KETOCONAZOLE vs NYSTATIN

Patient came into the pharmacy (24 hours, I’m overnight) with a rash, asking what to use Urgent care gave them some ketoconazole, but the rash is spreading. Went through the whole did you change detergents, soaps etc, nothing changed. Brought up that they started Wellbutrin 3 weeks ago. Bingo, SJS.

Today I had the following gems: - “I don’t understand why you can’t just give it to me. Ketoconazole 2% shampoo is harmless! Why do I need a prescription when it’s not much more than the 1% OTC! If I applied 1% in the morning and 1% in the evening….is that not the same thing as 2%?” - a patient w

This post is sponsored by me opening up ketoconazole 2% shampoo to find that its brightly colored orange, at least the manufacturer we carry is. Anyone else have any interesting stories?

So the other day, we got a script with the directions along the lines of “take 1 tablet by mouth, wait two hours, get sweaty, then take 1 tablet.” We called the office to verify it, and they acted like we were the morons for calling about it. Does anyone have any idea what the purpose of this is? L

I was a little confused by a question that asked if I would make ketoconazole (powder) in ointment or paste. The quickest reasoning I had was to make it in paste because this formulation contains more powder (about 20 \~ 25%) but ketoconazole is usually sold in cream. Help?*📷*

Does anyone know if it’s safe to use ketoconazole cream if the patient has an allergy to fluconazole? Or if they have a systemic allergy to flagyl but safe to use vandazole? Can’t really find anything out there and don’t really recall anything from class. Thanks in advance

The combined med was non-form in this case and our pharmacy didn’t even have it in stock. The rx was for a rash and was brought to me at 5pm on a Friday written by a primary care provider. I was under the impression subbing these would fall under professional judgement call but a couple of my colle

Another tech and I were going through bottles while we were packaging medications and started rattling off all the really nice-smelling medications that we could probably use as aromatherapy. I thought I'd make a list, and feel free to add. Metformin 850- smells like popcorn, but only when you break

Anyone experiencing a Nystatin suspension shortage? I’m in the Cincinnati area and have no Nystatin Suspension available via McKesson or Amerisource. 😭

Three families with babies with thrush. I'm actually having to put them on fluconazole. Two Cardinal pharmacies, one McKesson. -PGY-19