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Econazole Nitrate

Econazole Nitrate is a topical antifungal medication used to treat various fungal skin infections, including athlete’s foot, ringworm, jock itch, and yeast infections of the skin. It works by inhibiting the growth of fungi by affecting their cell membrane, ultimately leading to the death of the fungal cells. Econazole Nitrate is available as a topical cream, commonly applied to the affected area once or twice daily.



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Frequently Asked Questions

How long does it take for Econazole Nitrate to work?
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Most patients begin to see improvement in their symptoms within 2 to 4 weeks of treatment. Continue using the cream for the full duration prescribed, even if symptoms improve before the infection is fully gone.

Can I use Econazole Nitrate for athlete’s foot?
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Yes, Econazole Nitrate is commonly prescribed to treat athlete’s foot. Apply it as directed to the affected area and continue using it for the full duration of treatment.

What should I do if I miss a dose of Econazole Nitrate?
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If you miss a dose, apply it as soon as you remember. If it’s close to the time of your next scheduled dose, skip the missed dose and continue with your regular application schedule. Do not apply extra cream to make up for the missed dose.

Can Econazole Nitrate be used to treat vaginal yeast infections?
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No, Econazole Nitrate is not intended for use in the vaginal area. It is formulated for external use on the skin. Speak to your healthcare provider about appropriate treatments for vaginal yeast infections.

Is Econazole Nitrate safe for use in children?
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Econazole Nitrate is generally considered safe for use in children, but always consult a healthcare provider before using it on a child, especially if treating a severe or persistent infection.

Comprehensive Drug Guide

How Does Econazole Nitrate Work?

Econazole Nitrate works by inhibiting the synthesis of ergosterol, an essential component of the fungal cell membrane. Without ergosterol, the fungal cell membrane becomes weakened, causing the contents of the fungal cell to leak out, ultimately leading to the death of the fungus.



Common Dosages

  • Topical cream: 1% (10 mg/g)

Typical Dosing

  • For fungal skin infections: Apply a thin layer of Econazole Nitrate cream to the affected area once or twice daily, depending on the severity of the infection and your doctor’s instructions. Treatment usually lasts for 2 to 4 weeks, but may vary based on the infection being treated.

Typical Dosing

FDA Approved Indications

  • Tinea pedis (athlete’s foot)
  • Tinea cruris (jock itch)
  • Tinea corporis (ringworm)
  • Cutaneous candidiasis (yeast infections of the skin)


Who Shouldn't Take Econazole Nitrate?

  • Known hypersensitivity to econazole or other antifungal agents
  • Severe skin irritation from the cream or its components

Advice From The Pharmacist

  • Apply Econazole Nitrate cream exactly as prescribed, and continue using it for the full course of treatment, even if symptoms improve before the infection is fully cleared.
  • Wash and dry the affected area before applying the cream. Avoid covering the treated area with occlusive dressings unless directed by a healthcare provider.
  • Use the cream only externally, and avoid contact with the eyes, mouth, and mucous membranes. If accidental contact occurs, rinse thoroughly with water.
  • If there is no improvement in symptoms after 2 to 4 weeks, or if the infection worsens, contact your healthcare provider.


Side Effects of Econazole Nitrate

Common Side Effects

  • Mild burning or stinging at the application site
  • Itching
  • Redness or irritation


Uncommon/Severe Side Effects

  • Severe allergic reactions (rash, swelling, difficulty breathing)
  • Severe skin irritation


Risks and Warnings of Econazole Nitrate

  • Allergic Reactions: Some individuals may experience an allergic reaction to Econazole Nitrate. Discontinue use and seek medical attention if signs of an allergic reaction occur.
  • Skin Irritation: Prolonged use or excessive application may lead to skin irritation. If irritation persists or worsens, contact your healthcare provider.
  • Avoid Occlusive Dressings: Avoid covering the treated area with occlusive dressings, as this can increase the absorption of the drug and lead to greater irritation.

Interactions with Econazole Nitrate

Common Drug Interactions

Topical corticosteroids: Using Econazole Nitrate with topical corticosteroids may increase the risk of skin irritation or reduce the effectiveness of the antifungal treatment. Consult your healthcare provider if you are using other topical treatments.

Alternatives to Econazole Nitrate

  • Clotrimazole (Lotrimin): Another topical antifungal used to treat similar fungal infections.
  • Terbinafine (Lamisil): An over-the-counter antifungal cream commonly used for athlete’s foot, jock itch, and ringworm.
  • Miconazole (Monistat): Another topical antifungal, often used for yeast infections of the skin.