Is Head & Shoulders Bad for Your Hair? Experts Discuss
Head and Shoulders shampoos aren’t bad for your hair. In fact, they can improve dandruff and scalp dryness while adding moisture to your hair.
ketoconazole
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.
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.
Drug facts
| Common Brands | Extina, Ketodan |
|---|---|
| Drug Class | Azole antifungal |
| Controlled Substance Classification | Not a controlled medication |
| Generic Status | Lower-cost generic available |
| Availability | Prescription only |
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%)
Less Common Side Effects
- Dry skin
- Redness
- Irritation
- "Pins-and-needles" sensation
- Itching
The following Ketoconazole foam (Extina) 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
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
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
fast heartbeat
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
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.
Get your GoodRx coupon
$585.99
GoodRx discount
$152.07
Pros and cons of Ketoconazole foam (Extina)
Pros
- Applied directly to the skin
- Has few side effects
- Stored at room temperature
Cons
- Applied twice daily
- Might need to use for 4 weeks
- Not approved for children under 12 years old
Pharmacist tips for Ketoconazole foam (Extina)
- 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.
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.
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.
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.
Ketoconazole foam (Extina) dosage
The average cost for 1 can of 50g of 2% of Ketoconazole foam (Extina) is $152.07 with a free GoodRx coupon. This is 74.05% off the average retail price of $585.99.
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.
How much does Ketoconazole foam (Extina) cost?
To access savings, use a GoodRx coupon and pay just a fraction of the retail price.
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.
News about Ketoconazole foam (Extina)
Tinea Versicolor Treatment: Antifungal Medications and Natural Remedies
Tinea versicolor is a condition that changes the color of your skin. You can get rid of tinea versicolor with different medications.
How Does Ketoconazole Work for Hair Loss?
Ketoconazole’s antiandrogenic properties may help regrow hair. Here’s how ketoconazole shampoos like Nizoral A-D may prevent hair loss and help with growth.
Fungal Acne (Pityrosporum Folliculitis): Causes, Symptoms, Images, and Treatments
Fungal acne (pityrosporum folliculitis) can look a lot like regular acne, but the treatment is different. Learn what fungal acne looks like and what causes it here.
What Causes Athlete’s Foot (Tinea Pedis), and What Does It Look Like?
Athlete’s foot (tinea pedis) is a fungal infection of the foot that can cause itching, peeling, and burning. See pictures of athlete’s foot and learn how to treat it.
Ringworm in Cats: What It Looks Like and How You Treat It
Ringworm is a skin infection that can affect cats, humans, and other animals. Learn about the signs and symptoms of ringworm in cats, plus treatment options.
Alcohol and Antibiotics: Is Mixing Them Really That Dangerous?
Antibiotics such as metronidazole (Flagyl) and alcohol should not be mixed. That’s because antibiotics and alcohol have many interactions and can cause undesirable and sometimes dangerous side effects. Learn more about the risks of mixing antibiotics and alcohol here.
FDA Approves Kerendia for Chronic Kidney Disease in People With Diabetes
Recently, Kerendia (finerenone) was FDA-approved for use in lowering the risk of kidney failure and heart-related death in adults with chronic kidney disease (CKD) as a result of type 2 diabetes. Created by Bayer, Kerendia is the first medication in its class approved for this use.
FDA Approves First Eliquis Generics to Prevent Stroke, Blood Clots
The FDA has approved the first generic versions of Eliquis (apixaban), a medication used to prevent and treat strokes, blood clots, and embolisms. The generics may improve access to a drug that some patients view as more convenient than similar drugs such as warfarin. But lawsuits may keep generic Eliquis off the market for several years.
Ketoconazole foam (Extina) images
