Luliconazole крем инструкция на русском

Package insert / product label
Dosage form: cream
Drug class: Topical antifungals

1. Indications and Usage for Luliconazole

Luliconazole Cream, 1% is indicated for the topical treatment of interdigital tinea pedis, tinea cruris, and tinea corporis caused by the organisms Trichophyton rubrum and Epidermophyton floccosum.

2. Luliconazole Dosage and Administration

For topical use only. Luliconazole Cream, 1% is not for ophthalmic, oral, or intravaginal use.

When treating interdigital tinea pedis, a thin layer of Luliconazole Cream, 1% should be applied to the affected area and approximately 1 inch of the immediate surrounding area(s) once daily for 2 weeks.
When treating tinea cruris or tinea corporis, Luliconazole Cream, 1% should be applied to the affected area and approximately 1 inch of the immediate surrounding area(s) once daily for 1 week.

3. Dosage Forms and Strengths

Cream, 1%. Each gram of Luliconazole Cream, 1% contains 10 mg of luliconazole in a white cream base.

4. Contraindications

None.

6. Adverse Reactions/Side Effects

6.1 Clinical Trials Experience

Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.

In three Phase 3 clinical trials, 616 subjects were exposed to Luliconazole Cream, 1%: 305 with interdigital tinea pedis and 311 subjects with tinea cruris. Subjects with interdigital tinea pedis or tinea cruris applied Luliconazole Cream, 1% or vehicle cream once daily for 14 days or 7 days, respectively, to affected and adjacent areas. During clinical trials with Luliconazole Cream, 1%, the most common adverse reactions were application site reactions which occurred in less than 1% of subjects in both the Luliconazole and vehicle arms. Most adverse reactions were mild in severity.

A post-approval clinical trial was conducted in 75 subjects age 2 to <18 years old with tinea corporis. The adverse reactions in the Luliconazole Cream, 1% treated population were similar to the vehicle treated population.

6.2 Postmarketing Experience

The following adverse reactions have been identified during postmarketing use of luliconazole cream, 1%: contact dermatitis and cellulitis. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

7. Drug Interactions

An in vivo study in adult subjects with moderate to severe interdigital tinea pedis and tinea cruris showed that Luliconazole Cream, 1% is mostly a weak inhibitor of CYP2C19. In a separate trial in adolescent subjects with tinea cruris, in vivo blood levels of Luliconazole Cream, 1%, were seen to approach those levels sufficient to show moderate inhibition of CYP2C19 [see Clinical Pharmacology (12.3)].

8. Use In Specific Populations

8.1 Pregnancy

Risk Summary

There are no available data with Luliconazole Cream, 1% use in pregnant women to inform a drug-associated risk for major birth defects and miscarriage. In animal reproduction studies with pregnant rats and rabbits, there were no adverse developmental effects observed with subcutaneous administration of luliconazole during organogenesis at doses up to 3 and 24 times, respectively, the maximum recommended human dose (MRHD) [see Data].

The background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively.

Data

Animal Data

The animal multiples of human exposure calculations were based on daily dose body surface area (BSA) comparisons (mg/m2) for the reproductive toxicology studies described in this section and in Section 13.1. The maximum recommended human dose (MRHD) was set at 8 g 1% cream per day (1.33 mg/kg/day for a 60 kg individual, which is equivalent to 49.2 mg/m2/day).

Systemic embryofetal development studies were conducted in rats and rabbits. Subcutaneous doses of 1, 5 and 25 mg/kg/day luliconazole were administered during the period of organogenesis (gestational days 7-17) to pregnant female rats. No treatment-related effects on maternal toxicity or malformations were noted at 25 mg/kg/day (3 times the MRHD based on BSA comparisons). Increased incidences of skeletal variation (14th rib) were noted at 25 mg/kg/day. No treatment-related effects on skeletal variation were noted at 5 mg/kg/day (0.6 times the MRHD based on BSA comparisons).

Subcutaneous doses of 4, 20 and 100 mg/kg/day luliconazole were administered during the period of organogenesis (gestational days 6-18) to pregnant female rabbits. No treatment-related effects on maternal toxicity, embryofetal toxicity or malformations were noted at 100 mg/kg/day (24 times the MRHD based on BSA comparisons).

In a pre- and postnatal development study in rats, subcutaneous doses of 1, 5 and 25 mg/kg/day luliconazole were administered from the beginning of organogenesis (gestation day 7) through the end of lactation (lactation day 20). In the presence of maternal toxicity, embryofetal toxicity (increased prenatal pup mortality, reduced live litter sizes and increased postnatal pup mortality) was noted at 25 mg/kg/day.

No embryofetal toxicity was noted at 5 mg/kg/day (0.6 times the MRHD based on BSA comparisons). No treatment effects on postnatal development were noted at 25 mg/kg/day (3 times the MRHD based on BSA comparisons).

8.2 Lactation

Risk Summary

There is no information available on the presence of luliconazole in human milk, the effects of the drug on the breastfed infant, or the effects of the drug on milk production after topical application of Luliconazole Cream, 1% to women who are breastfeeding. Luliconazole Cream, 1% has low systemic absorption. The lack of clinical data during lactation precludes a clear determination of the risk of Luliconazole Cream, 1% to an infant during lactation. Therefore, the developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for Luliconazole Cream, 1% and any potential adverse effects on the breastfed infant from Luliconazole Cream, 1% or from the underlying maternal condition.

8.4 Pediatric Use

The safety and effectiveness of Luliconazole Cream, 1% in pediatric patients 12 to <18 years of age with tinea pedis and tinea cruris have been established by evidence from well-controlled trials in adult and pediatric subjects and a pharmacokinetic (PK) study in pediatric subjects [see Clinical Pharmacology (12.3) and Clinical Studies (14)].

The safety and effectiveness of Luliconazole Cream, 1% in pediatric patients 2 to <18 years of age with tinea corporis have been established by evidence from a well-controlled trial in pediatric subjects [see Clinical Pharmacology (12.3) and Clinical Studies (14)].

8.5 Geriatric Use

Of the total number of subjects in clinical studies of Luliconazole Cream, 1%, 8% were 65 and over, while 1.4% were 75 and over. No overall differences in safety or effectiveness were observed between these subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out.

11. Luliconazole Description

Luliconazole Cream, 1% contains 1% luliconazole, an azole antifungal agent, in a white cream for topical application.

Luliconazole is (2E)-2-[(4R)-4-(2,4-dichlorophenyl)-1,3-dithiolan-2-ylidene]-2-imidazol-1-ylacetonitrile. Its structural formula is:

Luliconazole Chemical Structure

The molecular formula is C14H9Cl2N3S2 with a molecular weight of 354.28. Luliconazole is the R enantiomer and contains one chiral center. The double bond adjacent to the dithiolane group is in the E configuration.

Luliconazole Cream, 1% contains 10 mg of luliconazole per gram of cream in a vehicle consisting of benzyl alcohol, butylated hydroxytoluene, cetostearyl alcohol, isopropyl myristate, medium-chain triglycerides, methylparaben, polysorbate 60, propylene glycol, purified water, and sorbitan monostearate.

12. Luliconazole — Clinical Pharmacology

12.1 Mechanism of Action

Luliconazole Cream, 1% is an azole antifungal [see Microbiology (12.4)].

12.2 Pharmacodynamics

At therapeutic doses, Luliconazole Cream, 1% is not expected to prolong QTc to any clinically relevant extent.

12.3 Pharmacokinetics

Luliconazole is the R enantiomer of a chiral molecule. The potential for interconversion between R and S enantiomers in humans has not been assessed. Information on the pharmacokinetics of luliconazole presented below refers to both R enantiomer and S enantiomer, if any, combined.

Luliconazole is >99% protein bound in plasma.

In a PK trial, 12 subjects with moderate to severe tinea pedis and 8 subjects with moderate to severe tinea cruris applied a mean daily amount of approximately 3.5 grams of Luliconazole Cream, 1% to the affected and surrounding areas once daily for 15 days. Plasma concentrations of luliconazole on Day 15 were measurable in all subjects and fluctuated little during the 24-hour interval. In subjects with tinea pedis, the mean ± SD of the maximum concentration (Cmax) was 0.40 ± 0.76 ng/mL after the first dose and 0.93 ± 1.23 ng/mL after the final dose. The mean time to reach Cmax (Tmax) was 16.9 ± 9.39 hours after the first dose and 5.8 ± 7.61 hours after the final dose. Exposure to luliconazole, as expressed by area under the concentration time curve (AUC0–24), was 6.88 ± 14.50 ng*hr/mL after the first dose and 18.74 ± 27.05 ng*hr/mL after the final dose. In subjects with tinea cruris, the mean ± SD Cmax was 4.91 ± 2.51 ng/mL after the first dose and 7.36 ± 2.66 ng/mL after the final dose. The mean Tmax was 21.0 ± 5.55 hours after the first dose and 6.5 ± 8.25 hours after the final dose. Exposure to luliconazole, as expressed by AUC0–24, was 85.1 ± 43.69 ng*hr/mL after the first dose and 121.74 ± 53.36 ng*hr/mL after the final dose.

PK data of luliconazole measured in adolescent subjects (12 to <18 years of age) with moderate to severe interdigital tinea pedis or moderate to severe tinea cruris as well as in subjects 2 to <18 years of age with tinea corporis are described in Specific Populations below.

Specific Populations

PK of luliconazole was assessed in 30 adolescent subjects 12 to <18 years of age with moderate to severe interdigital tinea pedis (N=15) or moderate to severe tinea cruris (N=15). Subjects with tinea pedis applied approximately 3 grams of Luliconazole Cream, 1% once daily to the affected area and adjacent skin for 15 days, while subjects with tinea cruris applied Luliconazole Cream, 1% once daily to the affected and adjacent skin for 8 days.

Generally, the systemic exposure of luliconazole was greater in the subjects with tinea cruris than tinea pedis. In subjects with tinea pedis, the systemic concentrations of luliconazole were quantifiable in all the subjects on Day 8 and Day 15. The mean ± SD Cmax was 1.80 ± 1.86 ng/mL after the first dose on Day 1, and 3.93 ± 1.67 ng/mL and 3.27 ± 1.71 ng/mL on Days 8 and 15, respectively. The mean ± SD AUC0-24 was 20.47 ± 14.47 ng*hr/mL after the first dose on Day 1, and 64.94 ± 32.47 ng*hr/mL and 60.38 ± 37.92 ng*hr/mL on Days 8 and Day 15, respectively. Like in adult subjects, the mean plasma concentrations of luliconazole in adolescent subjects on Days 8 and 15 were similar and fluctuated little during a 24-hour interval.

In subjects with moderate to severe tinea cruris, the systemic concentrations of luliconazole were quantifiable in all the subjects on Day 8. The mean ± SD Cmax was 9.80 ± 5.94 ng/mL after the first dose (Day 1) and 15.40 ± 13.62 ng/mL after the last dose (Day 8). The mean ± SD AUC0-24 was 157.07 ± 92.18 ng*hr/mL and 266.06 ± 236.07 ng*hr/mL, after the first dose (Day 1) and the last dose (Day 8).

In subjects with tinea corporis, the systemic concentrations of luliconazole were assessed at pre-dose and at 6 hours post-dose on the last day of treatment following once daily treatment with Luliconazole Cream, 1% for 7 days. The systemic concentrations were quantifiable in all the 12 subjects and the mean ± SD daily dose of Luliconazole Cream, 1% was 2.84 ± 1.82 g. The mean ± SD concentrations of luliconazole at 15 minutes prior to dosing and at 6 hours post-dose on Day 7 were 4.63 ± 2.93 ng/mL and 4.84 ± 3.33 ng/mL, respectively.

Drug Interactions

Results of in vitro studies indicated that therapeutic doses of Luliconazole Cream, 1% did not inhibit cytochrome P450 (CYP) enzymes 1A2, 2C9 and 2D6, but can inhibit the activity of CYP2B6, 2C8, 2C19, and 3A4. The most sensitive enzyme, CYP2C19, was further evaluated in an in vivo study using omeprazole as a probe substrate in adult subjects with moderate to severe interdigital tinea pedis and tinea cruris. The results showed that Luliconazole Cream, 1% applied at a daily amount of approximately 4 grams increased the omeprazole systemic exposure (AUC) by approximately 30% compared to the exposure of omeprazole administered alone. Luliconazole Cream, 1% is considered a weak inhibitor of CYP2C19.

For tinea cruris, extrapolation from both in vitro inhibition studies and in vivo data in adults to the adolescent subjects showed that in some subjects, levels of luliconazole can approach or exceed those required to be a moderate inhibitor of CYP2C19.

Results of in vitro studies indicated that therapeutic doses of Luliconazole Cream, 1% did not induce CYP1A2, 2B6, and 3A4.

12.4 Microbiology

Mechanism of Action

Luliconazole is an antifungal that belongs to the azole class. Although the exact mechanism of action against dermatophytes is unknown, luliconazole appears to inhibit ergosterol synthesis by inhibiting the enzyme lanosterol demethylase. Inhibition of this enzyme’s activity by azoles results in decreased amounts of ergosterol, a constituent of fungal cell membranes, and a corresponding accumulation of lanosterol.

Mechanism of Resistance

To date, a mechanism of resistance to luliconazole has not been described.

Luliconazole Cream, 1% has been shown to be active against most isolates of the following fungi, both in vitro and in clinical infections as described in the INDICATIONS AND USAGE section:

Trichophyton rubrum
Epidermophyton floccosum

13. Nonclinical Toxicology

13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility

Long-term studies to evaluate the carcinogenic potential of Luliconazole Cream, 1% have not been conducted.

Luliconazole revealed no evidence of mutagenic or clastogenic potential based on the results of two in vitro genotoxicity tests (Ames assay and Chinese hamster lung cell chromosomal aberration assay) and one in vivo genotoxicity test (mouse bone marrow micronucleus test).

In a fertility study in rats, subcutaneous doses of 1, 5 and 25 mg/kg/day luliconazole were administered prior to and during mating and through early pregnancy. Treatment-related effects on reproductive function were noted in females (decreased live embryos and decreased corpus luteum) at 5 and 25 mg/kg/day and males (decreased sperm counts) at 25 mg/kg/day. No treatment-related effects on fertility or reproductive function were noted at 1 mg/kg/day (0.1× MRHD based on BSA comparisons).

14. Clinical Studies

14.1 Interdigital Tinea Pedis

The safety and efficacy of Luliconazole Cream, 1% was evaluated in two randomized, double-blind, vehicle-controlled, multi-center clinical trials in 423 subjects with a clinical and culture-confirmed diagnosis of interdigital tinea pedis. Subjects were randomized to receive Luliconazole Cream, 1% or vehicle. Subjects applied either Luliconazole Cream, 1% or vehicle cream to the entire area of the forefeet including all interdigital web spaces and approximately 2.5 cm (1 in) of the surrounding area of the foot once daily for 14 days.

The mean age of the study population was 41 years (range 13 to 78 years); 82% were male; 53% were White and 40% were Black or African American. Signs and symptoms of tinea pedis (erythema, scaling, and pruritus), KOH exam and dermatophyte culture were assessed at baseline, end-of-treatment (Day 14), 2 and 4 weeks post-treatment.

Overall treatment success was defined as complete clearance (clinical cure and mycological cure) at 4 weeks post-treatment. Luliconazole Cream, 1% demonstrated complete clearance in subjects with interdigital tinea pedis. Treatment outcomes at 4 weeks post-treatment are summarized in Table 1.

Table 1: Efficacy Results at 4 Weeks Post-treatment – Interdigital Tinea Pedis

Study 1 Study 2
Luliconazole Cream, 1%

N=106

n (%)
Vehicle Cream

N=103

n (%)
Luliconazole Cream, 1%

N=107

n (%)
Vehicle Cream

N=107

n (%)
*
Proportion of subjects who achieved both clinical cure and mycological cure
Negative KOH and culture and at most mild erythema and/or scaling and no pruritus
Absence of erythema, scaling and pruritus
§
Negative KOH and negative fungal culture

Complete Clearance*

28 (26%)

2 (2%)

15 (14%)

3 (3%)

Effective Treatment†

51 (48%)

10 (10%)

35 (33%)

16 (15%)

Clinical Cure‡

31 (29%)

8 (8%)

16 (15%)

4 (4%)

Mycological Cure§

66 (62%)

18 (18%)

60 (56%)

29 (27%)

14.2 Tinea Cruris

The safety and efficacy of Luliconazole Cream, 1% was evaluated in a randomized, double-blind, vehicle-controlled, multi-center clinical trial in 256 subjects with a clinical and culture-confirmed diagnosis of tinea cruris. Subjects were randomized to receive Luliconazole Cream, 1% or vehicle. Subjects applied either Luliconazole Cream, 1% or vehicle cream to the affected area and approximately 2.5 cm (1 in) of the surrounding area once daily for 7 days.

The mean age of the study population was 40 years (range 14 to 88 years); 83% were male; 58% were White and 34% were Black or African American. Signs and symptoms of tinea cruris (erythema, scaling, and pruritus), positive KOH exam and dermatophyte culture were assessed at baseline, end-of-treatment (Day 7), 2 and 3 weeks post-treatment.

Overall treatment success was defined as complete clearance (clinical cure and mycological cure) at 3 weeks post-treatment. Luliconazole Cream, 1% demonstrated complete clearance in subjects with tinea cruris. Treatment outcomes at 3 weeks post-treatment are summarized in Table 2.

Table 2: Efficacy Results at 3 Weeks Post-treatment — Tinea Cruris

Luliconazole Cream, 1%

N=165

n (%)
Vehicle Cream

N=91

n (%)
*
Proportion of subjects who achieved both clinical cure and mycological cure
Negative KOH and culture and at most mild erythema and/or scaling and no pruritus
Absence of erythema, scaling and pruritus
§
Negative KOH and negative fungal culture

Complete Clearance*

35 (21%)

4 (4%)

Effective Treatment†

71 (43%)

17 (19%)

Clinical Cure‡

40 (24%)

6 (7%)

Mycological Cure§

129 (78%)

41 (45%)

14.3 Tinea Corporis

The safety and efficacy of Luliconazole Cream, 1% was evaluated in a randomized, double-blind, vehicle-controlled, multi-center clinical trial in 75 subjects age 2 to <18 years old with a clinical and culture-confirmed diagnosis of tinea corporis. Subjects were randomized to receive Luliconazole Cream, 1% or vehicle cream. Subjects applied either Luliconazole Cream, 1% or vehicle cream to the affected area and approximately 2.5 cm (1 in) of the surrounding skin once daily for 7 days.

The mean age of the study population was 8 years; 72% were male; 36% were White and 64% were Black or African American. Signs and symptoms of tinea cruris (erythema, scaling, and pruritus), positive KOH exam and dermatophyte culture were assessed at baseline, end-of-treatment (Day 7), 2 and 3 weeks post-treatment.

Treatment outcomes at 3 weeks post-treatment are summarized in Table 3.

Table 3: Efficacy Results at 3 Weeks Post-treatment — Tinea Corporis

*
Proportion of subjects who achieved both clinical cure and mycological cure
Negative KOH and culture and at most mild erythema and/or scaling and no pruritus
Absence of erythema, scaling and pruritus
§
Negative KOH and negative fungal culture

Luliconazole Cream, 1%

N=51

n (%)

Vehicle Cream

N=14

n (%)

Complete Clearance*

36 (71%)

5 (36%)

Effective Treatment†

39 (77%)

8 (57%)

Clinical Cure‡

41 (80%)

6 (43%)

Mycological Cure§

41 (80%)

8 (57%)

16. How is Luliconazole supplied

Luliconazole Cream, 1% is a white cream supplied in tubes as follows:

60 g NDC 68682-850-60

Store at 20° to 25°C (68° to 77°F); excursions permitted from 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].

17. Patient Counseling Information

Advise the patient to read the FDA-approved patient labeling (Patient Information).

Inform patients that Luliconazole Cream, 1% is for topical use only. Luliconazole Cream, 1% is not intended for intravaginal or ophthalmic use.

Distributed by:

Oceanside Pharmaceuticals, a division of
Bausch Health US, LLC
Bridgewater, NJ 08807 USA

Manufactured by:

Bausch Health Companies Inc.
Laval, Quebec H7L 4A8, Canada
U.S. Patent Numbers: 8,980,931; 9,012,484; 9,199,977 and 9,453,006

© 2020 Bausch Health Companies Inc. or its affiliates

9616403

PATIENT INFORMATION

Luliconazole Cream, 1%

Important information: Luliconazole Cream is for use on skin only. Do not get Luliconazole Cream near or in your eyes, mouth or vagina.

What is Luliconazole Cream?

Luliconazole Cream is a prescription medicine used on the skin (topical) to treat fungal infections in people with athlete’s foot that is between the toes, jock itch, and ringworm.

Before using Luliconazole Cream, tell your doctor about all of your medical conditions, including if you:

are pregnant or plan to become pregnant. It is not known if Luliconazole Cream will harm your unborn baby.
are breastfeeding or plan to breastfeed. It is not known if Luliconazole Cream passes into your breast milk.

Tell your doctor about all of the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

How should I use Luliconazole Cream?

Use Luliconazole Cream exactly as your doctor tells you to use it.
If you have athlete’s foot between the toes, apply a thin layer of Luliconazole Cream to the affected skin areas and to about 1 inch of the surrounding skin 1 time a day for 2 weeks.
If you have jock itch or ringworm, apply Luliconazole Cream to the affected skin areas and to about 1 inch of the surrounding skin 1 time a day for 1 week.
Wash your hands after you apply Luliconazole Cream.

What are the possible side effects of Luliconazole Cream?

Luliconazole Cream may cause skin reactions at the treatment site. Skin irritation may happen with Luliconazole Cream. Tell your doctor if you have any skin reactions on the areas of your skin treated with Luliconazole Cream.

These are not all the possible side effects of Luliconazole Cream.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store Luliconazole Cream?

Store Luliconazole Cream at room temperature between 68°F to 77°F (20°C to 25°C).

Keep Luliconazole Cream and all medicines out of the reach of children.

General information about the safe and effective use of Luliconazole Cream

Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use Luliconazole Cream for a condition for which it was not prescribed. Do not give Luliconazole Cream to other people, even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or doctor for information about Luliconazole Cream that is written for health professionals.

What are the ingredients in Luliconazole Cream?

Active ingredient: luliconazole

Inactive ingredients: benzyl alcohol, butylated hydroxytoluene, cetostearyl alcohol, isopropyl myristate, medium-chain triglycerides, methylparaben, polysorbate 60, propylene glycol, purified water, sorbitan monostearate.

Distributed by:

Oceanside Pharmaceuticals, a division of

Bausch Health US, LLC

Bridgewater, NJ 08807 USA

Manufactured by:

Bausch Health Companies Inc.

Laval, Quebec H7L 4A8, Canada

U.S. Patent Numbers: 8,980,931; 9,012,484;

9,199,977 and 9,453,006

© 2020 Bausch Health Companies Inc. or its affiliates

For more information, call 1-800-321-4576.

This Patient Information has been approved by the U.S. Food and Drug Administration.

Revised:04/2020

9616403

Click or tap here to enter text.

NDC 68682-850-60
Rx only

LULICONAZOLE CREAM

1%

For Topical Use Only

Not for ophthalmic, oral, or intravaginal use
Keep Out of Reach of Children

Net. Wt. 60 g

OCEANSIDE

PHARMACEUTICALS

60g carton 9616301

Луликоназол

Luliconazole

Фармакологическое действие

Луликоназол — противогрибковый препарат, производное имидазола. Механизм действия до конца не изучен, связан с изменением синтеза клеточных мембран грибов.

Фармакокинетика

Незначительное количество препарата может абсорбироваться после местного применения. Связь с белками плазмы — свыше 99 %.

Показания

Грибковые инфекции, вызванные Trichophyton rubrum, Epidermophyton floccosum, особенно Tinea pedis, Cruris и Corporis.

Способ применения и дозы

Местно.

Побочные действия

Частота встречаемости нежелательных реакций <1 %: кожные реакции на месте нанесения, целлюлит, контактный дерматит.

Меры предосторожности

Препарат только для местного применения.

Не принимать внутрь, не применять интравагинально.

Классификация

  • АТХ

    D01AC18

  • Фармакологическая группа

Информация о действующем веществе Луликоназол предназначена для медицинских и фармацевтических специалистов, исключительно в справочных целях. Инструкция не предназначена для замены профессиональной медицинской консультации, диагностики или лечения. Содержащаяся здесь информация может меняться с течением времени. Наиболее точные сведения о применении препаратов, содержащих активное вещество Луликоназол, содержатся в инструкции производителя, прилагаемой к упаковке.

Luliconazole Cream uses, side effects, precautions

Medicine type Antifungal
Prescription required Yes
Route of administration Topical
Uses Fungal Infection
Side effects Burning Sensation, Irritation, Redness
Precautions Hypersensitivity

General Uses of Luliconazole Cream

Luliconazole Cream is an anti-fungal cream. It is used for the treatment of infections caused by fungi (fungal infections).

It is generally prescribed for conditions like tinea pedis (athlete’s foot), ringworm, and tinea cruris (jock itch).

What is Luliconazole?

Luliconazole belongs to the group of medications known as imidazole antifungals. It is used in the treatment of fungal infections.

Read about: Digene Tablet / Unienzyme Tablet

When Luliconazole Cream is prescribed?

Luliconazole Cream is generally prescribed for conditions like:

Ringworm: Ringworm or Tinea Corporis is a fungal skin infection that causes a red scaly rash on various parts of the body.

Athlete’s Foot: Athlete’s Foot or Tinea Pedis is a fungal infection between the toes.

Jock Itch: Jock Itch or Tinea Cruris is a fungal skin infection on the skin of groins or buttocks.

Luliconazole Cream is usually prescribed for the treatment of ringworm, jock itch, and athlete’s foot. It can also be prescribed for other fungal conditions as well.

How to use Luliconazole Cream?

Directly apply Luliconazole Cream on the affected area with clean and dry hands.

Always wash your hands after applying this cream.

If it gets into your eyes, mouth, and nose, then suddenly rinse it with water.

Luliconazole Cream can cause itching, burning, or irritation on the place of the skin where it is applied.

Precautions

Hypersensitivity: You should avoid using this cream if you are hypersensitive (allergic) to luliconazole.

How does Luliconazole Cream Work? / Mode of action

Luliconazole Cream works by inhibiting the synthesis of ergosterol from lanosterol by inhibiting the enzyme 14α-demethylase. Thus inhibiting the synthesis of ergosterol results in destroying the cell membrane of the fungi and helps treat fungal infection.

Storage of Luliconazole Cream

Store Luliconazole Cream at room temperature.

Keep this medicine away from kids and pets.

Keep this medicine away from direct sunlight.

  • Your doctor usually prescribes Luliconazole Cream for the treatment of fungal infection.
  • Apply Luliconazole Cream on the affected area one or two times a day as suggested by your doctor or pharmacist.
  • Do not stop using Luliconazole Cream even if you are noticing an improvement in your infection. Stop using this cream too soon will not help cure the infection completely and even your symptoms may also return.
  • Do not use Luliconazole Cream more often than prescribed by your doctor.
  • Tell your doctor if you are facing any skin irritation or burning sensation after using this cream.
  • You should avoid getting Luliconazole Cream in your eyes, mouth, or nose.

Brands of Luliconazole Cream in India

Lulifin Cream Sun Pharmaceutical Industries Ltd
Lulibet Cream Intas Pharmaceuticals Ltd
L-Sys Cream Systopic Laboratories Pvt Ltd
Luliderm Cream Aristo Pharmaceuticals Pvt Ltd
Lulimac Cream Macleods Pharmaceuticals Pvt Ltd
Ludura Cream Cipla Ltd

Some FAQs

What are the uses of Luliconazole Cream?

Luliconazole Cream is an anti-fungal medication. It is generally used in the treatment of fungal infections. It can be prescribed for the treatment of ringworm, athlete’s foot, and jock itch.

Can I use Luliconazole Cream during pregnancy?

Luliconazole Cream should only be used during pregnancy if it is advised by your doctor or pharmacist.

Can I use Luliconazole Cream for psoriasis?

No, Luliconazole Cream would not be effective in treating psoriasis. It can only help you treat fungal infections.

What are the side effects of Luliconazole Cream?

Luliconazole Cream can cause a burning sensation, irritation, and redness on the part of the skin where it is applied.

How many times should I use Luliconazole Cream in a day?

Luliconazole Cream is usually prescribed one time a day for ringworm and jock itch and two times a day for athlete’s foot. However, You should only use this medicine as suggested by your doctor.

Summary

Luliconazole Cream is an anti-fungal medication. It is generally used in the treatment of fungal infections like ringworm, athlete’s foot, and jock itch.

Do not stop using this cream even if you feel better. Stop using this cream too soon may cause your symptoms to return back.

Disclaimer: The information contained in pharmbaba.com is presented for the purpose of educating consumers. Nothing contained in pharmbaba.com is intended to be instructional for medical diagnosis or treatment. The information should not be considered complete, nor should it be relied on to suggest a course of treatment for a particular individual. Information obtained in pharmbaba.com is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.

By Dr. Mayuri Pandey +2
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Table of Contents

What is Luliconazole cream?

If you’re suffering from a fungal infection on your skin, Luliconazole cream might be a useful solution. It’s a medication specifically designed to combat various fungal infections on the skin, such as athlete’s foot, jock itch, and ringworm. One of the key benefits of Luliconazole cream is that it belongs to a class of antifungal medications called azoles, which are known for their effectiveness in treating fungal infections.3 When applied topically, Luliconazole cream can kill the fungus responsible for the infection or prevent its growth, effectively treating it.1 Its effectiveness and ease of application make it a popular choice for those suffering from these types of infections. Before using the cream, always consult with your doctor or any qualified healthcare provider.

What is it used for?

By applying Luliconazole cream to the affected area as directed by your healthcare provider, you can effectively treat multiple fungal skin conditions, including: 1,3

Luliconazole Cream: Uses and Side effects

  • Tinea corporis (ringworm of the body) 
  • Interdigital tinea pedis (ringworm of the foot between the toes, commonly known as athlete’s foot) 
  • Tinea cruris (ringworm of the groin, commonly known as jock itch) 
  • A fungal skin infection that leads to a red, scaly rash 
  • Itching
  • Burning 
  • Redness 

How to use the cream?

To achieve the best results, it is important to use the cream correctly. Here are some tips on how to use Luliconazole cream properly:2,3

  • Always consult your doctor and read the prescription label carefully to determine the exact dosage of the cream. It is crucial to use the exact amount as prescribed by your doctor.
  • Before applying the cream, wash your hands thoroughly with soap and water. This will help to prevent the spread of infection. Apply enough cream to cover the affected area and about 1 inch of the skin around it. Massage the cream gently until it is completely absorbed into your skin. Be sure to apply the cream evenly and avoid applying too much or too little.
  • Continue to use of Luliconazole cream as directed by your doctor, even if you start feeling better. If you stop using it too soon, your infection may not be completely cured, and your symptoms may return.

Remember that Luliconazole cream is for external use only and should not be applied internally.Make sure you don’t get it in your eyes, nose, or mouth. If you accidentally get the cream in these areas, rinse thoroughly with water. Luliconazole cream should not be used in the vaginal area. 3 Always ask your doctor or pharmacist if you have any questions or concerns about the use of this medication.

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Precautions

It’s important to take the necessary precautions to avoid any unwanted side effects. Here are some precautions to keep in mind before using Luliconazole cream: 3

  • Do not use this cream for any skin problem without getting it checked by your doctor.
  • Inform your doctor about any allergies you may have, to any other medications, or any of the ingredients present in the cream. You can also ask your pharmacist for a list of the ingredients to double-check.
  • Share a list of all the medications, vitamins, nutritional supplements, and herbal products you are currently taking with your doctor and pharmacist. This information will help them determine if there could be any potential interactions between the products and luliconazole cream.
  • Inform your doctor about any pre-existing medical conditions to your doctor.
  • If you are pregnant, planning to become pregnant, or currently breastfeeding, it’s important to let your doctor know before using Luliconazole cream.

Side effects

As with any medication, Luliconazole comes with the possibility of experiencing side effects. It is important to inform your doctor if you encounter any of the following symptoms, especially if they persist or worsen over time: 

  • Allergic reactions, such as skin rash, itching, hives, or swelling of the face, lips, or tongue, may occur in some individuals. If you observe any of these symptoms, seek medical care immediately.2
  • In rare cases, Luliconazole may cause increased inflammation, redness, or pain. If you experience these symptoms, notify your doctor as soon as possible.1
  • You may also experience irritation, itching, or stinging at the site where you applied the medication. If these symptoms are severe or persist, talk to your doctor.3

 If you notice any unusual problems while using Luliconazole, do not hesitate to contact your doctor immediately.

Read More: Luliconazole: Uses, Side Effects, Precautions Etc

Frequently Asked Questions (FAQs):

1] How should Luliconazole cream be stored?

The cream should be stored at room. Keep the medication out of the reach of children and dispose of any unused medicine after the expiration date.2

2] What should I do if I forget to take my medication at time?

Take it as soon as you remember. If your next dose is soon due, skip the missed dose and continue your regular dosing schedule. It is critical not to apply extra cream to compensate for a missed application.1

3] Are there any dietary restrictions?

Unless your doctor tells you otherwise, there are usually no dietary restrictions associated with this medication.3

4] What precautionary measures should I take while on this medication?

After bathing, make sure your skin is completely dry and avoid going barefoot. It is preferable to wear freshly washed cotton clothing rather than synthetic clothing. These precautions can aid in the prevention of infection.2

5] Any special advice while using the cream for Jock itch and Athlete’s foot?

If you use this medicine to treat jock itch, you should wear loose-fitting cotton pants and thoroughly dry the affected area after bathing. After bathing, make sure your feet are completely dry, especially between the toes. Wear clean cotton socks and change them frequently. Wearing well-ventilated sandals or shoes may also be beneficial.2

References:

  1. Luliconazole (topical application route) precautions [Internet]. Mayo Clinic. Mayo Foundation for Medical Education and Research; 2023. Available from: https://www.mayoclinic.org/drugs-supplements/luliconazole-topical-application-route/precautions/drg-20084851?p=1  
  2. Luliconazole topical cream [Internet]. Cleveland Clinic. Available from: https://my.clevelandclinic.org/health/drugs/18212-luliconazole-topical-cream  
  3. Luliconazole topical: Medlineplus Drug Information [Internet]. MedlinePlus. U.S. National Library of Medicine; 2015.  Available from: https://medlineplus.gov/druginfo/meds/a614020.html  

Disclaimer: The information included at this site is for educational purposes only and is not intended to be a substitute for medical treatment by a healthcare professional. Because of unique individual needs, the reader should consult their physician to determine the appropriateness of the information for the reader’s situation.

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