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Generic Name: Ciclopirox topical [sye-kloe-peer-ox-top-i-kal]
The Brand Names are: Ciclodan, Loprox, Ciclodan Kit, CNL8 Nail, Pedipirox-4, and Penlac Nail Lacquer.
Drug Class: Topical antifungals

There is no evidence that the Pedipirox-4 brand name has been taken off the market in the U.S. If generic versions of this drug were approved by the FDA, it is possible that there would be similar generic versions available.

What is Pedipirox-4?

Ciclopirox is an antifungal medication that stops the growth of fungus in your face.Pedipirox-4 (for the skin) cream, gel, or lotion are used to treat skin conditions like athlete's foot, jock itch, ringworm, and yeast infections.

Ciclopirox shampoo can be used for treating seborrheic dermatitis, which is an inflammation of the skin on the scalp.Ciclopirox nail lacquer helps treat fungal diseases in the nails, toenails, and fingernails.Pedipirox-4 can also be employed for other purposes that are not covered in this medication guide.

Side effects of Pedipirox-4

See a doctor immediately. If you are experiencing symptoms that are warning signs of an allergic response, like hives, trouble breathing, and swelling of your lips, face, and tongue,

Pedipirox-4 can cause severe adverse effects. Stop taking Pedipirox-4 and contact your physician immediately if you suffer from:

  • Extreme or unusual itching, burning, redness, dryness, or irritation on treated skin
  • Discoloration or other changes to the nail color or other changes

Common adverse effects of Pedipirox-4 could include:

  • Mild burning, itching, or itching

It isn't a complete listing of all adverse negative effects. The risk of other adverse side effects is also a possibility. Talk to your physician about medical adverse reactions. If you experience any adverse negative effects to the FDA by calling 1-800-FDA-1088.


Follow the instructions on the label of your medication and on the label of your package. Be sure to inform your healthcare professionals about your medical issues, allergies, and the medicines you are taking.

Before you take this drug

It is best not to take ciclopirox if you are sensitive to it.

To be sure Pedipirox-4 is suitable for you, inform your physician if you suffer from:

  • Diabetes;
  • Epilepsy or another seizure;
  • An immune system that is weak (caused by illness or taking certain medications)
  • A condition that requires you to be prescribed steroid medication (including skin conditions or breathing conditions).

Pedipirox-4 should not cause harm to an unborn baby. Inform your doctor if you are expecting or planning to become pregnant while taking treatment.It isn't known if the topical ciclopirox is absorbed into breast milk or whether it poses a risk to the nursing infant. See your doctor if have a baby in your care.

Do not apply Pedipirox-4 in the presence of a child unless you have medical guidance. Ciclopirox shampoo and gel are not suitable for use by anyone younger than 16. Ciclopirox nail polish is not a product that is approved to be used by anyone younger than 12. Ciclopirox lotion and lotion are not authorized to be used by anyone less than 10 years old.

How to take Pedipirox-4?

Take it exactly as directed by your physician. Don't use in greater quantities, in smaller amounts, or for longer periods than prescribed. Follow the instructions on the prescription label.

Take note of all information given to patients, including medication guides and instruction sheets. Talk to your pharmacist or doctor for assistance if you have concerns.

Wash your hands thoroughly before and after you take the medication, except if you are using ciclopirox for treating hand conditions.

Apply the cream, lotion, or gel:

  • Dry and clean the area affected. Apply a little of the cream (usually every day) for between 2 and 4 weeks. Follow the instructions of your physician.
  • Do not apply dressings or bandages that do not permit air circulation (occlusive dressings) on the areas treated by ciclopirox cream or lotion unless prescribed by your physician. Wear loose-fitting, comfortable clothing (preferably cotton).
  • If your infection persists and does not heal in the next 4 weeks, or if you notice that it is beginning to get worse, consult your physician.

To use shampoo with ciclopirox:

  • Apply around 1 teaspoon (5 milliliters) of shampoo to the scalp. A maximum of 2 teaspoons (10 milliliters) could be used on long hair. Apply the lather and leave it on the scalp and hair for three minutes. A timer can be used.
  • The treatment should be repeated two times each week for four weeks, with a minimum of three days between treatments. If there is no improvement after four weeks, you should contact your physician.

It can take as long as 4 weeks before you notice improvement after you have used Pedipirox-4 cream, lotion, gel, or shampoo. Continue using the medication as prescribed and notify your physician if your symptoms aren't improving or if they worsen.

To use ciclopirox nail lacquer:

  • Apply the nail polish immediately around the skin. Beware of contact with other parts. Take off any loose nail or material with nail clippers or a nail file.
  • Apply a coat of ciclopirox nail lacquer every day (preferably at night) on all nails affected with the applicator brush that is provided. Spread the lacquer evenly across every nail. If you can, put the nail polish on the nail's underside and also on the skin underneath it. Let the lacquer dry (approximately thirty seconds) before wearing shoes or socks. After applying the cream and allowing it to dry, wait for 8 hours before taking a shower or bath.
  • Apply ciclopirox nail lacquer regularly after the coat you applied. Every week, take off the nail lacquer using alcohol. Take out as much of the damaged nail as possible with nail clippers or a nail file.
  • To stop it from adhering to your bottle screw, don't let the solution get into the treads of the bottle. To avoid the solution drying out, make sure to seal the bottle tight after each use.

Treating the condition with ciclopirox nail lacquer could take several months before the first improvement in symptoms is noticed. For up to 48 weeks, every day's application of the nail lacquer, each month's removal of the affected nail by a health doctor, and a weekly trimming by the patient could be necessary for a complete treatment.

Make sure to take this medication for the prescribed duration. The symptoms might improve before the infection is completely cleared. In addition, skipping doses could increase the risk of a subsequent infection that is intolerant to antifungal medication.

All forms of this medication should be kept at room temperature, away from humidity, heat, and light. After a bottle of ciclopirox shampoo is opened, it should be used within eight weeks.Ciclopirox nail polish is ignitable. Avoid near-open flames, and don't smoke until the gel is completely dry on the skin.

What happens If I miss a dose?

Utilize the dose you missed immediately after you recall. Do not take your missed dose if you are nearing the time for the next dose. Don't use any extra medication to replace the missed dose.

What happens if I overdose?

A dose of Pedipirox-4 is not likely to pose a risk. Get medical attention immediately or contact the Poison Help line at 1-800-222-1222 in the event that anyone has accidentally swallowed the drug.

What should be avoided?

Avoid contact with your eyes, nose, or the inside of your mouth. If this happens, wash your mouth with water.

Beware of other medications that can affect the areas treated with Pedipirox-4, unless your physician advises you to.Do not apply nail polish, fake nails, or any other nail products to your polishes treated with ciclopirox.

Avoid wearing tight-fitting synthetic clothes that don't permit air flow. Wear loose-fitting clothes made of cotton or various natural fibers until the inflammation is gone.

Interaction with other drugs

Discuss with your physician all the medicines you are currently taking and all you are about to start or stop taking, particularly:

  • Inhaled or topical steroid medicine;
  • Seizure medication;

It's not likely that other drugs you consume in the form of injections or orals will have any effect on the application of ciclopirox topical. But a variety of drugs can interact with each other. Discuss with your doctor any medications you are taking. This includes prescriptions and over-the-counter or vitamin-based herbal remedies. Don't start an entirely new medication without consulting your physician.