💡 Quick Answer
Ketoforce is ketoconazole 2% w/w topical cream — 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 2–4 weeks. Topical use is not affected by the FDA / EMA restrictions on oral ketoconazole — 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.
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Discreet packaging
plain envelope
Worldwide shipping
to most countries
🔒 Why order Ketoforce from MedsBase
- WHO-GMP certified manufacturer — sourced from a regulated facility, finished pack with batch number and expiry.
- Discreet packaging — plain envelope, no medication name on the outside.
- Worldwide shipping to most countries with Reshipment Assurance.
- Loyalty points — 1 point per $1 spent (excludes peptides/shipping); 100 points = $5 off your next order.
Uses
Ketoforce (ketoconazole 2% w/w cream, Brinton Pharma) is a broad-spectrum topical imidazole. Common indications:
| Indication | How to use |
|---|---|
| Tinea pedis (athlete’s foot) | Once daily × 6 weeks (longer than other azoles for dermatophytes) |
| Tinea cruris (jock itch) | Once daily × 2–4 weeks |
| Tinea corporis (ringworm) | Once daily × 3–4 weeks |
| Cutaneous candidiasis | Once or twice daily × 2 weeks |
| Pityriasis versicolor | Once daily × 2–3 weeks |
| Seborrhoeic dermatitis (face, body, chest) | Once daily × 2–4 weeks; flare prevention 1–2× per week |
For seborrhoeic dermatitis of the scalp / dandruff, use ketoconazole 2% shampoo (separate product) instead of the cream.
How to apply
- Wash and dry the skin thoroughly before application.
- Apply a thin layer to the affected skin and 2 cm of surrounding healthy-looking skin.
- For tinea pedis, treat all four feet sites — between toes, soles, sides, and arches — even if only one looks affected.
- Continue treatment for 1 week after symptoms have cleared.
- For seborrhoeic dermatitis, restart at the first sign of flare; weekly maintenance prevents relapse.
How it works
Ketoconazole inhibits fungal CYP51, blocking ergosterol biosynthesis. Topical absorption from intact skin is < 1% — 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.
Side effects
- Common (5–10%) — mild stinging or burning on application, dryness, mild erythema.
- Uncommon — contact dermatitis (true allergy or vehicle reaction), oily skin sensation.
- Rare — severe contact allergy with weeping rash; stop and consult.
Pregnancy & breastfeeding
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.
Frequently Asked Questions
Why does my dermatologist prefer ketoconazole over clotrimazole for my dandruff or facial seborrhoea?
Ketoconazole has dual action — 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.
Is Ketoforce safe even though oral ketoconazole has a black box?
Yes — the FDA / EMA restrictions on oral ketoconazole apply because of liver toxicity from systemic exposure. Topical absorption from intact skin is < 1% — orders of magnitude below the threshold for systemic effects. Topical ketoconazole shampoos and creams remain widely used and safe.
Can I use this on my face?
Yes — 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 — wash off if it gets in.
Why does my tinea pedis need 6 weeks of cream?
Ketoconazole is fungicidal against dermatophytes but the recommended course duration is conservatively long. Many guidelines accept a shorter course of terbinafine cream (1% × 1 week) or clotrimazole (1% × 2–4 weeks) for tinea pedis. For seborrhoeic dermatitis specifically, ketoconazole has the faster onset.
Is Ketoforce the same as Nizoral cream?
Yes — Nizoral is the original Janssen brand of ketoconazole cream. Ketoforce contains the same active ingredient (ketoconazole 2%), manufactured by Brinton Pharma under WHO-GMP. Bioequivalent.
Why does my dandruff keep coming back when I stop the shampoo?
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 — ketoconazole shampoo or cream once or twice a week keeps it under control.
Can I use ketoconazole cream and a steroid cream together?
Short-term combination products (ketoconazole + hydrocortisone) are sometimes used for inflamed seborrhoeic dermatitis or extensive intertrigo. Use the steroid for a few days only — long-term steroid on the face causes atrophy and rebound flare.
What about ketoconazole shampoo vs cream for body seborrhoea?
For chest, back, scalp — ketoconazole 2% shampoo is more practical (lather, leave 5 minutes, rinse). For face, neck, axilla, groin — the cream is better tolerated. Use both if you have body and face involvement.
Will it fix my white patches on my back?
If the cause is pityriasis versicolor (a Malassezia overgrowth), yes — the fungus clears in 2–3 weeks. Pigment recovery is slower; the patches can take months to repigment, especially with sun exposure. Use SPF on affected areas while pigment normalises.
Should I use this on broken or weeping skin?
No — apply only to clean, dry, intact skin. Weeping or fissured tinea may need 1–2 days of zinc paste / moist drying, or oral antifungals to settle before topical therapy. If lesion is heavily inflamed and fissured, see a clinician.
Storage
Store at 15–25 °C, 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.
Other Antifungal Medications you may be interested in
If Ketoforce is unavailable, here are alternatives — same molecule from a different manufacturer, plus other topical antifungals.
- Terbicip Cream (terbinafine 1%) — Most potent topical for athlete’s foot; 1–2 week course.
- Lulibet XL Cream (luliconazole 1%) — Newer-generation imidazole; 1-week course for cruris/corporis.
- Clocip (clotrimazole 1% cream) — Broad-spectrum, OTC standard, safe in pregnancy.
- Keto Cream (ketoconazole 2%) — Best for seborrhoeic dermatitis (Malassezia).
- Zimig (oral terbinafine 250 mg) — Step up to oral when topical fails or for extensive disease.
























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