Nizoral Ketoconazole Cream 40 g

In stock


Ketoconazole is used to treat skin infections such as athlete's foot, jock itch, ringworm, and certain kinds of dandruff. This medication is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Ketoconazole is an azole antifungal that works by preventing the growth of fungu.

Plase consult your doctor before to use any medication


Nizoral Cream 40g Janssen-Cilag (Johnson & Johnson)

Pharmacotherapeutic group of this medicine:

Topical antifungals. Imidazole derivatives. Topical ketoconazole is a nonsteroidal compound.

Cream for external use 2% white, homogeneous.

Active ingredient

per 1 g


20 mg


Excipients: propylene glycol - 200 mg (equivalent 193 μl), stearyl alcohol - 75 mg, cetyl alcohol - 20 mg, sorbitan stearate - 20 mg, polysorbate 60 (Tween 60) - 15 mg, isopropyl myristate - 10 mg, anhydrous sodium sulfite - 2 mg, polysorbate 80 (Tween 80) - 1 mg, purified water - up to 1 g (637 μl).

Еhe price of analogues of this cream is much lower, but if you want a quality product, then buy Nizoral in our store.

The drug has many analogues, on our online store you can find such ointment as Nastil (generic of Nizoral Ketoconazole Cream 2% 40 g).


Instructions for use

Only for external use.

Topical Nizoral (brand name) ointment is for use in adults to treat fungal infections of the epidermis, scalp and nails:

- Dermatomycosis of smooth skin

- Inguinal epidermophytosis

- Folliculitis caused by fungi of the Malassezia genus;

- Epidermophytosis of the hands and feet

- candidiasis of the skin and mucous membranes (including the mouth and throat)

- Chronic recurrent vaginal candidiasis

- Pityriasis versicolor

- Seborrheic dermatitis caused by Pityrosporum yeast

- Tinea Cruris

- Tinea Pedis

- Tinea Manus

- Ringworm.

For dandruff and dry scalp, it is recommended to use ketoconazole cream 40g in the form of a shampoo.


Who is contraindicated to use this medication?

The drug is not prescribed to patients with hypersensitivity to the components of the cream "Nizoral". It is forbidden for children under 12 years of age, for children older, check with specialists (medical advice).

It is also contraindicated in other forms of releases of this medication:

- Acute and chronic skin diseases.

- Lactose deficiency.

- Lactose intolerance.

- Simultaneous reception with some substrates of the CYP3A4 isoenzyme. Safe when interacting with other medications.

When taking the drug with alcohol, a disulfiram-like reaction may occur, characterized by redness, rash, swelling, nausea and headache.


How to use it for pregnant and nursing women

Due to the fact that ketoconazole cream is not absorbed by the blood, but only penetrates deep into the affected tissue, the drug is not contraindicated for pregnant and lactating patients. However, no clinical studies have been performed in this patient group. There is no official information about the risks of using this product for pregnant and breast-feeding women. Be sure to ask your doctor.



When using the drug in higher doses than recommended, a burning sensation, reduced flow and fluid retention in the tissue or reddening of the skin may occur. Side effects occur after stopping treatment with Nizoral cream.


Side effect information

Irritation and burning.

Local epidermis manifestations of an allergic nature, such as contact dermatitis, are rarely caused by the active component of the cream - ketoconazole or one of the auxiliary components - sodium sulfite or propylene glycol.

The side effects seen in post marketing studies with Nizoral Cream 2% are listed below.

Immune system disorders: very rare - hypersensitivity, hives.

Hapenia of the skin and subcutaneous tissue: very rarely - rash, itching, erythema.

Antifungal, works against dermatophytes, yeasts, dimorphic fungi and eumycetes. It is also effective against staph and streptococci.

The mechanism of action of NIZORAL is to inhibit the synthesis of ergosterol in the fungal membrane and to change the permeability of the cell wall.

Please contact the manufacturer or FDA if the medication causes other serious side effects.


Dosage and application drug information

Consult a doctor before use.

Usually, the duration of treatment with the drug lasts at least 14 days. It is recommended to apply the drug to dry and affected skin and in the surrounding area.

In diseases such as candidiasis of the skin, dermatomycosis of the smooth skin, epidermophytosis of the groin, hands and feet, pityriasis versicolor: it is recommended to spread the damage caused by the drug once a day on the affected area and the immediately adjacent epidermis.

Seborrheic dermatitis: Depending on the severity of the lesion, it is recommended to apply topical ketoconazole cream ointment to the affected epidermis once or twice a day (consult a specialist). The usual duration of treatment with this medication for seborrheic dermatitis is two to four weeks. For maintenance therapy, the cream is applied once or twice a week after the disappearance of all symptoms of the disease.

IMPORTANT: The diagnosis should be checked if there is no clinical improvement after 4 weeks of treatment (only a doctor can do this). General hygiene regulations must be observed to control the sources of infection and reinfection.

The usual duration of treatment for certain diseases is as follows: foot epidermophytosis 4-6 weeks, for fungal and yeast infections 2 to 3 weeks, inguinal epidermophytosis 2-4 weeks, pityriasis versicolor 14-21 days, dermatomycosis smooth skin up to by 4 weeks. Make sure you see your treating dermatologist.

Please follow your pharmacist’s advice.

You can buy the original ointment without a prescription in our online pharmacy


Nizoral for fungal acne

The very first thing that is prescribed for fungal acne (Malassezia folliculitis) are ointments and antifungals. They always work if the diagnosis is correct. These are ketoconazole, fluconazole and certain other substances. After diagnosis, this product should be the first, if not the only, treatment. It also helps to peel the skin.

When applying ointment to the epidermis of the face

Wait until the medicine is well absorbed on the treated skin area and only then apply makeup and other cosmetics.

How do I store the ointment?

The drug is stored in a place inaccessible to children at a temperature of not less than 15 ° C and not more than 30 ° C.

Conditions of sale

The drug is available without a prescription (over the counter).

You can buy cheaper analogs from Nizoral (ketoconazole generic) in our shop.


Avoid contact with the eyes. Wash your eyes as soon as possible. Follow your doctor’s advice.

If a medicine has expired or has expired, do not throw it into the sewage or onto the street! Put the medicine in the bag and throw it in the trash. These measures contribute to environmental protection.

Keep out of the reach of children.


These are the payment methods available:

  • Money Transfer ( Money Gram or Western Union)
  • Bitcoin
  • Paypal
  • Bank Wire


Shipping & Returns

 we are a Registered and Licensed Mexican pharmacy we assure you top quality medicines without the worry of your health care provider, employer or any other group finding out what rightfully is a private issue.

Did you know that your private medical file can be used against you to raise your insurance rates or in some cases and countries to lose your job? We take your privacy very seriously and by using these payment methods and the way in which we use them your bank does not directly get charged from our pharmacy. This way your medical needs stay as private as possible.

You will also receive a complete invoice in your email with payment totals and simple payment instructions toward the bottom of the email should you wish to pay at a later convenience.

IMPORTANT: If you need to make some changes in regards an existing order, contact us within 24 hours, otherwise, Mexican Pharm is not liable due to errors on customer’s information or products presentation. 


Shipping Methods.

To ensure the delivery of your order we handle EXPRESS SHIPPING only. Signature is required.
Tracking numbers for all orders will be sent with instructions once shipped.


How long does it take to ship the drugs to my home or office?

  • Express USA time frame: 10-21 business days.   ($24.95 USD Signature required)
  • Express World Wide time frame: 15-30 business days.  ($39.95 USD Signature required)


*Due to unexpected Postal Service changes, one of the shipping methods above could be temporarily disabled.

IMPORTANT: Please ensure your mail program is configured to accept email from sender, add our email to your non blocked email address so we may send invoices, order status and shipping confirmations. If you do not receive your invoice immediately after this, please check your spam filter and make necessary changes. 

We reply promptly to your enquiries and requests emails, but are too busy to repeatedly resend email that customers do not receive because our replies have been moved to a customers’ Spam, Junk or Bulk email folder.

Online pharmacy Medicines Mexico shipping terms and conditions.
Our team endeavors to process all orders and ship within 72 business hours. All credit card and electronic check payments for your mexicanpharm take 24 to 48 hours to be approved by our Payment Processor; upon verification your order will be processed. If there are any problems with your order, we will contact you, so please ensure the email address and phone number you provide is correct, and that any spam filtering software you use accepts email from

Express Shipping.
We offer Mex Post Express Shipping as an option. This option costs from $24.95 depending on the quantity of medications in your order (up to 9 medications). This option requires a customer signature on delivery. For all other locations Express Shipping is $39.95. All packages are shipped in plain packaging to guarantee your privacy. All packages are sent by parcel express mail from Mexico. Some parcels require a signature upon delivery at our discretion. There are no other handling fees, drug dispensing fees, or Mexican customs charges. If two or more people are ordering their prescription drugs from the same address at the same time, you will be billed for only one shipping charge from our Mexico pharmacy, up to our maximum order quantities limited by customs to 90 day supply. We are able to provide a tracking number on your express shipping parcels. If after 30 business days your order has not arrived, first check with your local postal office to ensure that your package is not being held for pick-up. If you still have problems, please contact us by email and we will attempt to assist you.

Notice Left
If no one is at home at the time of delivery, the status of you order on the Postal System will be updated to “Notice Left” which means USPS attempted to deliver your item and a notice was left because an authorized recipient was not available. You may arrange redelivery by visiting or calling 800-ASK-USPS, or may pick up the item at the Post Office indicated on the notice. If this item is unclaimed after five days then it will be returned to the sender. You can pay for reshipping $24.95 in order to receive a new tracking number. (Reshipping will be issued until the package is received back in our offices).

Note that on Holidays season, the Mexican Postal, USA and other countries will be extra busy; therefore a delay is expected in packages shipped during this season. You will need to consider as well the Mexican holidays. We appreciate your understanding, our customer service will be happy to assist you and available to inform you the latest status on your existing order shipped, you can always contact us at Toll Free number or email address.

Order Cancellation
Due to our policy of same day payment processing, ORDERS CANNOT BE CANCELLED.

Due to government regulations and the possibility of tampering with medications, returns cannot be accepted. In case your package is returned due to no one was available to sign for it. You can pay for reshipping $24.95 in order to receive a new tracking number. (Reshipping will be issued until the package is received back in our offices).

How to find the online pharmacy drug you need.
There are many more medications available in Mexico that are not listed on our website. If you can’t find the Mexican drug or medication you require, please contact us and we may be able to help. Some products are listed only in a single dosage size or medicine type, but may be available in other dosages and forms. Our experienced Mexican pharmacy Pharmacists will do their best to accommodate your requirements. Please always specify the chemical name of the medication (and any applicable brand name) with all inquiries. Please feel free to ask about ANY drug. We will reply promptly to your request.

What you should know about brand and generic drug alternates.
Prescription drugs are a costly medical expense, especially for the elderly, those who are chronically ill and those with no or minimal drug coverage on their Health Insurance. However, each state in America has a law that allows pharmacists to substitute less expensive generic drugs for many brand name products. Depending on your prescription needs, your savings could be very significant. Before you talk with your doctor or pharmacist about switching, there are things you should know about generic drugs.

What is the difference between a generic and brand name drug?
Nothing except for the name, packaging, and the price, a generic drug is called by its chemical name; manufacturers assign their own brand name. The generic products have the same ingredients. Standard practice and most state laws require that a generic drug be generically equivalent to its brand name counterpart. That is, it must have the same active ingredients, strength, and dosage form, be it a pill, liquid, or injection. The generic drug also must be therapeutically equivalent. It must be the same drug chemically and have the same medical effect.

Do all drugs have generic equivalents?
No. Some drugs are protected by patents and are supplied by only one company. However, when the patent expires, other manufacturers can produce its generic version. Currently, about half the drugs on the market are available in generic form.

Will my doctor automatically prescribe generic drugs?
It depends on the physician. You can ask your doctor to write a prescription permitting substitution of a generic drug product when appropriate or to define the chemical name for the prescription. This will ensure you are purchasing the correct Mexico drug. Generic products will be as effective and less costly. Or, you can order only brand name products if you wish. Mexico pharmacy offers a wide selection of both Brand Name & Generic Mexico medicine. Our Mexican generic drugs are of the highest quality, selected only from the most reputable manufacturers, and are safe to replace brand name medications costing much more.



Feel free to contact us for further information.
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You can apply for warranty service at the official service centers of the product manufacturer and in our stores.

When contacting a service center with you, you must take:

  • original warranty card;
  • document confirming payment for the goods (check).

The warranty is provided for a period of 2 weeks to 99 months. Please check the completeness and absence of defects in the goods upon receipt.


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