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Ketoconazole vs. Cresemba

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Ketoconazole cream and Cresemba (isavuconazonium) are both antifungal medications, but they are used for different types of fungal infections. Ketoconazole cream is a topical antifungal used to treat skin infections like ringworm, jock itch, athlete's foot, tinea versicolor, seborrheic dermatitis, and skin yeast infections caused by *Candida*. It is applied directly to the skin and is not absorbed into the bloodstream, which means it has fewer side effects. Cresemba, on the other hand, is an azole antifungal available in oral and injectable forms, used to treat serious fungal infections like invasive aspergillosis and mucormycosis. Cresemba is taken by mouth or through an IV, and it can cause more systemic side effects, such as nausea, vomiting, and liver issues. Ketoconazole cream is available as a generic, while Cresemba is only available as a brand-name medication. Additionally, Cresemba can interact with other medications, including ketoconazole, and should be avoided during pregnancy.

ketoconazole cream

 

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Cresemba

(isavuconazonium)

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Summary for Ketoconazole

Prescription only

Ketoconazole cream is an antifungal medication. It's used to treat different types of fungal skin infections, including ringworm and yeast skin infections. Ketoconazole cream is approved for adults only. It's typically applied onto the skin once or twice a day. Most people have very few side effects, like itching and stinging where the cream is applied.

Indications for Ketoconazole

Pros and Cons for Ketoconazole

Pros

  • Can treat many different kinds of fungal skin infections
  • Skin usually starts improving shortly after you start using the cream
  • Applied directly to the affected area(s)
  • Has few side effects

Cons

  • Must use for at least 2 weeks (depends on the type of infection)
  • Not available over the counter
  • Some creams have sulfites, which can cause allergic reactions in certain people
  • Not known if safe for people who are pregnant or breastfeeding

Common Side Effects for Ketoconazole

  • Itchiness (5%)
  • Skin irritation (5%)
  • Stinging (5%)

Warnings for Ketoconazole

  • Allergic reaction

Summary for Cresemba

Prescription only

Cresemba (isavuconazonium) is an azole antifungal. It's used to treat invasive aspergillosis and mucormycosis fungal infections in adults and children. Cresemba (isavuconazonium) capsules can be take by people ages 6 years and older (weighing at least 16 kg). Cresemba (isavuconazonium) intravenous (IV) infusions can be given to people ages 1 year and older. Treatment typically starts off with a loading dose taken every 8 hours for 2 days, then a maintenance dose taken once per day. Some common side effects include nausea, vomiting, diarrhea, and stomach pain.

Indications for Cresemba

Serious fungal infections that have spread to the bloodstream:

Pros and Cons for Cresemba

Pros

  • Works well to treat aspergillosis and mucormycosis
  • Available as a capsule and an injection
  • Only has to be taken once a day (after the first 2 days)
  • IV infusion can be given to children as young as 1 years old

Cons

  • Not safe while pregnant or breastfeeding
  • Can interact with other medications
  • Rare risk of serious liver problems
  • Only available as brand-name medication

Common Side Effects for Cresemba

Adults:

  • Nausea (28%)
  • Vomiting (25%)
  • Diarrhea (24%)
  • Low potassium levels (19%)
  • Stomach pain (17%)
  • Headache (17%)
  • Elevated liver enzymes (17%)
  • Trouble breathing (17%)
  • Swelling of the limbs (15%)
  • Constipation (14%)
  • Fatigue (11%)
  • Trouble sleeping (11%)
  • Back pain (10%)
  • Kidney failure (10%)

Children:

  • Diarrhea (26%)
  • Stomach pain (23%)
  • Vomiting (21%)
  • Elevated liver enzymes (18%)
  • Rash (14%)
  • Nausea (13%)
  • Headaches (12%)

Warnings for Cresemba

  • Liver damage
  • Severe allergic and skin reactions
  • Harm during pregnancy
  • Serious medication interactions

Prices with our coupons for Ketoconazole vs. Cresemba

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Ketoconazole1 tube / 60g of 2%
$19.62$76.22
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Cresemba8 dose packs / 7 capsules of 186mg
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