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At a glance

Clotrimazole 1% Topical is an antifungal cream used for the treatment of skin and nail fungal infections caused by dermatophytes, yeasts, and other fungi.

Indications
  • Dermatomycoses due to dermatophytes (Trichophyton species)
  • Dermatomycoses due to yeasts (Candida species)
  • Dermatomycoses due to moulds and other fungi
  • Skin diseases showing superinfections with these fungi
  • Interdigital mycoses (athlete's foot)
  • Paronychias (associated with nail mycoses)
  • Mycoses in skin folds
  • Candida vulvitis
  • Candida balanitis
  • Pityriasis versicolor
  • Erythrasma
Pharmacology

Clotrimazole acts primarily by damaging the permeability barrier in the cell membrane of fungi. Clotrimazole causes inhibition of ergosterol biosynthesis, an essential constituent of fungal cell membranes. If ergosterol synthesis is either completely or partially inhibited, the cell is no longer able to construct an intact and functional cell membrane. Because ergosterol directly promotes the growth of fungal cells in a hormone-like fashion, rapid onset of the above events leads to dose-dependent inhibition of fungal growth.

Dosage

Adult Dose (Topical): Apply 2-3 times daily to the infected sites and rub in. Dermatomycoses: 3-4 weeks; Candida vulvitis & balanitis: 1-2 weeks; Erythrasma & Pityriasis versicolor: approx 3 weeks; Onychomycosis: 6 months; Tinea pedis: 4 weeks.

Pediatric Dose (>2 years): Tinea cruris: 2 weeks; Tinea corporis/pedis: 4 weeks; Candidiasis/Versicolor: 4 weeks (reconsider if no improvement).

Side effects

Common Side Effects:

  • Elevated serum AST (SGOT) concentrations (15%)
  • Erythema (redness)
  • Stinging
  • Irritation
  • Hypersensitivity reactions
  • Contact dermatitis
  • Edema
  • Pruritus
  • Burning
  • Peeling
  • Urticaria
  • Skin fissures

Local Reactions: Local irritation or burning sensation may occur in very few cases; these are not considered harmful.

Use in pregnancy

Small amounts of imidazoles may be absorbed systemically following topical and vaginal administration. Should be used during pregnancy only when considered necessary by the physician. Pregnancy Category B.

Pregnancy Category: B — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Avoid contact with eyes.
  • If local intolerance develops, consider withdrawal of the medicine and institution of appropriate therapy.
  • Caution during pregnancy and lactation.
  • Use with caution in children under 3 years.
Overdose effects

Overdose may cause severe irritation. Consult a physician if overdose is suspected.

Storage conditions

Keep below 25°C temperature, away from light & moisture. Keep out of reach of children.

Clotrimazole 1% Topical — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.