Oxiconazole

Oxiconazole Brand Name– Oxistat

What is Oxiconazole

Oxiconazole is an imidazole-type topical antifungal agent. Oxiconazole is available as both a cream and lotion formulation.

The products contain 10 mg oxiconazole nitrate per gram of either the cream or lotion vehicle.

Oxiconazole is active against a variety of organisms responsible for causing tinea pedis, tinea corporis, and tinea cruris; the cream is also indicated to treat tinea versicolor.

Oxiconazole cream was FDA-approved in December 1988, and the lotion in September 1992.

Indications

  1. Candida albicans
  2. Epidermophyton floccosum
  3. Malassezia furfur
  4. Microsporum audouinii
  5. Microsporum canis
  6. Microsporum gypseum
  7. tinea corporis
  8. tinea cruris
  9. tinea pedis
  10. tinea versicolor
  11. Trichophyton mentagrophytes
  12. Trichophyton rubrum
  13. Trichophyton tonsurans
  14. Trichophyton violaceum

Side Effects

  • contact dermatitis
  • erythema
  • folliculitis
  • pruritus
  • rash
  • skin irritation

Topical administration of oxiconazole cream or lotion may be associated with local adverse effects which most commonly include pruritus (0.4—1.6%), burning (0.7—1.4%), stinging (0.1—0.7%), skin irritation (0.4%), allergic contact dermatitis (0.4%), folliculitis (0.3%), and erythema (0.2%). Other adverse effects observed in clinical trials that were attributed to drug therapy included papules, fissure, maceration, rash (unspecified), and nodules (0.1% each). Scaling, tingling, pain, and dishidrotic eczema were reported at an incidence of 0.4% each.

Monitoring Parameters

  • laboratory monitoring not necessary

Contraindications

  • azole antifungals hypersensitivity
  • breast-feeding
  • ocular exposure
  • onychomycosis
  • ophthalmic administration
  • pregnancy
  • vaginal administration

Interactions

  • Nystatin

Nystatin: (Moderate) The combination of oxiconazole and nystatin represents duplication of therapy whenever the drugs are used by similar routes and are usually avoided.

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