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Formulas

Ketoconazole 100 mg/ml Oral Oil Liquid

The Ketoconazole 100 mg/ml Oral Oil Liquid is a specially compounded medication designed for oral use, offering a precise and consistent dose of ketoconazole in an oil-based liquid form. This formulation is particularly beneficial for patients who experience difficulty swallowing pills or tablets, including pediatric and geriatric patients, or those with conditions that impair swallowing. Ketoconazole is an antifungal agent used to treat a variety of fungal infections, such as candidiasis, chronic mucocutaneous candidiasis, oral thrush, and systemic fungal infections. The oil-based liquid formulation ensures ease of administration and aids in the absorption of the active ingredient.

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Ketoconazole
Oral Liquid
65aeb80138b7015a68a4d0e1
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Formula Information

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Ketoconazole 100 mg/ml Oral Oil Liquid is a specially compounded medication designed for oral use, particularly beneficial for patients who experience difficulty swallowing tablets or capsules, such as those in pediatric and geriatric populations. This formulation provides a precise 100 mg dose of ketoconazole in each milliliter of oil, ensuring accurate dosing and ease of administration. Ketoconazole is an antifungal agent that works by inhibiting the synthesis of ergosterol, a key component of fungal cell membranes, thereby exerting its effect against a broad spectrum of fungal infections.

The oral oil liquid formulation of ketoconazole is particularly useful in the treatment of systemic fungal infections such as candidiasis, chronic mucocutaneous candidiasis, oral thrush, and systemic candidiasis. It is also effective against other fungal pathogens, including Cryptococcus, Histoplasma, and Blastomyces, which can cause serious infections in immunocompromised individuals. Additionally, ketoconazole has been used in the management of Cushing's syndrome due to its ability to inhibit corticosteroid synthesis.

For patients and prescribers considering this formulation, it is important to note that ketoconazole should be used with caution in patients with liver disease, and liver function monitoring is recommended due to the potential for hepatotoxicity. The oral oil liquid formulation may contain excipients that improve the solubility and palatability of ketoconazole, making it more acceptable for patients who are averse to the taste or texture of traditional dosage forms. Furthermore, the oil base can aid in the absorption of the drug, potentially enhancing its bioavailability.

As with all medications, adherence to prescribed dosing regimens is crucial for the effectiveness of the treatment. Patients should be counseled on the importance of completing the full course of therapy, even if symptoms improve, to prevent the risk of recurrence and development of resistance. If you have any questions or require further information about the Ketoconazole 100 mg/ml Oral Oil Liquid formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing support and guidance to ensure the safe and effective use of this medication.

Drug Interactions

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Ketoconazole is an antifungal medication that works by inhibiting the synthesis of ergosterol, a key component of fungal cell membranes. It is effective in treating a variety of fungal infections, including those affecting the mouth, throat, esophagus, and other parts of the gastrointestinal tract. When formulated as a 100 mg/ml oral oil liquid, ketoconazole provides an alternative for patients who have difficulty swallowing pills or require precise dosing adjustments.

However, ketoconazole is known to interact with a wide range of medications due to its potent inhibition of the cytochrome P450 enzyme system, particularly CYP3A4. This can lead to increased plasma concentrations of drugs metabolized by this pathway, potentially resulting in toxicity. For example, concomitant use with certain cholesterol-lowering drugs (such as statins), some blood thinners (like warfarin), and certain benzodiazepines should be approached with caution. Patients should be closely monitored for signs of increased drug effects or toxicity when these medications are used in combination with ketoconazole.

Additionally, ketoconazole can affect the metabolism of certain antidiabetic drugs, potentially altering blood glucose levels. Patients with diabetes should be advised to monitor their blood glucose levels more frequently when starting or stopping ketoconazole therapy. The use of ketoconazole with other antifungal drugs, such as fluconazole or itraconazole, may also increase the risk of adverse effects and should generally be avoided unless deemed necessary by a healthcare provider.

Drugs that reduce stomach acidity, such as proton pump inhibitors (PPIs) and H2 antagonists, can decrease the absorption of ketoconazole from the gastrointestinal tract, potentially reducing its effectiveness. Patients should be advised to take ketoconazole with an acidic beverage, such as non-diet cola, to enhance absorption if they are also taking medications that lower stomach acid.

It is also important to note that ketoconazole can interact with certain heart medications, including some calcium channel blockers and drugs that affect heart rhythm. These interactions can lead to serious cardiovascular effects, and patients should be monitored closely. Additionally, ketoconazole should not be used with certain drugs that can prolong the QT interval, as this may increase the risk of life-threatening heart rhythm disturbances.

Patients should be advised to inform their healthcare providers of all medications they are taking, including over-the-counter drugs, herbal supplements, and vitamins, to ensure that potential interactions with ketoconazole can be assessed and managed appropriately. If you have any questions or concerns about the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Ketoconazole 100 mg/ml Oral Oil Liquid is a specially designed medication that is administered orally. This formulation is created by compounding pharmacists to provide an alternative to traditional solid dosage forms such as tablets or capsules. The liquid form is particularly beneficial for patients who have difficulty swallowing pills, such as children, the elderly, or those with dysphagia. The oil-based liquid ensures that the active ingredient, ketoconazole, is evenly distributed throughout the solution, allowing for consistent dosing with each administration.

Ketoconazole is an antifungal agent that works by inhibiting the synthesis of ergosterol, a key component of fungal cell membranes. By disrupting the production of ergosterol, ketoconazole compromises the structural integrity of the fungal cell membrane, leading to leakage of cellular contents and ultimately the death of the fungal cell. This mechanism of action makes ketoconazole effective in treating a variety of fungal infections, including oral thrush, candidiasis, and systemic fungal infections. It is important to note that the efficacy of ketoconazole depends on maintaining an appropriate therapeutic concentration at the site of infection, which is facilitated by the oral oil liquid formulation.

The oral oil liquid formulation is designed to be taken with or without food. Patients should be instructed to shake the bottle well before each use to ensure that the ketoconazole is properly suspended within the oil. The prescribed dose can be measured using an appropriate measuring device to ensure accuracy. Patients should be advised to follow the dosing schedule as prescribed by their healthcare provider and to complete the full course of treatment, even if symptoms improve, to prevent the risk of reinfection or resistance.

It is important for both patients and prescribers to be aware of potential side effects and drug interactions associated with ketoconazole. Patients should be monitored for signs of liver toxicity and other adverse reactions. Prescribers should review the patient's medication profile for interactions, as ketoconazole can affect the metabolism of certain drugs. Additionally, patients with liver disease or those taking hepatotoxic drugs should use ketoconazole with caution.

For any questions or concerns regarding the Ketoconazole 100 mg/ml Oral Oil Liquid formulation, or for guidance on its use in specific disease states, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing personalized care and support to ensure the safe and effective use of this medication.

Other Uses

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Ketoconazole 100 mg/ml Oral Oil Liquid is a versatile formulation primarily indicated for the treatment of fungal infections where systemic therapy is necessitated. Its use extends beyond antifungal applications, as certain off-label uses also exist, which healthcare providers may consider based on their clinical judgment and patient-specific factors. For instance, ketoconazole has been studied for its potential in treating advanced prostate cancer due to its antiandrogenic effects, as well as for its potential to reduce sebum production which may be beneficial in certain skin conditions such as acne, though these uses are not as commonly prescribed and require careful consideration of potential benefits versus risks. Additionally, the oral oil liquid formulation may be advantageous for patients with malabsorption disorders who have difficulty absorbing medications in solid form or for those who require a modified release of medication. Such alternative applications should only be considered under the guidance of a healthcare professional.

It is important to note that while ketoconazole is well-known for its antifungal activity, the strength and formulation here may be specifically compounded for individual patient needs and may not always align with standard dosages used for other indications. Furthermore, patients utilizing this formulation for the primary treatment of fungal infections may occasionally find improvement in associated inflammatory symptoms due to the anti-inflammatory properties of ketoconazole, albeit this is a secondary benefit and not the primary indication. The practical benefits of an oral oil liquid dosage form include ease of administration and the potential for dose adjustments to accommodate unique patient needs, such as those with dysphagia or with requirements for enteral feeding tubes. As compounding pharmacists, we are dedicated to ensuring each formulation is crafted to the highest standards for efficacy and safety, and we encourage both patients and prescribers to consult with us for any questions regarding this specialized medication or its potential other uses.

When considering the use of this formulation for indications other than those it is primarily prescribed for, health professionals should thoroughly evaluate the patient's current medical conditions, potential drug interactions, and overall medication profile. Here at Bayview Pharmacy, our team of knowledgeable compounding pharmacists is available to provide support and counsel regarding the possible applications for Ketoconazole 100 mg/ml Oral Oil Liquid formulation. If you have any questions or need guidance, please feel free to reach out to us for further information and assistance. We are committed to partnering with you to optimize patient care and therapeutic outcomes.

Frequently Asked Questions

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What is Ketoconazole 100 mg/ml Oral Oil Liquid used for?

Ketoconazole 100 mg/ml Oral Oil Liquid is an antifungal medication used to treat a variety of fungal infections. It is specifically compounded as an oil-based liquid to aid those who have difficulties swallowing pills or tablets, such as pediatric and geriatric patients.

How should Ketoconazole 100 mg/ml Oral Oil Liquid be administered?

This medication should be taken orally, following a healthcare provider's instructions. The prescribed dose should be measured accurately with a medication syringe or dropper and can be administered directly into the mouth or mixed with a small amount of food.

Is Ketoconazole 100 mg/ml Oral Oil Liquid suitable for everyone?

While this formulation is designed for patients who have trouble swallowing solid dosage forms, it may not be suitable for everyone. It's essential to consult with a healthcare provider before use, especially for those with liver issues, allergies to the medication, or who are pregnant or breastfeeding.

How should I store Ketoconazole 100 mg/ml Oral Oil Liquid?

Store this medication at room temperature, away from light and moisture. Keep the container tightly closed when not in use. Make sure to keep this medicine out of reach of children and pets.

Can Ketoconazole 100 mg/ml Oral Oil Liquid be mixed with beverages or food?

It is generally acceptable to mix the medication with a small amount of soft food or beverage to make it easier to ingest. However, this should only be done if advised by a healthcare professional, as some substances can interact with the medication and affect its efficacy.

What should I do if I miss a dose of Ketoconazole 100 mg/ml Oral Oil Liquid?

If you miss a dose, take it as soon as you remember. However, if it is nearly time for the next dose, skip the missed dose and proceed with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Ketoconazole 100 mg/ml Oral Oil Liquid?

Possible side effects can include nausea, vomiting, dizziness, and headache. If you experience severe reactions such as rash, swelling, or trouble breathing, seek medical attention immediately.

Can I drink alcohol while taking Ketoconazole 100 mg/ml Oral Oil Liquid?

Consuming alcohol during treatment with Ketoconazole can increase the risk of liver damage, and it may also worsen certain side effects. It is recommended to avoid alcohol until after you have completed your medication regimen.

Will Ketoconazole 100 mg/ml Oral Oil Liquid interact with other medications?

Ketoconazole can interact with a variety of medications, potentially altering their effects or increasing side effects. Inform your healthcare provider about all medications, supplements, and herbs you are taking before starting this medication.

How long will I need to take Ketoconazole 100 mg/ml Oral Oil Liquid?

The length of time you will need to use this medication depends on the severity and type of infection and how well your body responds to treatment. It's important to continue the medication for the full prescribed duration, even if symptoms improve before completing the course.

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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.