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Pronunciation |
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(oks
i KON a
zole) |
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U.S. Brand
Names |
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Oxistat®
Topical |
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Generic
Available |
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No |
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Synonyms |
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Oxiconazole Nitrate |
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Pharmacological Index |
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Antifungal Agent, Topical |
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|
Use |
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Treatment of tinea pedis (athlete's foot), tinea cruris (jock itch), and
tinea corporis (ringworm) |
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Pregnancy Risk
Factor |
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B |
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Contraindications |
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Hypersensitivity to this agent; not for ophthalmic use |
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Warnings/Precautions |
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May cause irritation during therapy; if a sensitivity to oxiconazole occurs,
therapy should be discontinued; avoid contact with eyes or
vagina |
|
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Adverse
Reactions |
|
1% to 10%:
Local: Transient burning, local irritation, stinging, dryness
|
|
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Drug
Interactions |
|
CYP3A3/4 enzyme inhibitor |
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|
Mechanism of
Action |
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The cytoplasmic membrane integrity of fungi is destroyed by oxiconazole which
exerts a fungicidal activity through inhibition of ergosterol synthesis.
Effective for treatment of tinea pedis, tinea cruris, and tinea corporis. Active
against Trichophyton rubrum, Trichophyton mentagrophytes,
Trichophyton violaceum, Microsporum canis, Microsporum
audouini, Microsporum gypseum, Epidermophyton floccosum,
Candida albicans, and Malassezia furfur. |
|
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Pharmacodynamics/Kinetics |
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Absorption: In each layer of the dermis; very little is absorbed systemically
after one topical dose
Distribution: To each layer of the dermis; excreted in breast milk
Elimination: <0.3% excreted in urine |
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|
Usual Dosage |
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Children and Adults: Topical: Apply once to twice daily to affected areas for
2 weeks (tinea corporis/tinea cruris) to 1 month (tinea
pedis) |
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Mental Health: Effects
on Mental Status |
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None noted |
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|
Mental Health:
Effects on Psychiatric
Treatment |
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None noted |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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External use only; discontinue if sensitivity or chemical irritation occurs,
contact physician if condition fails to improve in 3-4 days |
|
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Nursing
Implications |
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External use only; discontinue if sensitivity or chemical irritation occurs,
contact physician if condition fails to improve in 3-4 days |
|
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Dosage Forms |
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Cream, as nitrate: 1% (15 g, 30 g, 60 g)
Lotion, as nitrate: 1% (30 mL) |
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