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USP DI Vol. II - TOLNAFTATE (Topical)

TOLNAFTATE (Topical)


Some commonly used brand names are:

In the U.S.?

  • Aftate for Athlete's Foot Aerosol Spray Liquid
  • Aftate for Athlete's Foot Aerosol Spray Powder
  • Aftate for Athlete's Foot Gel
  • Aftate for Athlete's Foot Sprinkle Powder
  • Aftate for Jock Itch Aerosol Spray Powder
  • Aftate for Jock Itch Gel
  • Aftate for Jock Itch Sprinkle Powder
  • Genaspore Cream
  • NP-27 Cream
  • NP-27 Powder
  • NP-27 Solution
  • NP-27 Spray Powder
  • Tinactin Aerosol Liquid
  • Tinactin Aerosol Powder
  • Tinactin Antifungal Deodorant Powder Aerosol
  • Tinactin Cream
  • Tinactin Jock Itch Cream
  • Tinactin Jock Itch Spray Powder
  • Tinactin Powder
  • Tinactin Solution
  • Ting Antifungal Cream
  • Ting Antifungal Powder
  • Ting Antifungal Spray Liquid
  • Ting Antifungal Spray Powder
  • Zeasorb-AF Powder

In Canada?

  • Pitrex Cream
  • Tinactin Aerosol Liquid
  • Tinactin Aerosol Powder
  • Tinactin Cream
  • Tinactin Jock Itch Aerosol Powder
  • Tinactin Jock Itch Cream
  • Tinactin Plus Aerosol Powder
  • Tinactin Plus Powder
  • Tinactin Powder
  • Tinactin Solution

Generic name product may be available in the U.S.


Category

  • Antifungal, topical

Description

Tolnaftate (tole-NAF-tate) belongs to the groupof medicines called antifungals. It is used to treat some types of fungusinfections. It may also be used together with medicines taken by mouth forfungus infections.

Tolnaftate is available without a prescription; however, your doctor mayhave special instructions on the proper use of tolnaftate for your medicalproblem.

Tolnaftate is available in the following dosage forms:

    Topical
  • Aerosol powder (U.S. and Canada)
  • Aerosol solution (U.S. and Canada)
  • Cream (U.S. and Canada)
  • Gel (U.S.)
  • Powder (U.S. and Canada)
  • Topical solution (U.S. and Canada)


Before Using This Medicine

If you are taking this medicinewithout a prescription, carefully read and follow any precautions on the label.For tolnaftate, the following should be considered:

Allergies?Tell your doctor if you have ever had any unusual orallergic reaction to tolnaftate. Also tell your health care professional ifyou are allergic to any other substances, such as preservatives or dyes.

Pregnancy?Tolnaftate topical preparations have not been shownto cause birth defects or other problems in humans.

Breast-feeding?Tolnaftate topical preparations have not been reportedto cause problems in nursing babies.

Children?Tolnaftate should not be used on children up to 2years of age, unless otherwise directed by your doctor. Although there isno specific information comparing use of tolnaftate in children 2 years ofage and older with use in other age groups, this medicine is not expectedto cause different side effects or problems in children 2 years of age andolder than it does in adults.

Older adults?Many medicines have not been studied specificallyin older people. Therefore, it may not be known whether they work exactlythe same way they do in younger adults or if they cause different side effectsor problems in older people. There is no specific information comparing useof tolnaftate in the elderly with use in other age groups.

Other medicines?Although certain medicines should not be usedtogether at all, in other cases two different medicines may be used togethereven if an interaction might occur. In these cases, your doctor may want tochange the dose, or other precautions may be necessary. Tell your health careprofessional if you are using any other topical prescription or nonprescription(over-the-counter [OTC]) medicine that is to be applied to the same area ofthe skin.


Proper Use of This Medicine

Before applyingtolnaftate, wash the affected area and dry thoroughly. Then apply enough medicineto cover the affected area.

Keep this medicine away from the eyes.

For patients using the powder form of thismedicine:

  • If the powder is used on the feet, sprinkle it between toes, on feet,and in socks and shoes.

For patients using the aerosol powder formof this medicine:

  • Shake well before using.
  • From a distance of 6 to 10 inches, spray the powder on the affectedareas. If it is used on the feet, spray it between toes, on feet, and in socksand shoes.
  • Do not inhale the powder.
  • Do not use near heat, near open flame, or while smoking.

For patients using the solution form of thismedicine:

  • If tolnaftate solution becomes a solid, it may be dissolved by warmingthe closed container of medicine in warm water.

For patients using the aerosol solution formof this medicine:

  • Shake well before using.
  • From a distance of 6 inches, spray the solution on the affected areas.If it is used on the feet, spray between toes and on feet.
  • Do not inhale the vapors from the spray.
  • Do not use near heat, near open flame, or while smoking.

To help clear up your infection completely, keep usingthis medicine for 2 weeks after burning, itching, or other symptoms have disappeared, unless otherwise directed by your doctor. Donot miss any doses.

Dosing?The dose of tolnaftate will be different fordifferent patients. Follow your doctor's orders or thedirections on the label. The following information includes only theaverage dose of tolnaftate. If your dose is different,do not change it unless your doctor tells you to do so.

  • For topical dosage forms (aerosol powder,aerosol solution, cream, gel, powder, or topical solution):
    • For fungus infections:
      • Adults and children 2 years of age and over?Apply to the affectedarea(s) of the skin two times a day.
      • Children up to 2 years of age?Use is not recommended exceptunder the advice and supervision of your doctor.

Missed dose?If you miss a dose of this medicine, apply it assoon as possible. Then go back to your regular dosing schedule.

Storage?To store this medicine:

  • Keep out of the reach of children.
  • Store away from heat and direct light.
  • Do not store the powder form of this medicine in the bathroom, nearthe kitchen sink, or in other damp places. Heat or moisture may cause themedicine to break down.
  • Keep the medicine from freezing.
  • Do not puncture, break, or burn the aerosol powder or aerosol solutioncontainer.
  • Do not keep outdated medicine or medicine no longer needed. Be surethat any discarded medicine is out of the reach of children.

Precautions While Using This Medicine

If yourskin problem does not improve within 4 weeks, or if it becomes worse, checkwith your health care professional.

To help prevent reinfection after the period of treatment with this medicine,the powder or spray powder form of this medicine may be used each day afterbathing and carefully drying the affected area.


Side Effects of This Medicine

Along with its needed effects,a medicine may cause some unwanted effects. Although not all of these sideeffects may occur, if they do occur they may need medical attention.

Check with your health care professional as soon as possible if the followingside effect occurs:

Skin irritation not present before use of this medicine

When you apply the aerosol solution form of this medicine, a mild temporarystinging may be expected.

Other side effects not listed above may also occur in some patients. Ifyou notice any other effects, check with your health care professional.


Revised: 08/10/1994