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Ketoconazole 10 mg/mL Oral Suspension

Ketoconazole 10 mg/mL Oral Suspension is a liquid dosage form where ketoconazole is uniformly dispersed in a liquid medium, ensuring a homogeneous mixture for effective administration. This formulation is primarily used to treat fungal infections, including candidiasis, blastomycosis, and histoplasmosis, by inhibiting the growth of fungi. It provides a convenient and precise dosing option for patients requiring antifungal therapy.

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Ketoconazole
Suspension
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Formula Information

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Ketoconazole 10 mg/mL Oral Suspension is a compounded liquid formulation designed to provide an effective antifungal treatment in a convenient dosage form. This suspension ensures that ketoconazole, the active ingredient, is uniformly dispersed throughout the liquid medium, creating a homogeneous mixture for accurate and consistent administration.

Ketoconazole is an antifungal agent belonging to the imidazole class of medications. It works by inhibiting the synthesis of ergosterol, a vital component of fungal cell membranes. By disrupting the cell membrane formation, ketoconazole effectively eliminates various fungal pathogens, helping to treat and prevent further fungal infections.

This oral suspension is particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as children or the elderly. The liquid form allows for flexible dosing adjustments and easier administration, which can improve patient compliance and therapeutic outcomes. The 10 mg/mL concentration provides a precise dosage that can be tailored to individual patient needs under the guidance of a healthcare professional.

For prescribers, Ketoconazole 10 mg/mL Oral Suspension offers an alternative for patients requiring antifungal therapy who may not tolerate or absorb oral solid dosage forms effectively. It is essential to monitor patients for potential side effects, as ketoconazole can cause hepatotoxicity and adrenal insufficiency in some cases. Regular liver function tests and monitoring of adrenal function may be necessary during prolonged therapy.

Patients using this medication should follow their healthcare provider's instructions carefully. It is important to take the suspension consistently at the prescribed intervals to maintain appropriate drug levels in the body. Patients should inform their healthcare provider of all medications they are currently taking, as ketoconazole can interact with various drugs due to its influence on liver enzymes responsible for drug metabolism.

If you have any questions about Ketoconazole 10 mg/mL Oral Suspension or its suitability for you or your patients, please reach out to us. Our team at Bayview Pharmacy is here to provide support and answer any inquiries you may have regarding this formulation.

Drug Interactions

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Ketoconazole 10 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring that the active ingredient, ketoconazole, is uniformly dispersed throughout the liquid medium. This formulation is primarily used to treat fungal infections by inhibiting the growth of various fungi, including dermatophytes and yeasts, through the disruption of fungal cell membrane synthesis. However, it is crucial for both patients and prescribers to be aware of potential drug interactions when using this formulation.

Ketoconazole is a potent inhibitor of the cytochrome P450 3A4 (CYP3A4) enzyme system, which plays a significant role in the metabolism of many drugs. As a result, co-administration of ketoconazole with other medications metabolized by CYP3A4 can lead to increased plasma concentrations of these drugs, potentially causing adverse effects or toxicity. Patients taking medications such as certain statins (e.g., simvastatin, lovastatin), benzodiazepines (e.g., midazolam, triazolam), and some calcium channel blockers (e.g., felodipine, nisoldipine) should be closely monitored, and dose adjustments may be necessary.

Additionally, ketoconazole can interact with drugs that affect gastric pH levels. Medications that increase gastric pH, such as proton pump inhibitors (e.g., omeprazole, esomeprazole) and H2-receptor antagonists (e.g., ranitidine, famotidine), can reduce the absorption of ketoconazole, potentially decreasing its efficacy. It is advisable to administer ketoconazole at least two hours before or after these medications to minimize interaction effects.

Furthermore, ketoconazole may enhance the effects of anticoagulants like warfarin, increasing the risk of bleeding. Regular monitoring of INR levels is recommended for patients on concurrent therapy. Ketoconazole can also interact with immunosuppressants such as cyclosporine and tacrolimus, leading to elevated levels and increased risk of toxicity. Close monitoring of drug levels and appropriate dose adjustments are essential in these cases.

Patients should inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to assess potential interactions. Prescribers should evaluate the risk-benefit ratio of using ketoconazole in patients on complex medication regimens and consider alternative antifungal therapies if necessary.

If you have any questions or need further information regarding the use of Ketoconazole 10 mg/mL Oral Suspension and its potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

How Does it Work

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Ketoconazole 10 mg/mL Oral Suspension is a liquid dosage form designed to deliver the antifungal medication ketoconazole in a manner that ensures uniform distribution of the active ingredient throughout the liquid medium. This formulation is particularly beneficial for patients who may have difficulty swallowing tablets or capsules, providing an alternative that is easier to ingest and allows for precise dosing adjustments. The suspension is carefully compounded to maintain a homogeneous mixture, ensuring that each dose contains an accurate amount of ketoconazole, which is critical for effective treatment.

Ketoconazole is an antifungal agent that works by inhibiting the synthesis of ergosterol, a vital component of fungal cell membranes. By disrupting the production of ergosterol, ketoconazole compromises the integrity of the fungal cell membrane, leading to cell death and the resolution of the infection. This mechanism of action makes ketoconazole effective against a broad spectrum of fungal infections, including those caused by dermatophytes, yeasts, and other pathogenic fungi. The oral suspension form allows for systemic treatment of fungal infections, making it suitable for conditions that require more than just topical therapy.

For prescribers, the ketoconazole oral suspension offers flexibility in dosing, which can be particularly advantageous in pediatric or geriatric populations where weight-based dosing is often necessary. The liquid form also facilitates administration in patients with gastrointestinal issues that may affect the absorption of solid dosage forms. It is important to note that ketoconazole can interact with other medications and may have contraindications in certain patient populations, such as those with liver disease. Therefore, careful consideration and monitoring are advised when prescribing this medication.

Patients using ketoconazole oral suspension should be informed about the importance of adhering to the prescribed dosing schedule to achieve optimal therapeutic outcomes. They should also be made aware of potential side effects, such as nausea, headache, or abdominal discomfort, and advised to report any severe or persistent symptoms to their healthcare provider. Additionally, patients should be instructed to shake the suspension well before each use to ensure proper mixing of the medication.

If you have any questions or require further information about ketoconazole 10 mg/mL Oral Suspension, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Other Uses

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Ketoconazole 10 mg/mL Oral Suspension is primarily used as an antifungal medication to treat a variety of fungal infections. However, beyond its primary indications, this formulation may have other potential uses that could be of interest to both patients and prescribers. One such use is in the management of Cushing's syndrome, a condition characterized by excessive cortisol production. Ketoconazole has been found to inhibit steroidogenesis, thereby reducing cortisol levels in patients with this endocrine disorder. This off-label use can be particularly beneficial for patients who are not candidates for surgery or those who require additional medical management to control cortisol levels.

Additionally, ketoconazole has been explored for its potential in treating prostate cancer due to its ability to inhibit androgen synthesis. By reducing androgen levels, ketoconazole may help slow the progression of androgen-dependent prostate cancer. This use is typically considered when other treatment options are not suitable or have been exhausted. Furthermore, ketoconazole's anti-inflammatory properties have led to investigations into its use for certain inflammatory skin conditions, although this is less common in oral form and more typical in topical applications.

It is important for prescribers to consider the risk-benefit profile of ketoconazole when used for these alternative indications, as the oral formulation can be associated with hepatotoxicity and other side effects. Regular monitoring of liver function tests is recommended to mitigate potential risks. Patients should be informed about the importance of adhering to prescribed dosages and the need for regular follow-up appointments to monitor their response to treatment and any adverse effects.

For patients, understanding the potential off-label uses of ketoconazole can provide insight into how this medication might be utilized beyond its traditional antifungal role. However, it is crucial to only use ketoconazole under the guidance of a healthcare professional who can tailor the treatment to the individual's specific medical needs. If you have any questions or require further information about the use of Ketoconazole 10 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries you may have.

Frequently Asked Questions

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What is Ketoconazole 10 mg/mL Oral Suspension used for?

Ketoconazole 10 mg/mL Oral Suspension is used to treat fungal infections in the body. It works by stopping the growth of fungi, providing relief from symptoms and helping to clear the infection.

How should I take Ketoconazole Oral Suspension?

Take Ketoconazole Oral Suspension exactly as prescribed by your healthcare provider. Shake the bottle well before each use to ensure the ingredients are evenly distributed. Measure the dose carefully using a special measuring device or spoon.

Can I take Ketoconazole Oral Suspension with food?

Yes, Ketoconazole Oral Suspension can be taken with or without food. However, taking it with food may help reduce stomach upset.

What should I do if I miss a dose?

If you miss a dose of Ketoconazole Oral Suspension, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Ketoconazole Oral Suspension?

Common side effects of Ketoconazole Oral Suspension may include nausea, vomiting, stomach pain, and headache. If you experience severe side effects such as liver problems, severe dizziness, or allergic reactions, seek medical attention immediately.

Can I use Ketoconazole Oral Suspension if I am pregnant or breastfeeding?

Consult your healthcare provider before using Ketoconazole Oral Suspension if you are pregnant or breastfeeding. They will weigh the potential benefits and risks before recommending its use.

How should I store Ketoconazole Oral Suspension?

Store Ketoconazole Oral Suspension at room temperature, away from light and moisture. Do not freeze. Keep it out of reach of children and pets.

Can Ketoconazole Oral Suspension interact with other medications?

Yes, Ketoconazole Oral Suspension can interact with other medications. Inform your healthcare provider about all the medications you are taking, including prescription, over-the-counter, and herbal products, to avoid potential interactions.

How long does it take for Ketoconazole Oral Suspension to work?

The time it takes for Ketoconazole Oral Suspension to work can vary depending on the type and severity of the infection. Some patients may notice improvement within a few days, while others may require a longer duration of treatment.

Is Ketoconazole Oral Suspension suitable for children?

Ketoconazole Oral Suspension may be prescribed for children, but the dosage and duration of treatment will be determined by a healthcare provider based on the child's specific condition and needs.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.