Ketoisdin (other name Nizoral)

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

an alcohol abuse problem

low stomach acid production

liver disease

an unusual or allergic reaction to ketoconazole, itraconazole, miconazole, other medicines, foods, dyes or preservatives

pregnant or trying to get pregnant

breast-feeding

How should I use this medicine?

Take this medicine by mouth with a full glass of water. Follow the directions on the prescription label. This medicine works best if you take it with food. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is less than four hours to your next dose, take only that dose and skip the missed dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

alfuzosin

cisapride

conivaptan

dofetilide

eplerenone

ergotamine, dihydroergotamine or methysergide

medicines for high cholesterol like atorvastatin

nevirapine

pimozide

quinidine

sirolimus

some medicines for anxiety or difficulty sleeping like alprazolam, midazolam or triazolam

red yeast rice

This medicine may also interact with the following medications:

atropine and related drugs like hyoscyamine, scopolamine, tolterodine and others

cyclosporine

digoxin

hormones like methylprednisolone or cortisone

medicines for blood sugar

medicines for stomach acid or heartburn

phenytoin

rifampin

tacrolimus

warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for check ups. Tell your doctor if your symptoms do not improve. Some fungal infections can take many weeks or months of treatment to cure.
Avoid medicines for your stomach like antacids, anticholinergics, and acid blockers for at least two hours after taking this medicine.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

dark urine

feeling dizzy, faint

fever

rregular heartbeat, chest pain

light color stools

loss of appetite

usually tired or weak

yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

breast swelling and tenderness

change in sex drive or performance

eyes more sensitive to light

headache

nausea, vomiting

stomach pain

Where should I keep my medicine?

Keep out of the reach of children.
Store at room temperature between 15 and 25 degrees C (59 and 77 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.