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Ketoconazole Coupon - Ketoconazole 50g of 2% can of foam

ketoconazole

Generic Extina
Used for Seborrheic Dermatitis
Used for Seborrheic Dermatitis

Ketoconazole foam (Extina) is an azole antifungal. It's used to treat seborrheic dermatitis in people 12 years and older. The foam is applied to the affected area(s), such as face and scalp, twice a day. Typically, a treatment lasts 4 weeks. One of the more common side effect of ketoconazole foam (Extina) is burning sensation at the application site.

Reviewed by:
reviewer
Kristianne Hannemann, PharmD
reviewer
Allison Gourley, PharmD
Last reviewed on January 28, 2024
BasicsSide effectsPros & consPharmacist tipsFAQsWarningsDosageInteractionsCostAlternativesLatest newsImagesReferencesPricesMedicare
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What is Ketoconazole foam (Extina)?

What is Ketoconazole foam (Extina) used for?

How Ketoconazole foam (Extina) works

Ketoconazole foam (Extina) is an azole antifungal. Some forms of seborrheic dermatitis might be linked to an yeast infection. Ketoconazole foam (Extina) is thought to treat this skin condition by getting rid of the yeast and lowering inflammation.

Are you looking for information on Xolegel (ketoconazole gel), ketoconazole cream, or ketoconazole tablets instead?

Drug Facts

Common BrandsExtina, Ketodan
Drug ClassAzole antifungal
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only
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Avg retail price
$651.100
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$651.10
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What are the side effects of Ketoconazole foam (Extina)?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Rash from sun-sensitivity (17%)
  • Burning-sensation at application site (10%)
  • Other reactions at application site (6%)

Other Side Effects

  • Dry skin
  • Redness
  • Irritation
  • "Pins-and-needles" sensation
  • Itching

Source: DailyMed

The following side effects have also been reported

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

Check with your doctor immediately if any of the following side effects occur:

Less common—For cream, shampoo, foam, or gel

Itching, stinging, burning, or irritation not present before use of this medicine

Rare—For cream, foam, or gel

Acne

bleeding from sore in the mouth

blistering, crusting, irritation, itching, or reddening of the skin

burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

cracked, dry, or scaly skin

discoloration of the fingernails or toenails

dizziness

eye dryness, irritation, or swelling

red rash with watery, yellow-colored, or pus filled blisters with or without thick yellow to honey-colored crusts

skin dryness, pain, rash, redness, or swelling

sore in the mouth or on the gums

swelling of the face

Rare—For shampoo

Hair loss and irritation

Incidence not known—For gel

Pain

Incidence not known—For shampoo

Blistering, burning, crusting, dryness, or flaking of the skin

burning sensation of the skin

burning, itching, redness, skin rash, swelling, or soreness at the application site

discoloration of the hair

dry skin

fast heartbeat

fever

hives

hoarseness

irritation

itching, scaling, severe redness, or soreness of the skin

joint pain, stiffness, or swelling

rash

shortness of breath

swelling of the eyelids, face, lips, hands, or feet

thinning of the hair

tightness in the chest

troubled breathing or swallowing

wheezing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common—For shampoo or gel

Dryness or oiliness of the hair and scalp

headache

Rare—For shampoo

Abnormal hair texture

mild dryness of the skin

scalp pustules

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

pros-and-cons

Pros and cons of Ketoconazole foam (Extina)

thumbs-up

Pros

Applied directly to the skin

Has few side effects

Stored at room temperature

thumbs-down

Cons

Applied twice daily

Might need to use for 4 weeks

Not approved for children under 12 years old

pharmacist-tips

Pharmacist tips for Ketoconazole foam (Extina)

pharmacist

  • Spray ketoconazole foam (Extina) into the cap or on a cool surface and apply it on the affected area with your fingertips. If your fingertips are warm, rinse them in cold water first. Don't spray ketoconazole foam (Extina) into the palm of your hand as the warmth will cause the medication to begin melting.

    • Wash your hands well after using ketoconazole foam (Extina) to prevent it from getting in your eyes, mouth, or other sensitive areas. If ketoconazole foam (Extina) does accidentally get in one of these areas, rinse it with water right away.

      • If you're putting ketoconazole foam (Extina) on an area where hair is present, move your hair out of the way and try to apply ketoconazole foam (Extina) directly onto the skin.

        • Ketoconazole foam (Extina) is flammable. Avoid fire, flames, or smoking during and after applying ketoconazole foam (Extina).

          • The area where you applied ketoconazole foam (Extina) might be more sensitive to the sun. Protect that area from the sun by wearing clothing like hats, long sleeve shirts, or long pants, to lower the risk of rash from the sun.

            • If you notice signs of an allergic reaction after using ketoconazole foam (Extina), such as a rash, hives, or swelling, contact your healthcare provider.

              faqs

              Frequently asked questions about Ketoconazole foam (Extina)

              Is ketoconazole foam (Extina) a steroid?
              No, ketoconazole foam (Extina) isn't a steroid; it's an antifungal. Depending on how severe your condition is, your provider might prescribe both ketoconazole foam (Extina) and a steroid at the same time to treat seborrheic dermatitis.
              Does ketoconazole foam (Extina) foam treat ringworm?
              No, ketoconazole foam (Extina) isn't FDA-approved to treat ringworm. If you need treatment for ringworms, your provider might prescribe ketoconazole cream.
              Is ketoconazole foam (Extina) over the counter?
              No, you can only get ketoconazole foam (Extina) with a prescription from your healthcare provider.
              Does ketoconazole foam (Extina) cause hair loss?
              People who used ketoconazole foam (Extina) during clinical studies didn't report hair loss as a side effect. But if you're applying ketoconazole foam (Extina) to the scalp, there's a chance that this medication can cause your scalp to feel itchy. Sometimes, itchy or sensitive scalp can lead to hair loss. If you're experiencing hair loss, contact your healthcare provider so they can help you determine the cause.
              Can I use ketoconazole foam (Extina) on my face?
              Yes, you can apply ketoconazole foam (Extina) to the face. But don't spray the foam directly on your face or into your hands. Instead, spray the ketoconazole foam (Extina) into the bottle cap or on another cool surface. Then, use your fingers to take a small amount of the medication and rub it into the affected area on the face. Spraying this medication directly on your face put you at risk for getting it into your eyes. And spraying ketoconazole foam (Extina) into your hands can cause it to melt before you've a chance to apply it.
              Does ketoconazole foam (Extina) expire?
              Yes, ketoconazole foam (Extina) can expire. Make sure to check the expiration date on the box or can. If the medication is past the expiration date, throw it away and ask your pharmacist for a refill. If you don't have refills left, you'll need to get a new prescription from your provider. Expired ketoconazole foam (Extina) might not work well and can raise your risk for more side effects.
              How long does ketoconazole foam (Extina) take to work?
              In studies, over half of people using ketoconazole foam (Extina) to treat their seborrheic dermatitis saw their condition get better after 4 weeks. You could notice improvement in your skin sooner. But if your skin isn't improving after 4 weeks, contact your healthcare provider.
              Is ketoconazole foam (Extina) safe in pregnancy?
              Ketoconazole foam (Extina) hasn't been studied during pregnancy, so it's unclear how this medication might affect babies or mothers during pregnancy. To be safe, you should avoid using ketoconazole foam (Extina) unless your healthcare provider has told you to continue using it while you're pregnant.
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              What are the risks and warnings for Ketoconazole foam (Extina)?

              Ketoconazole foam (Extina) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

              risk-warning

              Allergic rash

              • Risk factors: Exposure to sunlight after applying ketoconazole foam (Extina)

                Ketoconazole foam (Extina) can cause an allergic rash to form where it was applied. Sometimes, this rash doesn't happen unless you are exposed to sunlight after applying the medication. If possible, avoid the sun or cover up areas where you applied ketoconazole foam (Extina) right after you use it. If you notice any signs of an allergic reaction like a rash, hives, or swelling, let your healthcare provider know. You'll need to use a different medication.

                risk-warning

                Flammable product

                Ketoconazole foam (Extina) contains flammable ingredients. Stay away from fires or open flames, and don't smoke during and immediately after using ketoconazole foam (Extina). Don't store ketoconazole foam (Extina) at high temperatures (over 120 degrees Fahrenheit) and avoid getting the container close to fires, flames, or other heat sources. Even if the ketoconazole foam (Extina) can is empty, don't poke holes in it or throw it into a fire.

                dosage

                Ketoconazole foam (Extina) dosage forms

                The average cost for 1 can of 50g of 2% of Ketoconazole foam (Extina) is $796.83 with a free GoodRx coupon. This is 8.09% off the average retail price of $866.99.
                can of foam
                Can of foam
                DosageQuantityPrice as low asPrice per unit
                50g of 2%1 can$796.83$796.83
                100g of 2%1 can$928.94$928.94

                Typical dosing for Ketoconazole foam (Extina)

                • Spray the foam into the ketoconazole foam (Extina) cap of the bottle or on a cool surface. Use your fingers to pick up a small amount needed to cover the affected area(s). Then, apply ketoconazole foam (Extina) to the affected area(s) twice daily for 4 weeks.

                interactions

                Interactions between Ketoconazole foam (Extina) and other drugs

                Ketoconazole foam (Extina) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Ketoconazole foam (Extina). Please note that only the generic name of each medication is listed below.

                Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

                drug-cost

                How much does Ketoconazole foam (Extina) cost?

                To access savings, use a GoodRx coupon and pay just a fraction of the retail price.
                Extina (brand)
                GoodRx lowest price

                $796.83

                (save 8.09%)
                Ketoconazole foam (Extina) (generic)
                GoodRx lowest price

                $651.10

                0
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                alternatives

                What are alternatives to Ketoconazole foam (Extina)?

                There are a number of medications that your doctor can prescribe in place of Ketoconazole foam (Extina). Compare a few possible alternatives below.
                Ketoconazole foam (Extina)
                Used for:
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                Topical hydrocortisone
                Used for:

                • Skin inflammation

                • Skin rashes

                • Eczema

                • Psoriasis

                • Insect bites

                • Poison ivy or oak

                • Skin allergies

                • Dry scalp

                • Genital or rectal irritation

                $6.80 Lowest GoodRx priceView Prices
                Selenium sulfide
                Used for:
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                What is the latest news about Ketoconazole foam (Extina)?

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                images

                Ketoconazole foam (Extina) images

                This medicine is Colorless Can Of Foam.
                white - Ketoconazole 2% Topical Foam
                This medicine is White Can Of Foam.white - Ketoconazole 2% Topical Foam

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                References

                Best studies we found

                Goularte-Silva, V., et al. (2021). Ketoconazole beyond antifungal activity: Bioinformatics-based hypothesis on lipid metabolism in dandruff and seborrheic dermatitis. Experimental Dermatology.

                Gupta, A. K., et al. (2004). Role of antifungal agents in the treatment of seborrheic dermatitis. American Journal of Clinical Dermatology.

                Johnson, B. A., et al. (2000). Treatment of seborrheic dermatitis. American Family Physician.

                View All References (2)

                Medimetriks Pharmaceuticals, Inc. (2023). Ketodan- ketoconazole aerosol, foam [package insert]. DailyMed.

                Vázquez-Herrera, N. E., et al. (2018). Scalp itch: A systematic review. Skin Appendage Disorders.

                GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.
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