Tolnaftate
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rabin Bista, M.B.B.S. [2]
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NOTE: Most over the counter (OTC) are not reviewed and approved by the FDA. However, they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.
Overview
Tolnaftate is a OTC antifungal that is FDA approved for the treatment of athlete’s foot (tinea pedis), ringworm (tinea corporis). Common adverse reactions include irritation.
Adult Indications and Dosage
FDA-Labeled Indications and Dosage (Adult)
Indications
- helps prevent most athlete’s foot with daily use
- for effective relief of itching, burning, cracking
Directions
- wash affected area and dry thoroughly
- apply a thin layer over affected area twice daily (morning and night)
- supervise children in the use of this product
- for athlete’s foot: pay special attention to spaces between the toes. Wear well-fitting, ventilated shoes, and change shoes and socks at least once daily.
- use daily for 4 weeks. If condition lasts longer, ask a doctor.
- to prevent athlete’s foot, apply once or twice daily (morning and/or night)
- this product is not effective on the scalp or nails
Off-Label Use and Dosage (Adult)
Guideline-Supported Use
There is limited information regarding Off-Label Guideline-Supported Use of Tolnaftate in adult patients.
Non–Guideline-Supported Use
- Onychomycosis due to dermatophyte[1]
Pediatric Indications and Dosage
FDA-Labeled Indications and Dosage (Pediatric)
There is limited information regarding FDA-Labeled Use of Tolnaftate in pediatric patients.
Off-Label Use and Dosage (Pediatric)
Guideline-Supported Use
There is limited information regarding Off-Label Guideline-Supported Use of Tolnaftate in pediatric patients.
Non–Guideline-Supported Use
There is limited information regarding Off-Label Non–Guideline-Supported Use of Tolnaftate in pediatric patients.
Contraindications
There is limited information regarding Tolnaftate Contraindications in the drug label.
Warnings
- For external use only
When using this product
- avoid contact with the eyes
Stop use and ask a doctor if
- irritation occurs
- there is no improvement within 4 weeks
Do not use
- children under 2 years of age unless directed by a doctor
Keep out of reach of children
- If swallowed, get medical help or contact a Poison Control Center right away. (1-800-222-1222)
Adverse Reactions
Clinical Trials Experience
Postmarketing Experience
There is limited information regarding Postmarketing Experience of Tolnaftate in the drug label.
Drug Interactions
There is limited information regarding Tolnaftate Drug Interactions in the drug label.
Use in Specific Populations
Pregnancy
- Pregnancy Category
- Australian Drug Evaluation Committee (ADEC) Pregnancy Category
There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Tolnaftate in women who are pregnant.
Labor and Delivery
There is no FDA guidance on use of Tolnaftate during labor and delivery.
Nursing Mothers
There is no FDA guidance on the use of Tolnaftate with respect to nursing mothers.
Pediatric Use
There is no FDA guidance on the use of Tolnaftate with respect to pediatric patients.
Geriatic Use
There is no FDA guidance on the use of Tolnaftate with respect to geriatric patients.
Gender
There is no FDA guidance on the use of Tolnaftate with respect to specific gender populations.
Race
There is no FDA guidance on the use of Tolnaftate with respect to specific racial populations.
Renal Impairment
There is no FDA guidance on the use of Tolnaftate in patients with renal impairment.
Hepatic Impairment
There is no FDA guidance on the use of Tolnaftate in patients with hepatic impairment.
Females of Reproductive Potential and Males
There is no FDA guidance on the use of Tolnaftate in women of reproductive potentials and males.
Immunocompromised Patients
There is no FDA guidance one the use of Tolnaftate in patients who are immunocompromised.
Administration and Monitoring
Administration
- Topical cream
Monitoring
There is limited information regarding Monitoring of Tolnaftate in the drug label.
IV Compatibility
There is limited information regarding IV Compatibility of Tolnaftate in the drug label.
Overdosage
There is limited information regarding Overdose of Tolnaftate in the drug label.
Pharmacology
Tolnaftate
| |
Systematic (IUPAC) name | |
O-2-naphthyl methyl(3-methylphenyl)thiocarbamate | |
Identifiers | |
CAS number | |
ATC code | D01 |
PubChem | |
DrugBank | |
Chemical data | |
Formula | Template:OrganicBox atomTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox |
Mol. mass | 307.41 g/mol |
SMILES | & |
Physical data | |
Melt. point | 110–111.5 °C (230–233 °F) |
Pharmacokinetic data | |
Bioavailability | ? |
Metabolism | ? |
Half life | ? |
Excretion | ? |
Therapeutic considerations | |
Pregnancy cat. |
? |
Legal status |
OTC |
Routes | ? |
Mechanism of Action
There is limited information regarding Tolnaftate Mechanism of Action in the drug label.
Structure
There is limited information regarding Tolnaftate Structure in the drug label.
Pharmacodynamics
There is limited information regarding Pharmacodynamics of Tolnaftate in the drug label.
Pharmacokinetics
There is limited information regarding Pharmacokinetics of Tolnaftate in the drug label.
Nonclinical Toxicology
There is limited information regarding Nonclinical Toxicology of Tolnaftate in the drug label.
Clinical Studies
There is limited information regarding Clinical Studies of Tolnaftate in the drug label.
How Supplied
There is limited information regarding Tolnaftate How Supplied in the drug label.
Storage
- store at 68°-77°F (20°-25°C)
Images
Drug Images
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Package and Label Display Panel
PRINCIPAL DISPLAY PANEL
Cures Most Athlete’s Foot
Relieves Itching & Burning
Compare to Tinactin® active ingredient
Tolnaftate Cream USP, 1%
Antifungal
Ingredients and Appearance
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Patient Counseling Information
There is limited information regarding Patient Counseling Information of Tolnaftate in the drug label.
Precautions with Alcohol
- Alcohol-Tolnaftate interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
Brand Names
- Tinactin®[2]
Look-Alike Drug Names
There is limited information regarding Tolnaftate Look-Alike Drug Names in the drug label.
Drug Shortage Status
Price
References
The contents of this FDA label are provided by the National Library of Medicine.
- ↑ Ishii M, Hamada T, Asai Y (1983). "Treatment of onychomycosis by ODT therapy with 20% urea ointment and 2% tolnaftate ointment". Dermatologica. 167 (5): 273–9. PMID 6228447.
- ↑ "Tolnaftate".