FDA Drug Safety Alert on Ketoconazole Tablets

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FDA has issued a drug safety alert that warns healthcare professionals to avoid prescribing the antifungal medicine ketoconazole oral tablets for unapproved uses to treat skin and nail fungal infections. “Use of this medication carries the risk of serious liver damage, adrenal gland problems, and harmful interactions with other medicines that outweigh its benefit in treating these conditions,” the agency says.

In 2013, FDA approved label changes for oral ketoconazole tablets to remove the indications for treating skin and nail fungal infections. “However, an FDA safety review found that oral ketoconazole continues to be prescribed for these types of conditions,” the alert says. “Since the 2013 labeling change, one patient death has been reported to the FDA due to liver failure associated with oral ketoconazole prescribed to treat a fungal infection of the nails.” It says that ketoconazole tablets should only be used to treat serious fungal infections when no other antifungal therapies are available.

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