Nizral 200 mg Tablet

Nizral 200 mg Tablet contains ketoconazole 200 mg in each tablet, supplied in a strip/box of 10 packs. It is an antifungal medicine used to treat certain fungal infections in people for whom oral ketoconazole is considered appropriate. Because Nizral 200 mg Tablet is a higher-strength oral tablet, it is used under a doctor’s supervision when the benefits outweigh the risks.

How it works: Ketoconazole works by blocking a fungal enzyme needed to make ergosterol, an important part of the fungal cell membrane. With that membrane damaged, the fungus cannot grow and spread, which is how the Nizral 200 mg Tablet helps clear the infection.

Nizral 200 mg Tablet is the standard oral tablet strength for ketoconazole, so it is not a low-dose starting tablet and should only be used when a prescriber has specifically chosen this dose. Since there are no other strengths or forms in this brand line listed here, this 200 mg tablet is the exact form used when an oral ketoconazole tablet is needed for an adult patient and the doctor wants a full 200 mg dose per tablet.

• Treatment of certain fungal infections
• Systemic fungal infections when oral therapy is appropriate
• Fungal infections that need prescription-strength treatment
• Doctor-directed antifungal therapy

• Swallow the Nizral 200 mg Tablet whole with a glass of water unless your doctor gives different directions.
• Take it exactly as prescribed; the timing and length of treatment depend on the infection being treated.
• For better absorption, your prescriber may tell you to take it with food or an acidic beverage rather than on an empty stomach.
• Do not crush or split the tablet unless a pharmacist or doctor tells you it is safe to do so.
• If you also use antacids or acid-lowering medicines, separate them from Nizral 200 mg Tablet as directed by your doctor.
• Take the full course even if you start feeling better, unless your prescriber tells you to stop.

Each Nizral 200 mg Tablet provides 200 mg of ketoconazole per tablet. How often it is taken can vary by infection and patient factors; some regimens use once-daily or divided doses, but the doctor decides the exact schedule and the maximum daily amount for your situation. Do not increase the dose on your own, because higher-strength oral ketoconazole can carry serious safety risks.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Ketoconazole may include:

• Nausea
• Vomiting
• Stomach pain or upset stomach
• Diarrhea
• Headache
• Dizziness
• Rash

• Nizral 200 mg Tablet can cause serious liver damage, so liver function monitoring may be needed.
• Tell your doctor about any history of liver disease before taking this 200 mg tablet.
• Avoid alcohol or limit it as instructed, since it may increase liver strain and stomach upset.
• This medicine can affect heart rhythm and may be risky if you have certain heart conditions or low potassium levels.
• It has many drug interactions, including some medicines for cholesterol, seizures, HIV, tuberculosis, and mood disorders.
• Use caution when driving or doing tasks that require alertness if you feel dizzy or weak after taking it.
• Do not take it with medicines that are contraindicated with ketoconazole, including certain nitrates or ergot-containing products.

• Antacids, H2 blockers, and proton pump inhibitors can reduce ketoconazole absorption.
• Certain statins, antiarrhythmics, sedatives, and benzodiazepines may interact dangerously.
• Warfarin and other blood thinners may need close monitoring.
• Some seizure medicines, rifampin, and certain HIV medicines can change ketoconazole levels.
• Many medicines that prolong the QT interval should be avoided or reviewed carefully.

Store Nizral 200 mg Tablet at room temperature in the original strip/box, away from moisture, heat, and children.