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Luliconazole: Drug information

Luliconazole: Drug information
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For additional information see "Luliconazole: Patient drug information" and "Luliconazole: Pediatric drug information"

For abbreviations, symbols, and age group definitions show table
Brand Names: US
  • Luzu
Pharmacologic Category
  • Antifungal Agent, Topical
Dosing: Adult
Tinea infection

Tinea infection:

Tinea corporis/tinea cruris: Topical: Cream: Apply to affected and surrounding area(s) once daily until clinical resolution, typically 1 to 3 weeks (Ref).

Tinea pedis (labeled use)/tinea manuum (off-label use): Topical: Cream: Apply to affected and surrounding area(s) once daily until 1 week after clinical resolution, typically for 2 to 4 weeks total (Ref).

Dosing: Kidney Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling.

Dosing: Liver Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling.

Dosing: Older Adult

Refer to adult dosing.

Dosing: Pediatric

(For additional information see "Luliconazole: Pediatric drug information")

Tinea corporis

Tinea corporis (ringworm): Children ≥2 years and Adolescents: Topical: Apply to affected and surrounding area(s) once daily until clinical resolution; typically 1 week.

Tinea cruris

Tinea cruris (jock itch): Children ≥12 years and Adolescents: Topical: Apply to affected and surrounding area(s) once daily until clinical resolution; typically 1 week.

Tinea pedis

Tinea pedis (athlete's foot): Children ≥12 years and Adolescents: Topical: Apply to affected and surrounding area(s) once daily until clinical resolution; typically 2 weeks.

Dosing: Kidney Impairment: Pediatric

There are no dosage adjustments provided in the manufacturer's labeling.

Dosing: Liver Impairment: Pediatric

There are no dosage adjustments provided in the manufacturer's labeling.

Adverse Reactions

The following adverse drug reactions and incidences are derived from product labeling unless otherwise specified.

<1%, postmarketing, and/or case reports: Application site reaction, cellulitis, contact dermatitis

Contraindications

There are no contraindications listed in the manufacturer's labeling.

Warnings/Precautions

Warnings/precautions:

• Appropriate use: For topical use only; not for oral, ophthalmic, or intravaginal use.

Dosage Forms: US

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Cream, External:

Luzu: 1% (60 g) [contains benzyl alcohol, methylparaben, propylene glycol]

Generic: 1% (60 g)

Generic Equivalent Available: US

Yes

Pricing: US

Cream (Luliconazole External)

1% (per gram): $4.00

Cream (Luzu External)

1% (per gram): $9.84

Disclaimer: A representative AWP (Average Wholesale Price) price or price range is provided as reference price only. A range is provided when more than one manufacturer's AWP price is available and uses the low and high price reported by the manufacturers to determine the range. The pricing data should be used for benchmarking purposes only, and as such should not be used alone to set or adjudicate any prices for reimbursement or purchasing functions or considered to be an exact price for a single product and/or manufacturer. Medi-Span expressly disclaims all warranties of any kind or nature, whether express or implied, and assumes no liability with respect to accuracy of price or price range data published in its solutions. In no event shall Medi-Span be liable for special, indirect, incidental, or consequential damages arising from use of price or price range data. Pricing data is updated monthly.

Administration: Adult

For topical use only. Not for ophthalmic, oral, or intravaginal use. Apply to affected area and ~1 inch of immediate surrounding area(s). Wash hands following application.

Administration: Pediatric

Topical: For topical use only; not for ophthalmic, oral, or intravaginal use. Apply to affected area and ~1 inch of immediate surrounding area(s). Wash hands following application.

Use: Labeled Indications

Fungal infections: Topical treatment of interdigital tinea pedis, tinea cruris, and tinea corporis caused by Trichophyton rubrum and Epidermophyton floccosum.

Use: Off-Label: Adult

Tinea manuum

Metabolism/Transport Effects

Inhibits CYP2C19 (Weak);

Drug Interactions

Note: Interacting drugs may not be individually listed below if they are part of a group interaction (eg, individual drugs within “CYP3A4 Inducers [Strong]” are NOT listed). For a complete list of drug interactions by individual drug name and detailed management recommendations, use the drug interactions program by clicking on the “Launch drug interactions program” link above.

CloBAZam: CYP2C19 Inhibitors (Weak) may increase serum concentration of CloBAZam. CYP2C19 Inhibitors (Weak) may increase active metabolite exposure of CloBAZam. Risk C: Monitor

Fosphenytoin-Phenytoin: CYP2C19 Inhibitors (Weak) may increase serum concentration of Fosphenytoin-Phenytoin. Risk C: Monitor

Mavacamten: CYP2C19 Inhibitors (Weak) may increase serum concentration of Mavacamten. Management: Start mavacamten at 5 mg/day if stable on a weak CYP2C19 inhibitor, and reduce the mavacamten dose by one dose level if initiating a weak CYP2C19 inhibitor. Avoid initiating weak CYP2C19 inhibitors in patients on mavacamten 2.5 mg/day. Risk D: Consider Therapy Modification

Pregnancy Considerations

Adverse events were observed in some animal reproduction studies. Small amounts of luliconazole are absorbed systemically.

Breastfeeding Considerations

It is not known if luliconazole is present in breast milk. According to the manufacturer, the decision to continue or discontinue breastfeeding during therapy should take into account the risk of infant exposure, the benefits of breastfeeding to the infant, and benefits of treatment to the mother.

Mechanism of Action

Azole antifungal that appears to inhibit ergosterol synthesis by inhibiting the enzyme lanosterol demethylase, resulting in decreased amounts of ergosterol and a corresponding accumulation of lanosterol.

Pharmacokinetics (Adult Data Unless Noted)

Absorption: Small amounts may be absorbed following topical application.

Protein binding: >99%; to plasma proteins.

Brand Names: International
International Brand Names by Country
For country code abbreviations (show table)

  • (BD) Bangladesh: Lucazol | Lulexa | Lulicon | Lulider | Lulinox | Lulitop | Lulizol | Lunaderm | Luzol | Nuliza | Tinacure;
  • (CN) China: Lu li te;
  • (IN) India: 2azole | Afitra l | Bdluli | Brulicon | Clocip l | Defungin | Dermaplus l | Elnaz | Emluz | Favluz | Fenza l | Ficnx | Flucade lc | Fulitra | Fungisure l | Funzi l | Glomycan | Ibilul | Imiderm | Itraleu | Iz luli | L fine | L sys | L topsy | L-trix | Lactfast | Lemed | Lenaz | Lenin | Licozac | Lilituf | Lilu | Llcol | Lofatin | Logifin | Lolicon | Lonizol | Loyalin | Loz fn | Lt mac | Lu fung | Lu gal | Lucaf | Lucazole | Lucee | Lucenza | Ludemold | Ludura | Lugud | Luhon | Luitor | Luizole | Luleze | Lulibest | Lulibet | Lulibor | Lulibrut | Lulibull | Lulicap | Luliclin | Luliclinz | Lulidac | Luliderm | Lulifal | Lulifem | Lulifight | Lulifin | Luligard | Luligee | Luligel | Lulihalt | Luliheal | Lulijen | Lulijon | Lulikil | Lulilok | Lulimac | Luliment | Lulinazole | Lulinext | Lulinol | Lulipex | Lulipic | Lulipil | Lulipink | Luliplus | Luliply | Luliporus | Lulirab | Lulirine | Lulirom | Lulirx | Lulisec | Luliska | Luliskin | Lulisol | Lulisure | Lulitec | Lulitis | Lulitross | Luliworth | Luliz | Luliza | Luly | Lulyera | Lumed | Lumycan | Lunabet | Lupizol | Luray | Luriv | Lusaf | Lutriben | Luzibel | Luzo | Lz can | Lzhh | Mycobloc | Myconase | Mycosis l | Rosetra L | Syldem | Tinibit l | Ulic | Ulzol | Zocon l | Zyluli;
  • (JP) Japan: Luliconazole iwaki;
  • (KE) Kenya: Lulizol | Lulyera | Tineahit;
  • (PR) Puerto Rico: Luzu;
  • (SA) Saudi Arabia: Lican;
  • (UG) Uganda: Lican
  1. Draelos ZD, Vlahovic TC, Gold MH, Parish LC, Korotzer A. A randomized, double-blind, vehicle-controlled trial of luliconazole cream 1% in the treatment of interdigital tinea pedis. J Clin Aesthet Dermatol. 2014;7(10):20-27. [PubMed 25371767]
  2. Goldstein AO, Goldstein BG. Dermatophyte (tinea) infections. Post TW, ed. UpToDate. Waltham, MA: UpToDate Inc. http://www.uptodate.com. Accessed August 24, 2021.
  3. Jones TM, Jarratt MT, Mendez-Moguel I, et al. A randomized, multicenter, double-blind, vehicle-controlled study evaluating the efficacy and safety of luliconazole cream 1% once daily for 7 days in patients aged ≥ 12 years with tinea cruris. J Drugs Dermatol. 2014;13(1):32-38. [PubMed 24385117]
  4. Kaur M, Gupta A, Mahajan R, Gill M. Efficacy, safety, and cost evaluation of the topical luliconazole therapy versus topical clotrimazole therapy in patients with localized dermatophytosis in a tertiary care hospital: an observational study. Int J Appl Basic Med Res. 2020;10(4):260-264. doi:10.4103/ijabmr.IJABMR_207_20 [PubMed 33376700]
  5. Luzu (luliconazole) [prescribing information]. Bridgewater, NJ: Bausch Health US, LLC; April 2020.
  6. Refer to manufacturer's labeling.
  7. Weinstein A, Berman B. Topical treatment of common superficial tinea infections. Am Fam Physician. 2002;65(10):2095-2102. [PubMed 12046779]
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