Mycosten (Ciclopirox)

Mycosten (Ciclopirox) Uses, Dosage, Side Effects, Food Interaction and all others data.

Mycosten (Ciclopirox) Olamine is a synthetic, broad-spectrum, antifungal agent. The chemical name is 6-cyclohexyl-1-hydroxy-4-methyl-2(1H)-pyridone, 2-aminoethanol salt.

Mycosten (Ciclopirox) is a broad-spectrum antifungal medication that also has antibacterial and anti-inflammatory properties. Its main mode of action is thought to be its high affinity for trivalent cations, which inhibit essential co-factors in enzymes. Mycosten (Ciclopirox) exhibits either fungistatic or fungicidal activity in vitro against a broad spectrum of fungal organisms, such as dermatophytes, yeasts, dimorphic fungi, eumycetes, and actinomycetes. In addition to its broad spectrum of action, ciclopirox also exerts antibacterial activity against many Gram-positive and Gram-negative bacteria. Furthermore, the anti-inflammatory effects of ciclopirox have been demonstrated in human polymorphonuclear cells, where ciclopirox has inhibited the synthesis of prostaglandin and leukotriene. Mycosten (Ciclopirox) can also exhibit its anti-inflammatory effects by inhibiting the formation of 5-lipoxygenase and cyclooxygenase.

Trade Name Mycosten (Ciclopirox)
Availability Prescription only
Generic Ciclopirox
Ciclopirox Other Names Ciclopirox, Ciclopiroxum
Related Drugs prednisone, dexamethasone, hydrocortisone topical, nystatin topical, clotrimazole topical, ketoconazole topical, terbinafine, terbinafine topical, Decadron, itraconazole
Type
Formula C12H17NO2
Weight Average: 207.2689
Monoisotopic: 207.125928793
Protein binding

Protein binding is 94-97% following topical administration.

Groups Approved, Investigational
Therapeutic Class Topical Antifungal preparations
Manufacturer
Available Country Belgium, Poland
Last Updated: September 19, 2023 at 7:00 am
Mycosten (Ciclopirox)
Mycosten (Ciclopirox)

Uses

Mycosten (Ciclopirox) cream is used for the topical treatment of the following dermal infections:Tinea pedis, tinea cruris, and tinea corporis due to Trichophyton rubrum, Trichophyton mentagrophytes, Epidermophyton floccosum and Microsporum canis Candidiasis moniliasis) due to Candida albicans; and tinea (pityriasis) versicolor due to Malassezia furfur.

Mycosten (Ciclopirox) is also used to associated treatment for these conditions: Fungal skin infection, Pityriasis versicolor, Seborrheic dermatitis of the scalp, Tinea Corporis, Tinea Cruris, Tinea Pedis, Vulvovaginal Candidiasis, Cutaneous candidiasis, Mild Onychomycosis, Moderate Onychomycosis

How Mycosten (Ciclopirox) works

Unlike antifungals such as itraconazole and terbinafine, which affect sterol synthesis, ciclopirox is thought to act through the chelation of polyvalent metal cations, such as Fe3+ and Al3+. These cations inhibit many enzymes, including cytochromes, thus disrupting cellular activities such as mitochondrial electron transport processes and energy production. Mycosten (Ciclopirox) also appears to modify the plasma membrane of fungi, resulting in the disorganization of internal structures. The anti-inflammatory action of ciclopirox is most likely due to inhibition of 5-lipoxygenase and cyclooxygenase. ciclopirox may exert its effect by disrupting DNA repair, cell division signals and structures (mitotic spindles) as well as some elements of intracellular transport.

Dosage

Mycosten (Ciclopirox) dosage

Gently massage Mycosten (Ciclopirox) cream into the affected and surrounding skin areas twice daily, in the morning and evening for four weeks. Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment. If a patient shows no clinical improvement after four weeks of treatment, the diagnosis should be redetermined. Patients with tinea versicolor usually exhibit clinical and mycological clearing after two weeks of treatment.

Mycosten (Ciclopirox) cream is not for ophthalmic use.

Side Effects

Mycosten (Ciclopirox) Olamine cream is well tolerated with a low incidence of side effects. The most frequently reported events are itching, redness, burning, dryness, or irritation of treated skin.

Toxicity

Oral LD50 in rat is >10 ml/kg. Symptoms of overexposure include drowsiness and headache.

Precaution

If a reaction suggesting sensitivity or chemical irritation occurs with the use of Mycosten (Ciclopirox) Cream, treatment should be discontinued and appropriate therapy instituted.

Interaction

There are no known drug interactions and none well documented.

Food Interaction

No interactions found.

Elimination Route

Rapidly absorbed after oral administration. Mean absorption of ciclopirox after application to nails of all twenty digits and adjacent 5 millimeters of skin once daily for 6 months in patients with dermatophytic onychomycoses was less than 5% of the applied dose. Mycosten (Ciclopirox) olamine also penetrates into hair and through the epidermis and hair follicles into sebaceous glands and dermis.

Half Life

1.7 hours for 1% topical solution.

Elimination Route

Most of the compound is excreted either unchanged or as glucuronide. After oral administration of 10 mg of radiolabeled drug (14C-ciclopirox) to healthy volunteers, approximately 96% of the radioactivity was excreted renally within 12 hours of administration. Ninety-four percent of the renally excreted radioactivity was in the form of glucuronides.

Pregnancy & Breastfeeding use

Pregnancy Category B. There are no adequate or well-controlled studies in pregnant women. Therefore, Mycosten (Ciclopirox) cream should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Lactation: It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Mycosten (Ciclopirox) cream is administered to nursing women.

Contraindication

Mycosten (Ciclopirox) Olamine cream is contraindicated in individuals who have shown hypersensitivity to any of its components.

Interaction with other Medicine

Safety and effectiveness in children below the age of 10 years have not been established.

Storage Condition

Store in a cool and dry place protected from light. Keep out of the reach of children.

Innovators Monograph

You find simplified version here Mycosten (Ciclopirox)

Mycosten (Ciclopirox) contains Ciclopirox see full prescribing information from innovator Mycosten (Ciclopirox) Monograph, Mycosten (Ciclopirox) MSDS, Mycosten (Ciclopirox) FDA label

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