Loceryl Cream

Loceryl Cream (Amorolfine) treats certain fungal skin infections such as athlete’s foot, jock itch, ringworm, etc.

Loceryl

Amorolfine

Loceryl

10g

Galderma India

Cream

0.25%

India

Loceryl Cream

1. Introduction to Loceryl Cream

1.1 What is Loceryl Cream?

Loceryl Cream is a topical antifungal medication used to treat various superficial fungal skin infections. It contains a broad-spectrum antifungal agent that targets the integrity of fungal cell membranes, providing relief from itching, scaling, and inflammation.

rounded fungal infection on skin

1.2 Classification and Therapeutic Category

Loceryl belongs to the class of topical antimycotics and is categorized under imidazole derivatives. It is specifically indicated for dermatomycoses and candidiasis, offering both fungistatic and fungicidal activity depending on the concentration and treatment duration.

dermatomycoses under the microscope

1.3 Overview of Medical Relevance and Regulatory Approvals

Loceryl Cream is approved in multiple countries for topical treatment of fungal skin conditions. It is commonly prescribed in dermatology and general practice settings, with proven efficacy documented in clinical trials and post-marketing studies. Regulatory agencies such as EMA and TGA recognize its use in outpatient settings.

1.4 Summary of Primary and Secondary Indications

Primary indications include tinea pedis (athlete's foot), tinea corporis (ringworm), and cutaneous candidiasis. Secondary indications encompass off-label applications in onychomycosis (as adjunct therapy) and recurrent fungal conditions in immunocompromised individuals.

2. Composition and Formulation

2.1 Active Pharmaceutical Ingredient: Amorolfine Hydrochloride

The therapeutic agent in Loceryl Cream is amorolfine hydrochloride, a morpholine antifungal compound that disrupts fungal cell wall synthesis by targeting sterol biosynthesis.

amorolfine hydrochloride molecule

2.2 Concentration and Available Strengths

Loceryl Cream is typically available in a 0.25% w/w concentration of amorolfine hydrochloride. This formulation ensures localized delivery with minimal systemic absorption.

2.3 Inactive Ingredients and Formulation Excipients

Inactive constituents include purified water, cetostearyl alcohol, glyceryl stearate, and sorbitan stearate. These excipients aid in emulsification, skin hydration, and consistent drug delivery.

2.4 Physical Properties (Cream Texture, Absorption Rate, etc.)

Loceryl Cream has a smooth, non-greasy texture and is rapidly absorbed into the stratum corneum. It forms a transient protective barrier that enables prolonged antifungal activity without residue buildup.

Amorolfine vs Terbinafine

Amorolfine disrupts the production of sterols, and terbinafine targets squalene epoxidase, an enzyme in building fungal cell walls.

3. Mechanism of Action: How Loceryl Cream Works

3.1 Inhibition of Ergosterol Synthesis in Fungal Cell Membranes

Amorolfine exerts its antifungal effects by inhibiting delta-14 reductase and delta-7-8 isomerase, enzymes essential for ergosterol synthesis. Depletion of ergosterol compromises membrane integrity, leading to cell death.

3.2 Spectrum of Antifungal Activity (Dermatophytes, Yeasts, Molds)

Loceryl Cream is active against a broad range of fungi:

  • Dermatophytes (Trichophyton spp., Microsporum spp.)
  • Yeasts (Candida albicans, Malassezia spp.)
  • Molds (Scopulariopsis, Aspergillus spp.)

3.3 Time to Therapeutic Effect and Fungal Eradication

Clinical improvement is typically observed within 7-10 days, while complete eradication may require up to 4-6 weeks depending on the severity and location of infection.

4. Amorolfine Hydrochloride Cream Uses

4.1 Treatment of Superficial Dermatomycoses

Loceryl is effective in managing:

a foot with athlete's foot disease

4.2 Candidiasis of the Skin

The cream alleviates symptoms of cutaneous candidiasis by targeting overgrowth of Candida species, commonly affecting intertriginous areas.

vaginal candida strain

4.3 Treatment of Pityriasis Versicolor

Loceryl helps normalize skin pigmentation by eliminating Malassezia furfur, the causative organism of pityriasis versicolor.

pityriasis versicolor of the back

4.4 Use in Onychomycosis as Adjunctive Topical Therapy

While not a primary treatment for nail infections, Loceryl Cream may be used adjunctively in mild cases of onychomycosis alongside oral antifungals.

onychomycosis

5. Off-Label and Investigational Uses

5.1 Use in Immunocompromised Patients with Recurrent Fungal Infections

Loceryl is sometimes used off-label in immunocompromised individuals to manage persistent or recurrent cutaneous fungal infections that resist standard therapies.

5.2 Application in Chronic Paronychia with Suspected Fungal Components

Though not explicitly approved, dermatologists may recommend Loceryl for chronic nail fold inflammation suspected to have a fungal etiology.

5.3 Preventive Use in Recurrent Interdigital Fungal Infections

In patients prone to athlete's foot or toe-web infections, Loceryl may be used prophylactically during high-risk periods such as summer or communal bathing.

6. Dosage and Administration Guidelines

6.1 Standard Dosing Frequency and Duration by Condition

  • Apply once or twice daily to the affected area
  • Duration ranges from 2 to 6 weeks depending on severity

woman applying cream

6.2 Instructions for Proper Application Technique

Clean and dry the affected area thoroughly. Apply a thin layer of cream, ensuring full coverage beyond the visible margin of infection. Wash hands after application.

6.3 Recommendations for Occlusive Dressing or Secondary Protection

Avoid occlusive dressings unless directed by a physician. In cases of foot involvement, wearing breathable cotton socks is advised.

6.4 Missed Dose Management and Treatment Adherence Tips

If a dose is missed, apply as soon as remembered. Do not double the dose. Adherence is critical to prevent recurrence and resistance.

7. Common and Serious Side Effects

7.1 Amorolfine Side Effects: Itching, Burning, Redness, Dryness

Mild localized reactions are common and usually transient. These include:

dry skin on elbow

7.2 Localized Hypersensitivity or Contact Dermatitis

In rare cases, patients may develop allergic reactions or irritant contact dermatitis requiring discontinuation.

7.3 Rare but Serious Events: Allergic Skin Reactions, Swelling, Blistering

Though rare, severe reactions like angioedema or vesiculation warrant immediate medical attention.


swelling of tongue

7.4 Reporting Side Effects and Post-Marketing Surveillance Data

Adverse effects should be reported to pharmacovigilance systems. Post-marketing data suggest a low incidence of serious events.

8. Drug Interactions and Product Compatibility

8.1 Potential Interaction with Other Topical Agents

Avoid simultaneous use with other topical treatments unless prescribed, as this may alter absorption or efficacy.

8.2 Use with Corticosteroids or Combination Antifungals

Co-administration with mild topical steroids may be considered in inflammatory fungal infections, but only under medical supervision.

8.3 Cosmetic and Personal Care Product Compatibility

Avoid applying cosmetics, moisturizers, or deodorants immediately over treated areas to prevent interference with antifungal action.

face with violet and pink makeup

8.4 Risk of Systemic Absorption and Systemic Drug Interactions

Systemic absorption is negligible; thus, interactions with oral medications are extremely rare but should still be monitored in cases of prolonged use.

9. Warnings and Contraindications

9.1 Contraindications: Known Allergy to Amorolfine or Excipients

Loceryl Cream is contraindicated in individuals with known hypersensitivity to amorolfine or any component of the formulation.

9.2 Cautions in Broken or Ulcerated Skin

Application on broken, weeping, or ulcerated skin should be avoided due to risk of enhanced absorption and irritation.

9.3 Risk of Misuse in Bacterial or Viral Skin Infections

Loceryl is ineffective against bacterial or viral pathogens. Misapplication may delay appropriate therapy and worsen symptoms.

9.4 Warning Against Ophthalmic or Mucosal Use

The cream is intended strictly for external dermatologic use. Avoid contact with eyes, mouth, and mucous membranes.

10. Precautions for Safe and Effective Use

10.1 Skin Sensitivity Testing Recommendations

Before initiating full-scale application, patients with a history of dermal sensitivity should undergo a patch test. Apply a small amount of Loceryl Cream to an inconspicuous area, such as the inner forearm and monitor for erythema, pruritus, or vesiculation over 24 hours. Absence of reaction typically indicates tolerability, but clinical vigilance remains essential.

10.2 Hygiene and Prevention of Cross-Contamination

Maintaining stringent hygiene is paramount during antifungal treatment.

  • Clean affected areas with mild soap and water before application
  • Use separate towels and clothing for infected areas
  • Disinfect or replace contaminated footwear or socks regularly
  • Wash hands thoroughly after each application to prevent transfer

washing hands on the sink

10.3 Avoiding Occlusive or Irritating Environments

Fungal growth is potentiated by moisture and occlusion. Patients should avoid:

  • Wearing tight, non-breathable clothing or synthetic fabrics
  • Prolonged sweating without ventilation
  • Use of topical irritants or abrasive exfoliants near treated areas

Airy, dry conditions are conducive to faster resolution of cutaneous mycoses.

10.4 Guidance on Patient Education and Adherence

Educating patients about fungal pathophysiology, treatment expectations, and adherence is crucial. Clinicians should reinforce:

  • The importance of completing the full treatment duration, even if symptoms resolve early
  • Visible improvement timelines (typically 1-2 weeks)
  • The role of prevention and post-treatment monitoring to avoid recurrence

11. Special Considerations in Patient Populations

11.1 Use in the Elderly

Aging skin exhibits reduced barrier function and increased permeability, potentially enhancing drug absorption. Considerations include:

  • Monitoring for local irritation, atrophy, or delayed epithelial healing
  • Avoiding use near fragile or thin skin zones
  • Extended dosing intervals if adverse effects are observed

11.2 Use During Pregnancy and Lactation

11.2.1 Safety Profile During Pregnancy: Current Data and Risk Assessment

Data on amorolfine use during pregnancy is limited. Animal studies suggest low systemic absorption, and teratogenic risk appears minimal. Nevertheless, topical antifungals should only be used when clearly indicated, and systemic exposure must be minimized.

pregnant women

11.2.2 Lactation Considerations and Breast Area Application Restrictions

Amorolfine's excretion into breast milk remains unconfirmed. Avoid application to the breast or chest area of lactating mothers to prevent infant exposure. If use is necessary, apply only to small, localized skin regions away from the nipple.

11.3 Use in Pediatric Patients

Loceryl Cream is not universally approved for pediatric use under a certain age.

  • Recommended minimum age varies by region typically +12 years
  • Consultation with a pediatric dermatologist is advisable for off-label use
  • Smaller application areas and close monitoring are required to mitigate absorption-related risks

12. Overdose and Accidental Ingestion

12.1 Symptoms of Topical Overdose or Misuse

Topical overuse may result in:

  • Increased local irritation
  • Desquamation or burning sensation
  • Rarely, systemic symptoms in compromised skin

Discontinue use temporarily and reassess treatment.

12.2 Management of Accidental Oral Ingestion

Ingestion of Loceryl Cream is rare but may occur in pediatric patients or in error. Symptoms may include gastrointestinal discomfort, nausea, or a bitter taste. Recommended actions:

  • Do not induce vomiting
  • Rinse the mouth with water immediately
  • Seek medical attention if more than a small amount was ingested

12.3 Emergency Procedures and Medical Interventions

For symptomatic ingestion or adverse systemic reaction:

  • Monitor vital signs and perform symptomatic treatment
  • Activated charcoal may be considered in significant ingestion
  • Contact poison control center for specific toxicological advice

13. Handling, Storage, and Stability

Store Loceryl Cream below 25°C (77°F). Protect from excessive heat and direct sunlight, which can degrade active compounds and affect efficacy.

13.2 Tube Hygiene and Contamination Prevention

To maintain sterility:

  • Close the cap tightly after each use
  • Do not touch the tube tip directly to the skin
  • Avoid shared use between individuals

13.3 Shelf Life After Opening and Expiration Precautions

Once opened, the cream should be used within 3-6 months, depending on packaging instructions. Discontinue use after the expiry date even if contents appear unaltered.

13.4 Safe Disposal of Unused or Expired Product

Unused or expired cream should be disposed of via pharmaceutical take-back programs. Avoid discarding into household waste or drainage systems to prevent environmental contamination.

14. Summary and Clinical Guidance

14.1 Key Takeaways for Healthcare Professionals

  • Loceryl Cream is an effective topical treatment for superficial fungal infections
  • Its safety profile is favorable, with minimal systemic absorption
  • Patient selection and adherence are crucial to therapeutic success

14.2 Patient Counseling Points

Healthcare providers should emphasize:

  • Proper application technique and hygiene
  • Duration of treatment and importance of adherence
  • Early signs of irritation or allergic reaction to report

14.3 When to Refer to a Dermatologist or Specialist

Referral is advised in the following scenarios:

  • Refractory or recurrent infections
  • Uncertain diagnosis (e.g., differentiating between fungal, bacterial, or inflammatory dermatoses)
  • Suspected systemic involvement or co-existing immunodeficiency

Timely specialist involvement ensures optimal outcomes in complex or resistant cases.

patient and doctor on check up

Loceryl Cream FAQ

What is Loceryl cream used for?

Loceryl cream contains Amorolfine as its active ingredient, classified under the topical antifungal medication group. It is commonly prescribed to treat various skin fungal infections including athletes foot (tinea pedis), jock itch (tinea cruris), ringworm (tinea corporis), and fungal infections of the hands (tinea manuum). Additionally, it is used for treating candidiasis and pityriasis versicolor on the skin.

Can I use Loceryl every day?

Once or twice weekly

What are the side effects of using Loceryl?

  • Blisters
  • Redness
  • Skin irritation
  • Rash

Is Loceryl effective?

After undergoing treatment for half a year, approximately 70-80 percent of individuals are likely to see improvement in their condition; furthermore, a complete recovery is anticipated in one out of every three cases.

How long does it take Loceryl to work?

1 to 3 months

Do you need a prescription for Loceryl?

Yes

Is Loceryl a steroid?

No

Can I apply Loceryl daily?

Once or twice a week

What are the side effects of Loceryl cream?

  • Itching
  • Stinging sensation
  • Redness

What is the generic name for Loceryl?

Amorolfine

Is Loceryl waterproof?

No

Is Loceryl prescription only?

Yes

How to apply Loceryl cream?

Apply a coat of this medication on the area thats affected and softly massage it into the skin.

What are the ingredients in Loceryl cream?

Amorolfine

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