Indications of Lulitop 10 gm
Lulitop 10 gm cream is indicated for the topical treatment of interdigital tinea pedis, tinea cruris and tinea corporis caused by the organisms Trichophyton rubrum and Epidermophyton floccosum.
Theropeutic Class
Miscellaneous topical agents
Pharmacology
Lulitop 10 gm is an antifungal that belongs to the azole class. Although the exact mechanism of action against dermatophytes is unknown, Lulitop 10 gm appears to inhibitergosterol synthesis by inhibiting the enzyme lanosterol demethylase. Inhibition of this enzyme’s activity by azoles results in decreased amounts of ergosterol, a constituent of fungal cell membranes, and a corresponding accumulation of lanosterol.
Dosage & Administration of Lulitop 10 gm
For topical use only. Lulitop 10 gm Cream, 1% is not for ophthalmic, oral, or intravaginal use.
When treating interdigital tinea pedis, a thin layer of Lulitop 10 gm Cream, 1% should be applied to the affected area and approximately 1 inch of the immediate surrounding area(s) once daily for two (2) weeks.
When treating tinea cruris or tinea corporis, Lulitop 10 gm Cream, 1% should be applied to the affected area and approximately 1 inch of the immediate surrounding area(s) once daily for one (1) week.
Dosage of Lulitop 10 gm
Adult & Geriatric:
Interdigital tinea pedis: Lulitop 10 gm cream should be applied to the affected area and approximately 1 inch of the immediate surrounding area(s) once daily for two weeks.
Tinea cruris and Tinea corporis: Lulitop 10 gm cream should be applied to the affected area and approximately 1 inch of the immediate surrounding area(s) once daily for one week.
Pediatric: Safety and effectiveness have not been established.
Interaction of Lulitop 10 gm
The potential of Lulitop 10 gm to inhibit cytochrome P-450 (CYP) enzymes 1A2, 2C9, 2C19, 2D6, and 3A4 was evaluated in vitro. Based on in vitro assessment, Lulitop 10 gm at therapeutic doses, particularly when applied to patients with moderate to severe tinea cruris, may inhibit the activity of CYP2C19 and CYP3A4.However, no in vivo drug interaction trials have been conducted to evaluate the effect of Lulitop 10 gm on other drugs that are substrates of CYP2C19 and CYP3A4. Lulitop 10 gm is not expected to inhibit CYPs 1A2, 2C9 and 2D6 based on in vitro assessment. The induction potential of Lulitop 10 gm on CYP enzymes has not been evaluated.
Contraindications
Lulitop 10 gm cream is contraindicated in patients with a history of hypersensitivity to Lulitop 10 gm.
Side Effects of Lulitop 10 gm
Contact dermatitis and cellulitis may occur. Application site reactions were observed in iess than 1% of subjects in clinical trial.
Pregnancy & Lactation
Pregnancy Category C. There are no adequate and well-controlled studies of Lulitop 10 gm Cream, 1% in pregnant women. Lulitop 10 gm Cream, 1% should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.Nursing Mothers: It is not known whether Lulitop 10 gm is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Lulitop 10 gm Cream, 1% is administered to women who are breastfeeding.
Precautions & Warnings
If there is any unusual allergic reaction with the use of Lulitop 10 gm, then treatment should be discontinued and appropriate therapy should be instituted. Lulitop 10 gm is recommended for topical use only. It is not intended for ophthalmic, oral or intravaginal use.
Storage Conditions
Do not store above 30°C. Keep away from light and out of the reach of children.
Use In Special Populations
Pediatric Use: The safety and effectiveness of Lulitop 10 gm Cream, 1% in pediatric patients have not been established. The number of pediatric patients ≥ 12 years of age were too small to adequately assess safety and efficacy.Geriatric Use: Of the total number of subjects in clinical studies of Lulitop 10 gm Cream, 1%, 8 percent were 65 and over, while 1.4 percent were 75 and over. No overall differences in safety or effectiveness were observed between these subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out.
Drug Classes
Miscellaneous topical agents
Mode Of Action
Lulitop 10 gm is a topical antifungal agent. It is a broad-spectrum antifungal agent that belongs to the azole group. It acts against fungus by inhibiting the enzyme lanosterol demethylase and blocks ergosterol synthesis which is an important constituent of fungal cell membrane. Thus it exerts strong fungicidal activity both in-vitro and in-vivo against dermatophytes, Candida albicans, Malassezia spp, Trichophyton and Epidermophyton spp.
Pregnancy
There are no adequate and well-controlled studies of Lulitop 10 gm cream in pregnant women. Lulitop 10 gm cream should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. It is not known whether Lulitop 10 gm is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Lulitop 10 gm cream is applied to women who are breastfeeding.