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ketoconazole (cont.)

Ketoconazole also may reduce the elimination of some "statins" [for example, simvastatin (Zocor)] leading to an increase in the blood levels of statins and increasing the risk of side effects such as rhabdomyolysis (severe muscle injury).

PREGNANCY: Ketoconazole has not been adequately studied in pregnant women.

NURSING MOTHERS: A small amount of ketoconazole is secreted in breast milk. Nursing mothers should probably avoid breastfeeding while using ketoconazole.

SIDE EFFECTS: Ketoconazole is generally well tolerated. Ketoconazole can cause rash, itching, nausea, vomiting, abdominal pain, headache, dizziness, fatigue, impotence, and blood count abnormalities. Rarely, ketoconazole has serious allergic reactions (anaphylaxis). Also rarely, ketoconazole has been associated with severe depression, hair loss, and tingling sensations. Liver dysfunction has also been reported. Signs of liver problems include unusual fatigue, loss of appetite, nausea and vomiting, yellowing of the skin (jaundice), dark urine, and pale stools. Development of these symptoms while taking ketoconazole should be reported to a physician.

Reference: FDA Prescribing Information


Last Editorial Review: 12/15/2008




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