Loprox
ciclopirox
(sye-kloe-peer-ox) ciclopirox,Loprox
(trade name),Penlac
(trade name),Stieprox
(trade name)Classification
Therapeutic: antifungalsIndications
Action
Therapeutic effects
Pharmacokinetics
Time/action profile
ROUTE | ONSET | PEAK | DURATION |
---|---|---|---|
Top | unknown | unknown | unknown |
Contraindications/Precautions
Adverse Reactions/Side Effects
Local
- burning
- itching
- local hypersensitivity reactions
- redness
- stinging
Interactions
Drug-Drug interaction
Not known.Route/Dosage
Availability (generic available)
Nursing implications
Nursing assessment
- Inspect involved areas of skin and mucous membranes before and frequently during therapy. Increased skin irritation may indicate need to discontinue medication.
Potential Nursing Diagnoses
Risk for impaired skin integrity (Indications)Risk for infection (Indications)
Implementation
- Consult physician or other health care professional for proper cleansing technique before applying medication.
- Topical: Apply small amount to cover affected area completely. Avoid the use of occlusive wrappings or dressings unless directed by physician or other health care professional.
- Nail lacquer: Avoid contact with skin other than skin immediately surrounding treated nail. Avoid contact with eyes or mucous membranes. Removal of unattached, infected nail, as frequently as monthly, by health care professional is needed with use of this medication. Up to 48 wk of daily application and professional removal may be required to achieve clear or almost clear nail. 6 mo of treatment may be required before results are noticed.
Patient/Family Teaching
- Instruct patient to apply medication as directed for full course of therapy, even if feeling better. Emphasize the importance of avoiding the eyes.
- Caution patient that some products may stain fabric, skin, or hair. Check label information. Fabrics stained from cream or lotion can usually be cleaned by handwashing with soap and warm water.
- Patients with athlete’s foot should be taught to wear well-fitting, ventilated shoes, to wash affected areas thoroughly, and to change shoes and socks at least once a day.
- Advise patient to report increased skin irritation or lack of response to therapy to health care professional.
- Nail lacquer: File away loose nail and trim nails every 7 days after solution is removed with alcohol. Do not use nail polish on treated nails. Inform health care professional if have diabetes mellitus before using.
- Inform patient that early relief of symptoms may be seen in 2–3 days but that full therapeutic response may take 3–4 wk. Recurrent fungal infections may be a sign of systemic illness.
Evaluation/Desired Outcomes
- Decrease in skin irritation.
- Resolution of infection.