💡 Snel antwoord
Keto Cream 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.
WHO-GMP
gecertificeerde fabrikant
📦 Elke bestelling is gedekt door onze Reshipment Assurance Policy — als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.
Waarom bestellen bij MedsBase
Onze generieke medicijnen zijn afkomstig van WHO-GMP gecertificeerde fabrikanten en worden wereldwijd verzonden in discrete, eenvoudige verpakkingen — geen medicijnnaam op de buitenkant van het pakket. Betalingen met kaart worden verwerkt via een gereguleerde processor (betalingsoverzichten vermelden een gereguleerde kaartbetalingprocessor — nooit “MedsBase” of een medicijnnaam). Crypto en SEPA bankoverschrijvingen worden ook geaccepteerd. Elke bestelling wordt ondersteund door ons Reshipment Assurance Policy.
Discrete verpakking
ongemarkeerde envelop
Wereldwijde verzending
naar de meeste landen
🔒 Why order Keto Cream from MedsBase
- WHO-GMP gecertificeerde fabrikant — afkomstig uit een gereguleerde faciliteit, complete verpakking met batchnummer en vervaldatum.
- Discrete verpakking — gewone envelop, geen medicatienaam aan de buitenkant.
- Wereldwijde verzending naar de meeste landen met Reshipment Assurance.
- Loyaliteitspunten — 1 punt per $1 uitgegeven (peptiden/verzendkosten uitgezonderd); 100 punten = $5 korting op uw volgende bestelling.
Toepassingen
Keto Cream (ketoconazole 2% w/w cream, generic) is a broad-spectrum topical imidazole. Common indications:
| Indicatie | 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.
Hoe aan te vragen
- 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.
Hoe het werkt
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.
Bijwerkingen
- 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.
Zwangerschap & borstvoeding
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.
Veelgestelde vragen
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 Keto Cream 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 Keto Cream the same as Nizoral cream?
Yes — 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.
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.
Opslag
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.
When seborrhoeic dermatitis or pityriasis versicolor responds to Keto Cream (ketoconazole 2 %) but a tinea cruris or tinea pedis flare needs a second imidazole on hand, Micogel Cream (miconazole 2 % topical) is the standard alternative — same azole class, broader anti-Candida activity.
Andere antischimmelmiddelen die u mogelijk interesseren
If Keto Cream 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 (clotrimazol 1% crème) — Broad-spectrum, OTC standard, safe in pregnancy.
- Keto Cream (ketoconazol 2%) — Best for seborrhoeic dermatitis (Malassezia).
- Zimig (oral terbinafine 250 mg) — Step up to oral when topical fails or for extensive disease.
























Beoordelingen
Er zijn nog geen beoordelingen