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Ciclopirox nail solution

What is ciclopirox nail solution?

CICLOPIROX NAIL SOLUTION (Penlac™ Nail Lacquer Topical Solution 8%) is an antifungal solution for treating fungal infections on the nails or within the nail bed.Generic ciclopirox nail solution is not available.

What should my health care professional know before I use ciclopirox nail solution?

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

  • taking corticosteroid medication (including steroid inhalers, cream, or lotion)

  • diabetes mellitus

  • history of seizures (convulsions)

  • HIV (human immunodeficiency virus) infection

  • immunosuppression or organ transplant

  • large areas of burned or damaged skin (skin abrasions)

  • peripheral vascular disease or poor circulation

  • an unusual or allergic reaction to ciclopirox, isopropryl alcohol, other medicines, foods, dyes, or preservatives

  • pregnant or trying to get pregnant

  • breast-feeding

How should I use this medicine?

Ciclopirox nail solution is for external use only; do not take by mouth and avoid contact with the eyes, mouth or nose. Follow the directions on the prescription label exactly. Wash and dry your hands before use. Apply the nail solution as described below for the full course of treatment prescribed, even if you think the infection is getting better. Use at regular intervals. Do not use your medicine more often than directed. Do not use this medicine for any condition other than the one for which it was prescribed.

Every day of treatment:

1. Avoid contact with skin other than skin immediately around the treated nail(s).

2. Do not use regular nail polish or other cosmetic products on the treated nails.

3. Before starting treatment, remove any loose nail or nail material using nail clippers or nail files as advised by your health care provider.

4. Twist open the screw cap of the ciclopirox nail solution bottle. To prevent the screw cap from sticking to the nail solution bottle, do not allow the solution to get on the outside of the bottle.

5. Apply ciclopirox nail solution once daily (preferably at bedtime) to all affected nails with the applicator brush. Apply the nail solution evenly over the entire nail. Where possible, nail solution should also be applied to the underside of the nail and to the skin beneath it. Contact with the surrounding skin may produce mild, temporary irritation (redness). Allow the nail solution to dry (approximately 30 seconds) before putting on socks or stockings. After applying the medication, wait at least eight hours before taking a bath or shower.

6. Close the nail solution tightly after every use to prevent it from drying out.

7. Repeat the process (steps 3 through 6) each day, applying a new coat of medication directly over the old coat.

Once a week:

1. Once a week, you will need to remove the ciclopirox nail coating completely with alcohol. You should file away (with an emery board) loose nail material and trim nails, as required, at this time. After filing, apply a new coat of ciclopirox nail treatment as above (steps 1—7).

Removal of the unattached, infected nail, as frequently as monthly, by a health care professional is needed with use of this medication.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or take extra doses without advice.

What drug(s) may interact with ciclopirox nail solution?

Other skin products may affect the action of ciclopirox. Tell your prescriber or health care professional about other skin products you are using. Do not apply ciclopirox nail solution at the same site as other skin preparations without the advice of your prescriber.

What should I watch for while taking ciclopirox nail solution?

Tell your prescriber or health care professional if your symptoms worsen. It is important not to use ciclopirox nail solution more often than prescribed.

Four to six months of treatment may be needed for the nail(s) to improve; some people may not achieve a complete cure or clearing of the nails by this time.

Tell your prescriber or health care professional if you develop sores or blisters that do not heal properly. If your nail infection returns after stopping using this product, contact your prescriber.

Do not get this solution in your eyes. If you do, rinse out with plenty of cool tap water. Contact your prescriber if eye irritation occurs.

What side effects may I notice from using ciclopirox nail solution?

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

  • increased irritation (redness, itching, burning, blistering, peeling, swelling, oozing)

  • infection gets worse

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

  • mild reddening of the skin

  • temporary burning or stinging (mild) at the site of application

  • nail discoloration

Where can I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 59 and 86 degrees F (15 and 30 degrees C); do not freeze. Protect from light by storing the bottle in the carton after every use. Caution: Flammable. Keep away from heat and flame. Throw away any unused medicine after the expiration date.

Ciclopirox shampoo

What is ciclopirox shampoo?

CICLOPIROX (Loprox® Shampoo) is a shampoo used to treat seborrhea (a dandruff like condition) of the scalp and hair. Generic ciclopirox shampoo is not available.

What should my health care professional know before I use ciclopirox shampoo?

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

  • diabetes mellitus

  • herpes infection

  • HIV infection

  • persistent fungal infections of the skin

  • an unusual or allergic reaction to ciclopirox, other medicines, foods, dyes, or preservatives

  • pregnant or trying to get pregnant

  • breast-feeding

How should I use this medicine?

Ciclopirox shampoo is for use on the hair and scalp only; do not take by mouth or get this shampoo into your eyes. Follow the directions on the prescription label exactly.Wet hair and apply the amount prescribed to the scalp. Lather and leave on the hair and scalp for 3 minutes, then rinse. You will repeat the treatment twice per week (with 3 days between treatments) for 4 weeks. Use the shampoo for the full treatment time even though your symptoms may have improved. Notify your prescriber or health care professional if there is no improvement after 4 weeks. Do not use your medicine more often than directed. Do not use this medicine for any condition other than the one for which it was prescribed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose and return to your treatment schedule. Do not use double or extra doses.

What drug(s) may interact with use ciclopirox shampoo?

Other scalp and hair products may affect the action of ciclopirox. Tell your prescriber or health care professional about other products you are using. Do not apply ciclopirox shampoo at the same time as other medicated shampoos without the advice of your prescriber.

What should I watch for while taking use ciclopirox shampoo?

Tell your prescriber or health care professional if your symptoms do not improve within 4 weeks.It is important not to use more ciclopirox shampoo than prescribed. If you have a reaction (examples: redness, itching, burning, blistering, swelling, or oozing) to the shampoo that suggests you are sensitive to it, discontinue use of the shampoo and contact your prescriber.

Do not get this shampoo in your eyes. If you do, rinse out with plenty of cool tap water.

What side effects may I notice from using use ciclopirox shampoo?

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

  • condition gets worse

  • redness, severe itching, burning, blistering, or oozing of the skin

  • skin rash

  • swelling of the skin

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

  • mild itching

Where can I keep my medicine?

Keep out of the reach of children.

Store the shampoo at room temperature between 59 and 86 degrees F (15 and 30 degrees C); do not freeze. Once opened, the shampoo may be used for up to 8 weeks. Throw away any unused medicine after the expiration date.

Ciclopirox skin cream, gel, lotion, or suspension

What is ciclopirox skin cream, gel, lotion, or suspension?

CICLOPIROX (Loprox®, Loprox TS®) is an antifungal drug. It is applied to the skin to treat ringworm of the body, foot (athlete's foot), or groin (jock itch). It may also be used to treat 'sun fungus' (tinea versicolor) or Candida infections. Generic ciclopirox gel is not available. Generic ciclopirox topical suspension (lotion) and skin cream are available.

What should my health care professional know before I use ciclopirox?

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

  • taking corticosteroid medication

  • diabetes mellitus

  • large areas of burned or damaged skin (skin abrasions)

  • peripheral vascular disease or poor circulation

  • an unusual or allergic reaction to ciclopirox, mineral oil, benzyl alcohol, other medicines, foods, dyes, or preservatives

  • pregnant or trying to get pregnant

  • breast-feeding

How should I use this medicine?

Ciclopirox skin cream, gel, lotion, or suspension is for use on the outer skin only; do not take by mouth or get into your eyes. Follow the directions on the prescription label exactly.Wash your hands before and after use. If treating infections on the hand, only wash hands before use. Shake the lotion or suspension well before applying. Apply a thin layer to the affected area and rub in gently.Apply for the full course of treatment prescribed, even if you think the infection is getting better. Use at regular intervals. Do not use your medicine more often than directed. Do not use this medicine for any condition other than the one for which it was prescribed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or take extra doses without advice.

What drug(s) may interact with ciclopirox?

Other skin products may affect the action of ciclopirox. Tell your prescriber or health care professional about other skin products you are using. Do not apply other skin preparations at the same skin area without the advice of your prescriber.

What should I watch for while taking ciclopirox?

Tell your prescriber or health care professional if your symptoms do not improve within 2 to 4 weeks.It is important not to use more ciclopirox skin cream or lotion than prescribed.Do not use on healthy skin or over large areas of skin.

Tell your prescriber or health care professional if you develop sores or blisters that do not heal properly. If your skin infection returns after stopping this cream or lotion, contact your prescriber.

Do not use an airtight bandage to cover the affected area unless your prescriber or health care professional tells you to.

If you are using this cream for 'jock itch', do not wear underwear that is tight-fitting or made from synthetic fibers such as rayon or nylon. Instead, wear loose-fitting, cotton underwear. Also dry the area completely after bathing. A bland, absorbent powder such as talcum powder or an antifungal powder (like tolnaftate) may be applied to the skin to keep it dry; apply the powder to the affected skin in between applications of ciclopirox cream or lotion.

If you are using this cream to treat for athlete's foot, carefully dry the feet, especially between the toes, after bathing. Do not wear socks made from wool or synthetic materials such as rayon or nylon. Wear clean cotton socks and change them daily or more if your feet sweat frequently. Also, try wearing sandles or shoes that are well-ventilated. A bland, absorbent powder such as talcum powder or an antifungal powder (like tolnaftate) may be applied to the skin to keep it dry; apply the powder to the affected skin in between applications of ciclopirox cream or lotion.

Do not get this cream or lotion in your eyes. If you do, rinse out with plenty of cool tap water.

What side effects may I notice from using ciclopirox?

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

  • swelling of the skin

  • peeling or severe itching of the skin

  • infection gets worse

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

  • reddened skin

  • mild burning, stinging, itching, swelling, or other signs of skin irritation

Where can I keep my medicine?

Keep out of the reach of children.

Store the gel and cream between 59 and 86 degrees F (15 and 30 degrees C); do not freeze. Throw away any unused medicine after the expiration date.

Store the lotion and suspension between 41 and 77 degrees F (5 and 25 degrees C). Store away from heat and direct sunlight. Throw away any unused medicine after the expiration date.

Publication Source: U.S. FDA-approved Package Insert
Date Last Modified: 9/18/2006