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Panfungol (Ketoconazole)

Panfungol is an imidazole medicine used to treat fungal infections. Panfungol binds to the fungal p450 enzymes and stops the cells making ergosterol, the main component of the cell wall. In New Zealand, it is available as shampoo and cream. Panfungol is effective against a broad spectrum of fungi including: Dermatophytes (tinea infections). Yeasts such as candida and malassezia. Panfungol 2% Cream (Panfungol Cream) daily and 2% Shampoo (Panfungol, Sebizole) twice weekly are used for seborrhoeic dermatitis, a common scaly rash affecting scalp and face. They are subsidised on prescription, but can also be obtained over the counter at a chemist. Topical Panfungol is safe.

Other names for this medication:
Ketoconazole, Nizoral, Akorazol, Arcolan, Arcolane, Asquam, Biogel, Clarazole, Conazol, Daktagold, Daktarin, Dezor, Diazon, Dikoven, Eumicel, Extina, Funginoc, Fungoral, Ilgem, Kenazol, Kenazole, Ketazol, Ketokonazol, Ketolef, Ketovid, Ketozal, Liondox, Lizovag, Micoral, Micosin, Muzoral, Mycoderm, Noell, Orifungal, Oronazol, Panfungol, Perative, Phytoral, Pristinex, Tiniazol, Tinuvin, Xolegel, Yucomy, Zoloral,

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Prescription Panfungol comes as a cream and a shampoo to apply to the skin. Over-the-counter Panfungol comes as a shampoo to apply to the scalp. Panfungol cream is usually applied once a day for 2 to 6 weeks. Prescription Panfungol shampoo is usually applied one time to treat the infection. Over-the-counter Panfungol shampoo is usually used every 3 to 4 days for up to 8 weeks, and then used as needed to control dandruff. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use Panfungol exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.

One treatment with prescription Panfungol shampoo may successfully treat your tinea versicolor infection. However, it may take several months for your skin color to return to normal, especially if your skin is exposed to sunlight. After your infection is treated, there is a chance that you will develop another tinea versicolor infection.

If you are using over-the-counter Panfungol shampoo to treat dandruff, your symptoms should improve during the first 2 to 4 weeks of your treatment. Call your doctor if your symptoms do not improve during this time or if your symptoms get worse at any time during your treatment.

If you are using Panfungol cream, your symptoms should improve at the beginning of your treatment. Continue to use Panfungol cream even if you are feeling well. If you stop using Panfungol cream too soon, your infection may not be completely cured and your symptoms may return.

Panfungol cream and shampoos are only for use on the skin or scalp. Do not let Panfungol cream or shampoo get into your eyes or mouth, and do not swallow the medication. If you do get Panfungol cream or shampoo in your eyes, wash them with plenty of water.

To use the cream, apply enough cream to cover the affected area and all of the skin around it.

To use the prescription shampoo, follow these steps:

  1. Use a small amount of water to wet your skin in the area where you will apply Panfungol shampoo.
  2. Apply the shampoo to the affected skin and a large area around it.
  3. Use your fingers to rub the shampoo until it forms a lather.
  4. Leave the shampoo on your skin for 5 minutes.
  5. Rinse the shampoo off of your skin with water.

To use the over-the-counter shampoo, follow these steps:

  1. Be sure that your scalp is not broken, cut, or irritated. Do not use Panfungol shampoo if your scalp is broken or irritated.
  2. Wet your hair thoroughly.
  3. Apply the shampoo to your hair.
  4. Use your fingers to rub the shampoo until it forms a lather.
  5. Rinse all of the shampoo out of your hair with plenty of water.
  6. Repeat steps 2 to 5.

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