{"id":57979,"date":"2024-02-27T18:10:39","date_gmt":"2024-02-27T18:10:39","guid":{"rendered":"https:\/\/medsname.com\/keto-cream\/"},"modified":"2026-05-03T06:09:49","modified_gmt":"2026-05-03T06:09:49","slug":"keto-cream","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/keto-cream\/","title":{"rendered":"Keto kr\u00e9m"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 20px;margin:18px 0;border-radius:6px;\">\n<h3 style=\"margin-top:0;\">\ud83d\udca1 Rychl\u00e1 odpov\u011b\u010f<\/h3>\n<p style=\"margin-bottom:0;\">Keto Cream is ketoconazole 2% w\/w topical cream \u2014 an imidazole antifungal active against dermatophytes (tinea pedis, cruris, corporis), Candida (cutaneous candidiasis), and Malassezia (pityriasis versicolor, seborrhoeic dermatitis). Apply once or twice daily for 2\u20134 weeks. Topical use is not affected by the FDA \/ EMA restrictions on oral ketoconazole \u2014 minimal systemic absorption from intact skin, no hepatotoxicity risk. Especially useful for seborrhoeic dermatitis (face, scalp, body) where antifungal effect is paired with anti-inflammatory action.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f5f5;border:1px solid #e1e1e1;padding:18px 22px;margin:24px 0;border-radius:8px;display:flex;flex-wrap:wrap;justify-content:space-around;gap:16px;align-items:center;font-size:0.95em;\">\n<div style=\"text-align:center;flex:1;min-width:140px;\">\ud83c\udfed<br \/><strong>WHO-GMP<\/strong><br \/>certifikovan\u00fd v\u00fdrobce<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<div style=\"text-align:center;flex:1;min-width:140px;\">\ud83d\udce6<br \/><strong>Diskr\u00e9tn\u00ed balen\u00ed<\/strong><br \/>oby\u010dejn\u00e1 ob\u00e1lka<\/div>\n<div style=\"text-align:center;flex:1;min-width:140px;\">\ud83c\udf0d<br \/><strong>Dod\u00e1n\u00ed po cel\u00e9m sv\u011bt\u011b<\/strong><br \/>do v\u011bt\u0161iny zem\u00ed<\/div>\n<div style=\"text-align:center;flex:1;min-width:140px;\">\u2b50<br \/><strong>1 400+ z\u00e1kazn\u00edk\u016f<\/strong><br \/><a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">\u010d\u00edst recenze<\/a><\/div>\n<\/div>\n<h2>\ud83d\udd12 Why order Keto Cream from MedsBase<\/h2>\n<ul>\n<li><strong>v\u00fdrobce certifikovan\u00e9ho WHO-GMP<\/strong> \u2014 dod\u00e1v\u00e1no z regulovan\u00e9ho za\u0159\u00edzen\u00ed, kompletn\u00ed balen\u00ed s \u010d\u00edslem \u0161ar\u017ee a datem expirace.<\/li>\n<li><strong>Diskr\u00e9tn\u00ed balen\u00ed<\/strong> \u2014 oby\u010dejn\u00e1 ob\u00e1lka, bez uveden\u00ed n\u00e1zvu l\u00e9ku na vn\u011bj\u0161\u00ed stran\u011b.<\/li>\n<li><strong>Dod\u00e1n\u00ed po cel\u00e9m sv\u011bt\u011b<\/strong> do v\u011bt\u0161iny zem\u00ed s <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance<\/a>.<\/li>\n<li><strong>V\u011brnostn\u00ed body<\/strong> \u2014 1 bod za ka\u017ed\u00fd utracen\u00fd 1$ (neplat\u00ed pro peptidy\/dopravu); 100 bod\u016f = 5$ sleva na dal\u0161\u00ed objedn\u00e1vku.<\/li>\n<\/ul>\n<h2 id=\"uses\">Pou\u017eit\u00ed<\/h2>\n<p>Keto Cream (ketoconazole 2% w\/w cream, generic) is a broad-spectrum topical imidazole. Common indications:<\/p>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:0.95em;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Indikace<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Jak pou\u017e\u00edvat<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Tinea pedis (atletick\u00e1 noha)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Once daily \u00d7 6 weeks (longer than other azoles for dermatophytes)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Tinea cruris (jock itch)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Once daily \u00d7 2\u20134 weeks<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Tinea corporis (ko\u017en\u00ed pl\u00edse\u0148)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Once daily \u00d7 3\u20134 weeks<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Cutaneous candidiasis<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Once or twice daily \u00d7 2 weeks<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Pityriasis versicolor<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Once daily \u00d7 2\u20133 weeks<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Seborrhoeic dermatitis (face, body, chest)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Once daily \u00d7 2\u20134 weeks; flare prevention 1\u20132\u00d7 per week<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>For seborrhoeic dermatitis of the scalp \/ dandruff, use ketoconazole 2% shampoo (separate product) instead of the cream.<\/p>\n<h2 id=\"how-to-apply\">Jak se p\u0159ihl\u00e1sit<\/h2>\n<ul>\n<li>Wash and dry the skin thoroughly before application.<\/li>\n<li>Apply a thin layer to the affected skin and 2 cm of surrounding healthy-looking skin.<\/li>\n<li>For tinea pedis, treat all four feet sites \u2014 between toes, soles, sides, and arches \u2014 even if only one looks affected.<\/li>\n<li>Continue treatment for 1 week after symptoms have cleared.<\/li>\n<li>For seborrhoeic dermatitis, restart at the first sign of flare; weekly maintenance prevents relapse.<\/li>\n<\/ul>\n<h2 id=\"mechanism\">Jak to funguje<\/h2>\n<p>Ketoconazole inhibits fungal CYP51, blocking ergosterol biosynthesis. Topical absorption from intact skin is &lt; 1% \u2014 far too low to cause the hepatotoxicity or hormonal effects that limit oral use. Ketoconazole has additional anti-inflammatory action via inhibition of 5-lipoxygenase, which contributes to its strong effect in seborrhoeic dermatitis.<\/p>\n<h2 id=\"side-effects\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<ul>\n<li>Common (5\u201310%) \u2014 mild stinging or burning on application, dryness, mild erythema.<\/li>\n<li>Uncommon \u2014 contact dermatitis (true allergy or vehicle reaction), oily skin sensation.<\/li>\n<li>Rare \u2014 severe contact allergy with weeping rash; stop and consult.<\/li>\n<\/ul>\n<h2 id=\"pregnancy\">T\u011bhotenstv\u00ed a kojen\u00ed<\/h2>\n<p>Topical ketoconazole is considered low-risk in pregnancy and breastfeeding due to negligible systemic absorption. Avoid application to the breast during breastfeeding (or wash thoroughly before feeding). For broken or extensively-inflamed skin, prefer clotrimazole.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>Why does my dermatologist prefer ketoconazole over clotrimazole for my dandruff or facial seborrhoea?<\/h3>\n<p>Ketoconazole has dual action \u2014 it kills Malassezia (the yeast that drives seborrhoeic dermatitis) AND has anti-inflammatory effect via 5-lipoxygenase inhibition. Clotrimazole has the antifungal effect alone. For seborrhoeic dermatitis, ketoconazole gives a faster, more complete response.<\/p>\n<h3>Is Keto Cream safe even though oral ketoconazole has a black box?<\/h3>\n<p>Yes \u2014 the FDA \/ EMA restrictions on oral ketoconazole apply because of liver toxicity from systemic exposure. Topical absorption from intact skin is &lt; 1% \u2014 orders of magnitude below the threshold for systemic effects. Topical ketoconazole shampoos and creams remain widely used and safe.<\/p>\n<h3>Can I use this on my face?<\/h3>\n<p>Yes \u2014 face is a common site for seborrhoeic dermatitis (eyebrows, nasolabial folds, behind ears). Apply a thin layer once daily; usually clears in 2 weeks. Avoid the eyes \u2014 wash off if it gets in.<\/p>\n<h3>Why does my tinea pedis need 6 weeks of cream?<\/h3>\n<p>Ketoconazole is fungicidal against dermatophytes but the recommended course duration is conservatively long. Many guidelines accept a shorter course of terbinafine cream (1% \u00d7 1 week) or clotrimazole (1% \u00d7 2\u20134 weeks) for tinea pedis. For seborrhoeic dermatitis specifically, ketoconazole has the faster onset.<\/p>\n<h3>Is Keto Cream the same as Nizoral cream?<\/h3>\n<p>Yes \u2014 Nizoral is the original Janssen brand of ketoconazole cream. Keto Cream contains the same active ingredient (ketoconazole 2%), manufactured by generic under WHO-GMP. Bioequivalent.<\/p>\n<h3>Why does my dandruff keep coming back when I stop the shampoo?<\/h3>\n<p>Seborrhoeic dermatitis is a chronic relapsing condition driven by individual susceptibility to Malassezia and to inflammatory triggers (stress, cold weather, immunosuppression). Maintenance is the key \u2014 ketoconazole shampoo or cream once or twice a week keeps it under control.<\/p>\n<h3>Can I use ketoconazole cream and a steroid cream together?<\/h3>\n<p>Short-term combination products (ketoconazole + hydrocortisone) are sometimes used for inflamed seborrhoeic dermatitis or extensive intertrigo. Use the steroid for a few days only \u2014 long-term steroid on the face causes atrophy and rebound flare.<\/p>\n<h3>What about ketoconazole shampoo vs cream for body seborrhoea?<\/h3>\n<p>For chest, back, scalp \u2014 ketoconazole 2% shampoo is more practical (lather, leave 5 minutes, rinse). For face, neck, axilla, groin \u2014 the cream is better tolerated. Use both if you have body and face involvement.<\/p>\n<h3>Will it fix my white patches on my back?<\/h3>\n<p>If the cause is pityriasis versicolor (a Malassezia overgrowth), yes \u2014 the fungus clears in 2\u20133 weeks. Pigment recovery is slower; the patches can take months to repigment, especially with sun exposure. Use SPF on affected areas while pigment normalises.<\/p>\n<h3>Should I use this on broken or weeping skin?<\/h3>\n<p>No \u2014 apply only to clean, dry, intact skin. Weeping or fissured tinea may need 1\u20132 days of zinc paste \/ moist drying, or oral antifungals to settle before topical therapy. If lesion is heavily inflamed and fissured, see a clinician.<\/p>\n<h2 id=\"storage\">Skladov\u00e1n\u00ed<\/h2>\n<p>Store at 15\u201325 \u00b0C, away from heat and direct sunlight. Replace the cap tightly. Keep out of reach of children. Discard 6 months after opening. Do not use after expiry.<\/p>\n<p class=\"medsbase-link-boost-2026-05-03\" data-marker=\"mb-link-boost-micogel-cream\">When seborrhoeic dermatitis or pityriasis versicolor responds to <a href=\"https:\/\/medsbase.com\/cs\/keto-cream\/\">Keto Cream (ketoconazole 2 %)<\/a> but a tinea cruris or tinea pedis flare needs a second imidazole on hand, <a href=\"https:\/\/medsbase.com\/cs\/micogel-cream\/\">Micogel kr\u00e9m (mikonazol 2 % topick\u00fd)<\/a> is the standard alternative \u2014 same azole class, broader anti-Candida activity.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Dal\u0161\u00ed antifung\u00e1ln\u00ed l\u00e9ky, kter\u00e9 by v\u00e1s mohly zaj\u00edmat<\/h2>\n<p>If Keto Cream is unavailable, here are alternatives \u2014 same molecule from a different manufacturer, plus other topical antifungals.<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/terbicip-cream\/\"><strong>Terbicip kr\u00e9m (terbinafin 1%)<\/strong><\/a> \u2014 Nejsiln\u011bj\u0161\u00ed lok\u00e1ln\u00ed l\u00e9\u010dba pro atletickou nohu; 1\u20132 t\u00fddenn\u00ed l\u00e9\u010dba.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lulibet-xl-cream\/\"><strong>Lulibet XL kr\u00e9m (lulikonazol 1%)<\/strong><\/a> \u2014 Nov\u011bj\u0161\u00ed generace imidazolu; 1t\u00fddenn\u00ed l\u00e9\u010dba pro tinea cruris\/corporis.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/clocip\/\"><strong>Clocip (clotrimazol 1% kr\u00e9m)<\/strong><\/a> \u2014 \u0160irokospektr\u00e9, voln\u011b prodejn\u00e9 standardn\u00ed l\u00e9\u010divo, bezpe\u010dn\u00e9 v t\u011bhotenstv\u00ed.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/keto-cream\/\"><strong>Keto Cream (ketokonazol 2%)<\/strong><\/a> \u2014 Nejlep\u0161\u00ed pro seboroickou dermatitidu (Malassezia).<\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/zimig\/\"><strong>Zimig (terbinafin 250 mg peror\u00e1ln\u011b)<\/strong><\/a> \u2014 P\u0159echod na peror\u00e1ln\u00ed pod\u00e1n\u00ed p\u0159i ne\u00fasp\u011bchu lok\u00e1ln\u00ed l\u00e9\u010dby nebo u rozs\u00e1hl\u00e9ho posti\u017een\u00ed.<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 18px;margin:24px 0;font-size:0.95em;\"><strong>Zdravotn\u00ed prohl\u00e1\u0161en\u00ed.<\/strong> Tato str\u00e1nka obsahuje informace o produktu pro dosp\u011bl\u00e9, kte\u0159\u00ed si objedn\u00e1vaj\u00ed antifung\u00e1ln\u00ed l\u00e9ky pro osobn\u00ed pot\u0159ebu. Nenahrazuje individu\u00e1ln\u00ed l\u00e9ka\u0159skou radu. Proberte vhodn\u00e9 antifung\u00e1ln\u00ed l\u00e9\u010divo, d\u00e1vkov\u00e1n\u00ed a d\u00e9lku l\u00e9\u010dby s kvalifikovan\u00fdm l\u00e9ka\u0159em \u2013 zejm\u00e9na pokud m\u00e1te onemocn\u011bn\u00ed jater, jste t\u011bhotn\u00e1 nebo koj\u00edte, u\u017e\u00edv\u00e1te warfarin, statiny, imunosupresiva nebo m\u00e1te pl\u00eds\u0148ovou infekci neht\u016f, kter\u00e1 m\u016f\u017ee b\u00fdt jinou diagn\u00f3zou (psori\u00e1za, lichen planus, trauma).<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Bojuje proti pl\u00eds\u0148ov\u00fdm infekc\u00edm<br \/>\n\u2705 Soothes irritated skin<br \/>\n\u2705 Relieves itching<br \/>\n\u2705 Topical antifungal treatment<br \/>\n\u2705 P\u0159edch\u00e1z\u00ed infekc\u00edm d\u00fdchac\u00edch cest<\/p>\n<p>Keto Cream contains Ketoconazole.<\/p>","protected":false},"featured_media":57980,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3501,3141,3504,3342],"product_tag":[4395,3623],"class_list":{"0":"post-57979","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-fungal","7":"product_cat-category-overview","8":"product_cat-fungal-infection-treatment","9":"product_cat-general-health","10":"product_tag-keto-cream","11":"product_tag-ketoconazole","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/57979","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=57979"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/57980"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=57979"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=57979"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=57979"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=57979"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}