Reported Reactions

Drugs › Azole antifungal

Brand name · Ketoconazole

Nizoral: adverse event reports filed with FDA

1,218 reports list it as a suspect or interacting product, 2004–2026. Class: Azole antifungal. Also reported as Nizoral Cream.

1,218
reports as suspect product
0% of all reports · about 54 a year
348
reports, 12 months to June 2026
112 in the 12 months before
29.5%
marked serious by the reporter
79% across the class
3.2%
record death among outcomes, as reported
39 reports · not verified by FDA

1,218 adverse event reports received by FDA list the brand name Nizoral (ketoconazole) as a suspect or interacting product, from January 2004 to June 2026. A further 1,622 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 348 reports listed it, up 211% from 112 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 54 reports a year and 0% of the 20,646,523 reports in the database, and 1.8% of the reports for the azole antifungal class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug ineffective (27.4%), alopecia (10.2%) and hair texture abnormal (7.4%). A report can list several reactions, so shares add to more than 100%; 230 different terms appear across these reports. Drug ineffective is recorded in 27.4% of these reports, a larger share than in the median azole antifungal drug (15%).

29.5% of the reports are marked serious by the reporter (79% across the class); 3.2% record death among the outcomes and 8.7% record hospitalisation, as reported. 76.1% of the reports came from consumers, and the largest patient age group is 18 to 44 (9.3%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

070140Jul 2021: 1Aug 2021: 1Sep 2021: 1Oct 2021: 0Nov 2021: 0Dec 2021: 12022Jan 2022: 0Feb 2022: 1Mar 2022: 2Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 0Jun 2023: 1Jul 2023: 0Aug 2023: 0Sep 2023: 0Oct 2023: 1Nov 2023: 0Dec 2023: 02024Jan 2024: 0Feb 2024: 2Mar 2024: 1Apr 2024: 0May 2024: 2Jun 2024: 0Jul 2024: 14Aug 2024: 0Sep 2024: 1Oct 2024: 1Nov 2024: 0Dec 2024: 02025Jan 2025: 1Feb 2025: 1Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 94Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 02026Jan 2026: 140Feb 2026: 1Mar 2026: 33Apr 2026: 44May 2026: 21Jun 2026: 109

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01743482004: 2320042005: 172006: 172007: 2220072008: 252009: 742010: 2820102011: 442012: 282013: 2620132014: 152015: 842016: 2620162017: 622018: 402019: 8920192020: 962021: 322022: 320222023: 22024: 212025: 9620252026: 348

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Nizoral reports recording the termmedian drug in azole antifungal

  1. Drug ineffectivethe medicine did not work as expected27.4%334
  2. Alopeciahair loss10.2%124
  3. Pruritusitching7.4%90
  4. Condition aggravatedthe condition being treated got worse5.3%64
  5. Off label useused for a purpose or in a way not on the label4.5%55
  6. Product use in unapproved indicationused for a purpose not on the label4.3%52
  7. Intentional product misusedeliberate use not as intended3.9%47
  8. Dandruff3.7%45
  9. Drug exposure during pregnancythe medicine was taken during pregnancy3.4%41
  10. Suspected counterfeit product2.8%34
  11. Abortion spontaneousmiscarriage2.4%29
  12. Application site pruritusitching where the product was applied2.2%27
  13. Dry skindry skin2.1%26
  14. Product use issuea problem in how the product was used2.1%25
  15. Erythemaskin redness1.9%23
  16. Inappropriate schedule of product administrationthe product was taken at the wrong times1.6%20
  17. Rashskin rash1.6%20
  18. Skin exfoliationpeeling skin1.6%19
  19. Application site erythemaredness where the product was applied1.4%17
  20. Burning sensationa burning feeling1.3%16
  21. Eye irritationeye irritation1.3%16
  22. Fatiguetiredness1.3%16
  23. Skin irritationirritated skin1.2%15
  24. Drug hypersensitivityan allergic-type reaction to a medicine1.1%14
  25. Expired product administeredthe product was used past its expiry date1.1%14

Top 30 of 230 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 16 drugs in the azole antifungal class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death3.2%39
Life-threatening1.1%13
Hospitalisation (initial or prolonged)8.7%106
Disability0.6%7
Congenital anomaly0.7%8
Other serious19.7%240
Not serious70.5%859

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 69,035 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.2%2
2 to 110.9%11
12 to 170.4%5
18 to 449.3%113
45 to 647.6%93
65 to 744.8%58
75 and over5.8%71
Age not given71%865

Patient sex

Female45.8%558
Male31.4%383
Not given22.7%277

Who reported

Physician9.5%116
Pharmacist3.4%42
Other health professional9.4%114
Lawyer0.2%2
Consumer or non-health professional76.1%927
Not given1.4%17

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 75.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Dandruff19516%
Pruritus433.5%
Fungal infection332.7%
Onychomycosis262.1%
Alopecia141.1%
Psoriasis141.1%

The indication field is filled in by the reporter and is often blank; shares are of all 1,218 reports.

In context

MeasureNizoralAzole antifungalAll reports
Reports as suspect product1,21869,03520,646,523
Share of that pool—1.8%0%
Reports, latest 12 months348—1,332,454
Marked serious29.5%79%57.4%
Death recorded among outcomes, per 1,000 reports3217791
Hospitalisation recorded, per 1,000 reports87317213
Consumer-filed share76.1%23.9%45.8%
Top term, share of reportsDrug ineffective 27.4%median 15%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the azole antifungal class

DrugName typeReportsLatest 12 monthsMarked serious
Fluconazolegeneric17,1751,45890.7%
Voriconazolegeneric13,49595694.7%
Vfendbrand6,7527686.5%
Itraconazolegeneric4,55236490.4%
Posaconazolegeneric4,23458991.7%
Ketoconazolegeneric4,04723441.7%
Noxafilbrand3,2303966.7%
Diflucanbrand3,1476569.8%
Clotrimazolegeneric2,75729880.4%
Cresembabrand2,05025457.5%
Sporanoxbrand1,7284387.6%
Tioconazolegeneric1,4691973.1%
Jubliabrand1,2717918%
Miconazole nitrategeneric1,26016622.5%
Miconazolegeneric6503072.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Nizoral reports

How many adverse event reports has FDA received for Nizoral?

1,218 reports list Nizoral as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 348 of them arrived in the latest 12 months. Another 1,622 list it only as a concomitant medication.

What reactions are recorded in Nizoral reports?

drug ineffective (27.4%), alopecia (10.2%), hair texture abnormal (7.4%), pruritus (7.4%) and condition aggravated (5.3%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Nizoral was responsible.

How serious are the reports?

29.5% are marked serious by the reporter. Among the outcomes recorded, 3.2% of reports include death and 8.7% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (76.1%), physician (9.5%) and other health professional (9.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Nizoral rising?

348 reports in the 12 months to June 2026, up 211% from 112 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Nizoral was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Nizoral?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Nizoral as a suspect or interacting product; reports listing it only as a concomitant medication (1,622) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.