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sulconazole (Exelderm)

 

Classes: Antifungals, Topical

Dosing and uses of Exelderm (sulconazole)

 

Adult dosage forms and strengths

cream/topical solution

  • 1%

 

Tinea Infection

Tinea corporis, cruris, versicolor: apply cream or solution qHS or BID x 3 weeks

Tinea pedis: apply cream qHS or BID x 3-4 weeks

 

Other Indications & Uses

Cruris, corporis, versicolor

 

Pediatric dosage forms and strengths

Safety & efficacy not established

 

Exelderm (sulconazole) adverse (side) effects

1-10%

Pruritus

Erythema

Burning

Irritation

Stinging/tingling

 

Warnings

Contraindications

Hypersensitivity

Not for ophthalmic or intravaginal use

 

Cautions

Hypersensivity to other azole antifungals (eg, miconazole, ketoconazole, itraconazole)

 

Pregnancy and lactation

Pregnancy category: C

Lactation: not known whether topical preparations get into breast milk; use caution

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Exelderm (sulconazole)

Absorption: 8.7-11.3%

 

Excretion

Urine: 6.7%

Feces: 2%

 

Mechanism of action

Antifungal ointment, interferes with cell membrane sterol biosynthesis