Sertaconazole
Class: Azoles
VA Class: DE102
Chemical Name: (±)-1-[2,4-Dichloro-β-[(7-chlorobenzo[b]thien-3-yl)methoxy]phenylethyl]-imidazole mononitrate
Molecular Formula: C20H15Cl3N2OSH NO3
CAS Number: 99592-32-2
Brands: Ertaczo
Introduction
Antifungal; azole (imidazole derivative).
Uses for Sertaconazole
Dermatophytoses
Treatment of interdigital tinea pedis (athlete’s foot) caused by Epidermophyton floccosum, Trichophyton mentagrophytes, or T. rubrum in immunocompetent adults and children ≥12 years of age.
Topical antifungals usually effective for treatment of uncomplicated tinea pedis; an oral antifungal usually necessary for treatment of hyperkeratotic areas on the palms and soles, for chronic moccasin-type (dry-type) tinea pedis, and for treatment of tinea unguium (onychomycosis).
Treatment of tinea corporis† (ringworm of the body), tinea cruris† (jock itch), or tinea manuum† (hand ringworm) caused by E. floccosum, Microsporum (including M. canis), or Trichophyton (including T. mentagrophytes, T. rubrum, and T. schonleinii).
Topical antifungals usually effective for uncomplicated tinea corporis, tinea cruris, and tinea manuum; an oral antifungal usually necessary when tinea corporis or tinea cruris is extensive, dermatophyte folliculitis is present, infection is chronic or does not respond to topical therapy, or patient is immunocompromised because of coexisting disease or concomitant therapy.
Pityriasis (Tinea) Versicolor
Treatment of pityriasis (tinea) versicolor† caused by Malassezia furfur (Pityrosporum orbiculare or P. ovale).
Topical treatment usually effective; an oral antifungal (alone or in conjunction with a topical agent) may be necessary in patients who have extensive or severe infections or who fail to respond to or have frequent relapses with topical therapy.
Cutaneous Candidiasis
Treatment of superficial cutaneous candidiasis caused by Candida albicans†.
Sertaconazole Dosage and Administration
Administration
Topical Administration
Apply topically to the skin as a 2% cream.
Do not apply to the eye or administer orally or intravaginally.
Avoid contact with the nose, mouth, and other mucous membranes.
Do not use with occlusive dressings or wrappings, unless otherwise directed by clinician.
Apply a sufficient amount of cream twice daily; rub gently into affected area (e.g., between the toes) and immediately surrounding healthy skin.
Dosage
Available as sertaconazole nitrate; dosage expressed in terms of sertaconazole nitrate.
Pediatric Patients
Dermatophytoses
Tinea Pedis (Interdigital)
TopicalChildren ≥12 years of age: Apply twice daily for 4 weeks.
If clinical improvement does not occur after 2 .