request
Ketoconazole 200 mg tabletOralGeneric name—US FDAAvailable on request
Ketoconazole 20 mg/mL topical suspensionTopicalGeneric name—US FDAAvailable on request
Ketoconazole 2% foamTopical Cold chainGeneric name—US FDAAvailable on request
Ketoconazole 20 mg/mL shampooTopicalGeneric name—US FDAAvailable on request
Ketodan 2% foamTopical Cold chainMedimetriks PharmaceuticalsUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 12 June 1981Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Ketoconazole in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Ketoconazole available for export from India?

Yes, on request. MedsAcross lists 6 presentations of Ketoconazole and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Ketoconazole have?

The catalogue lists 1 brand names for Ketoconazole, including Ketodan.

Is Ketoconazole approved by the US FDA?

Yes. The US FDA first approved Ketoconazole on 12 June 1981, according to Drugs@FDA.

Is Ketoconazole authorised in the European Union?

Yes. Ketoconazole has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Ketoconazole need cold chain shipping?

At least one listed presentation of Ketoconazole must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Ketoconazole in?

Ketoconazole is classified under ATC code D01AC08 (Ketoconazole).

References

  1. Ketoconazole prescribing information (Ipg Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 18 September 2026
  2. Ketoconazole Esteve (previously Ketoconazole HRA): European public assessment report (EPAR). European Medicines Agency. Retrieved 5 May 2025

Request Ketoconazole for export supply

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