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Ciclopirox (Penlac ®) Topical
Solution, 8% Information
IMPORTANT NOTE: The Physician
needs to know if you have any of these conditions:;
kidney disease; liver disease; pneumonia; stomach
problems (especially colitis); other chronic
illness; an unusual or allergic reaction to Ciclopirox,
foods, dyes, or preservatives; or if you are
breast-feeding.
COMMON BRAND NAME(S): Ciclopirox,
Penlac, Batrafen, Loprox, Mycoster,Stieprox.
For use on fingernails, toenails
and immediately adjacent skin only.
Not for use in the eyes.

USES: Ciclopirox (Generic Penlac) is used to
treat fungal infections of the fingernails and
toenails. It is used as part of a treatment program
that includes the removal of unattached, infected
nails by a health care professional as frequently
as once a month. Ciclopirox works by stopping the
growth of fungus.
HOW TO USE: Read the Patient Information Leaflet
if available from your pharmacist before you start
using ciclopirox and each time you get a refill.
If you have any questions, ask your doctor or pharmacist.
Before starting treatment, remove
any loose nail material using nail clippers or
a file. If you have diabetes or numbness in your
fingers/toes, talk to your doctor before filing
or trimming your nails. It may be safer for your
doctor to file or remove your nails.
Apply ciclopirox as directed by your
doctor, usually once daily at bedtime. Using the
applicator provided, apply this medication evenly
over the entire affected nail and to the area of
the skin next to the nail (5 millimeters or 1/5
of an inch around the nail). If the applicator
can reach the undersurface of the nail and the
skin under the nail, apply the medication to those
areas as well. Avoid contact with skin that is
not right next to the affected nail. Do not use
nail cosmetic products (such as nail polish) on
the treated nails.
Do not apply Ciclopirox in the eyes,
nose, or mouth, or inside the vagina. If you do
get the medication in those areas, rinse with plenty
of water.
Let Ciclopirox dry (around 30 seconds)
before putting on socks or stockings. Do not wash
the treated area for at least 8 hours.
Every 7 days, remove the medication
from the nail by applying alcohol. Then trim the
nail and file away any loose nail material.
Use Ciclopirox (Generic Penlac) regularly
in order to get the most benefit from it. To help
you remember, use it at the same time each day.
Continue to use for the full time
prescribed, even if symptoms disappear. Stopping
the medication too early may result in a return
of the infection.
Tell your doctor if your condition
worsens or does not improve after 6 months of treatment.
It may take up to one year for the nail to be clear
or almost clear.
SIDE EFFECTS: Redness/burning
of treated skin or changes in shape/color of nail
may occur. If any of these effects persist or worsen,
tell your doctor or pharmacist promptly.
Remember that your doctor has prescribed
Ciclopirox (Generic Penlac) because he or she has
judged that the benefit to you is greater than
the risk of side effects. Many people using this
medication do not have serious side effects.
Tell your doctor immediately if any
of these unlikely but serious side effects occur:
blistering/swelling/oozing at the application site.
A very serious allergic reaction
to this drug is rare. However, seek immediate medical
attention if you notice any symptoms of a serious
allergic reaction, including: rash, itching/swelling
(especially of the face/tongue/throat), severe
dizziness, trouble breathing.
DRUG INTERACTIONS: The effects of some
drugs can change if you take other drugs or herbal
products at the same time. This can increase your
risk for serious side effects or may cause your
medications not to work correctly. These drug interactions
are possible, but do not always occur. Your doctor
or pharmacist can often prevent or manage interactions
by changing how you use your medications or by
close monitoring.
To help your doctor and pharmacist
give you the best care, be sure to tell your doctor
and pharmacist about all the products you use (including
prescription drugs, nonprescription drugs, and
herbal products) before starting treatment with
this product. While using this product, do not
start, stop, or change the dosage of any other
medicines you are using without your doctor's approval.
Keep a list of all the products you
use. Share the list with your doctor and pharmacist
to reduce your risk for serious medication problems.
If Ciclopirox
(Generic Penlac) overdose is suspected,
contact your local poison control center by calling 1-800-222-1222 or
by locating your closest local poison control
centre amoung those listed here -
American
Association of Poison Control Centers
MISSED DOSE: If you miss a dose of Ciclopirox
(Generic Penlac), take it as soon as you
can. If it is almost time for your next dose, take
only that dose. Do not take double or extra doses.
There should be an interval of at least 12 hours
between doses.
STORAGE: Store Ciclopirox (Generic Penlac)
at room temperature between 59-86 degrees F (15-30
degrees C) away from light, heat, or open flame.
To protect the medication from light, store the
bottle in the carton after each use. Keep bottle
tightly closed. To prevent the cap from sticking
to the bottle, avoid getting the medication on
the bottle threads. Keep all medicines away from
children and pets.
Do not flush medications down the
toilet or pour them into a drain unless instructed
to do so. Properly discard this product when it
is expired or no longer needed. Consult your pharmacist
or local waste disposal company for more details
about how to safely discard your product.
Ciclopirox (Penlac) Information
and Resources:
Medline
Plus - Ciclopirox : is most often used to
treat fungal infections that can spread to different
parts of the body through the bloodstream such
as yeast infections of the mouth, skin, urinary
tract, and blood
Medline
Plus - Fungal Infections : Fungi can be difficult
to kill. For skin and nail infections, you can
apply medicine directly to the infected area.
Oral antifungal medicines are also available
for serious infections.
Medicinenet
- Ciclopirox : Consumer information about
the medication Ketoconazole 200mg (Nizoral),
includes side effects, drug interactions, recommended
dosages, and storage information from Medicinenet.