CANDID TOTAL CREAM: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe allergic reaction with swelling of face, lips, or throat, or difficulty breathing.
- Signs of systemic steroid effects such as increased thirst, frequent urination, or high blood pressure.
- Severe skin irritation, blistering, or peeling at the application site.
- Signs of secondary infection such as increased redness, swelling, pain, or pus.
- Yellowing of skin or eyes, or severe abdominal pain, which may indicate liver problems.
- No improvement after completing the prescribed course.
If experiencing severe symptoms, call emergency services immediately.
What is CANDID TOTAL CREAM used for?
This medicine is a topical cream used to treat infected skin conditions caused by a mix of fungi, bacteria, and protozoa. It contains terbinafine, clobetasol, ofloxacin, and ornidazole. Apply a thin layer to the affected area as directed by your doctor, usually once or twice daily for up to two weeks.
- Generic Name: Terbinafine (1% w/w) + Clobetasol (0.05% w/w) + Ofloxacin (0.75% w/w)
- Manufacturer: Glenmark Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 CANDID TOTAL CREAM के बारे में (Hindi Summary)
उपयोग: यह दवा एक टॉपिकल क्रीम है जिसका उपयोग त्वचा के संक्रमण के इलाज के लिए किया जाता है जो फंगस, बैक्टीरिया और प्रोटोजोआ के मिश्रण के कारण होता है। इसमें टर्बिनाफाइन, क्लोबेटासोल, ऑफलोक्सासिन और ओर्निडाजोल होते हैं। यह खुजली, लालिमा और सूजन को कम करने में मदद करती है। इसका उपयोग डॉक्टर के निर्देशानुसार ही करें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में लगाने की जगह पर जलन, खुजली, लालिमा या सूखापन शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ दिनों में ठीक हो जाते हैं। लंबे समय तक उपयोग से त्वचा पतली हो सकती है। गंभीर एलर्जी प्रतिक्रिया दुर्लभ है लेकिन तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को केवल बाहरी उपयोग के लिए ही लगाएं। आंखों, मुंह और नाक से दूर रखें। प्रभावित क्षेत्र को साफ और सूखा करके पतली परत लगाएं। डॉक्टर के बताए समय से ज्यादा इस्तेमाल न करें। अगर आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।
💊 CANDID TOTAL CREAM Uses & Benefits
[{"condition":"Infected dermatophytosis (ringworm, athlete's foot, jock itch)","description":"This medicine is used to treat fungal skin infections that have become secondarily infected with bacteria or protozoa, providing rapid relief from itching, redness, and inflammation" class="semantic-link" title="Medicines for swelling">swelling.","evidence":"Well-established for the combination in short-term use"},{"condition":"Infected eczema or dermatitis","description":"It helps reduce inflammation and itching while treating any bacterial or fungal infection present on the affected skin.","evidence":"Commonly used, but evidence for the combination is limited"},{"condition":"Infected intertrigo","description":"Used for skin fold infections that are complicated by mixed organisms, reducing inflammation and eradicating the infectious agents.","evidence":"Limited evidence, but widely used in practice"}]
Off-label uses: [{"condition":"Infected insect bites","description":"Sometimes prescribed off-label to prevent infection and reduce inflammation after insect bites.","evidence":"Limited"},{"condition":"Infected minor burns","description":"Rarely used off-label for superficial burns with signs of infection, but only under strict medical supervision.","evidence":"Limited"}]
Primary treatment for: Infected dermatophytosis (fungal skin infection with secondary bacterial or protozoal infection)
Also treats: Infected eczema, Infected dermatitis, Infected intertrigo
📋 Drug Information
| Generic Name(s) | Terbinafine (1% w/w) + Clobetasol (0.05% w/w) + Ofloxacin (0.75% w/w) |
| Brand Name | CANDID TOTAL CREAM |
| Manufacturer | Glenmark Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Topical |
| Storage | Store below 30°C in a dry place. Do not freeze. Keep the tube tightly closed. Protect from direct sunlight. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works through four different mechanisms. Terbinafine inhibits the fungal enzyme squalene epoxidase, which is needed for the synthesis of ergosterol, a key component of the fungal cell membrane. Without ergosterol, the fungal cell membrane becomes weak and the fungus dies. Clobetasol is a very potent corticosteroid that binds to glucocorticoid receptors inside cells, leading to suppression of inflammatory genes and reduction of redness, swelling, and itching. Ofloxacin is a fluoroquinolone antibiotic that blocks DNA gyrase and topoisomerase IV, enzymes essential for bacterial DNA replication, thereby killing bacteria. Ornidazole is a nitroimidazole antiprotozoal that enters anaerobic organisms and generates reactive radicals that damage their DNA, leading to cell death. Together, these ingredients provide broad coverage against fungi, bacteria, and protozoa while rapidly controlling inflammation.
Mechanism Steps
💡 How to Take CANDID TOTAL CREAM
Strength: Cream containing terbinafine 1% w/w, clobetasol 0.05% w/w, ofloxacin 0.75% w/w, and ornidazole 2% w/w.
Dosage Information
| Adult Dosage | Apply a thin layer of this medicine to the affected area and gently rub it in, usually once or twice daily, or as directed by your doctor. The duration of treatment is typically 1 to 2 weeks, but it may vary depending on the condition and your response. Do not use more than the prescribed amount or for longer than recommended. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more susceptible to the effects of topical corticosteroids, such as skin thinning. Use with caution and for the shortest duration necessary. Dose must be individualized by a qualified clinician. |
| Renal Impairment | No specific dose adjustment is required for topical use. However, if there is significant systemic absorption, caution is advised in patients with severe kidney disease. Consult your doctor. |
| Hepatic Impairment | No specific dose adjustment is required for topical use. However, if there is significant systemic absorption, caution is advised in patients with severe liver disease. Consult your doctor. |
| Maximum Daily Dose | The maximum daily dose depends on the area treated and the concentration. Do not exceed the prescribed frequency or duration. Typically, apply a thin layer once or twice daily. Not established from the available information for a specific maximum daily dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of CANDID TOTAL CREAM
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Theophylline | Moderate | |
| Other topical steroids | Major | |
| Caffeine | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Other topical corticosteroids
- Oral anticoagulants (e.g., warfarin)
⚡ Moderate Interactions
- Theophylline
- Caffeine
🍷 Alcohol Interaction
There is no known direct interaction between this topical medicine and alcohol. However, alcohol may worsen certain skin conditions or increase the risk of liver problems if the medicine is absorbed significantly. It is best to avoid excessive alcohol while using this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to terbinafine, clobetasol, ofloxacin, ornidazole, or any other ingredient.","Untreated bacterial, viral, or fungal skin infections that are not covered by the ingredients.","Acne vulgaris, rosacea, perioral dermatitis, and skin conditions around the mouth.","Use on the face, groin, or underarms unless directed by a doctor.","Children under 12 years of age, unless prescribed by a doctor."]
⚠️ Warnings & Precautions
["For external use only. Do not swallow.","Avoid contact with eyes, lips, and mucous membranes.","Do not use on large areas of the body or for longer than prescribed.","Do not cover with airtight dressings unless instructed.","If irritation or sensitization occurs, stop use and consult a doctor.","Use with caution in patients with liver or kidney disease.","Do not use for more than two weeks without medical advice.","Keep out of reach of children."]
🤱 Lactation Safety
It is not known whether the ingredients in this medicine pass into breast milk. Because many drugs are excreted in human milk, caution should be exercised when this medicine is used by a nursing mother. Avoid applying to the breast area to prevent ingestion by the infant. Consult your doctor.
💊 Overdose Management
This medicine is for topical use. Overdose is unlikely. If accidental ingestion occurs, seek medical attention immediately. Symptoms of overdose may include nausea, vomiting, and abdominal pain. In case of excessive topical application, wash the area with plenty of water and consult a doctor if any unusual symptoms appear.
⏰ Missed Dose
If you miss a dose, apply it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose to make up for a missed one.
Additional Safety Advice
Always use this medicine exactly as your doctor has told you. Wash and dry the affected area gently before applying a thin layer of the cream. Do not cover the area with a bandage or dressing unless your doctor says so, as this can increase absorption and side effects. Avoid getting the cream in your eyes, nose, mouth, or other sensitive areas. If you accidentally get it in your eyes, rinse thoroughly with water. Do not use this medicine on large areas of the body, on broken skin, or for longer than the prescribed duration, usually not more than two weeks. Do not share this medicine with others, even if they have the same symptoms. Keep the tube tightly closed and out of reach of children. If you are pregnant, planning to become pregnant, or breastfeeding, tell your doctor before using this medicine. Do not use other skin products on the same area without asking your doctor. If your symptoms do not improve within a few days or get worse, contact your doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to skin thinning and systemic effects from topical steroids. Use this medicine with caution, for the shortest duration possible, and monitor for any signs of skin atrophy or systemic effects.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before using this medicine. The safe use of this medicine during pregnancy has not been established. Your doctor will weigh the benefits and risks.
🏥 Post-Surgery Considerations
If you have recently had surgery, consult your doctor before applying this medicine to the surgical area. It may interfere with wound healing or increase the risk of infection.
🦷 Dental Procedures
This medicine is for topical use on the skin and is not expected to affect dental procedures. However, inform your dentist if you are using it, especially if you have any allergies.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can continue exercising, but avoid activities that cause excessive sweating or friction on the treated area. Keep the area clean and dry after exercise. If the infection is on your feet, wear clean socks and change them daily.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is unlikely to affect your ability to work or drive. However, if you experience any skin irritation or allergic reaction, avoid driving or operating machinery until you feel better.
🛑 When to Stop This Medicine
Stop using this medicine and consult your doctor if your symptoms do not improve within a few days, if they worsen, or if you experience any severe side effects. Do not stop abruptly if you have been using it for a long time; consult your doctor for a tapering plan.
📅 Long-Term Use Effects
Long-term use of this medicine, especially beyond two weeks, can lead to skin thinning, stretch marks, and increased absorption of the steroid, which may cause systemic effects like high blood sugar and high blood pressure. It is not meant for prolonged use. If you need treatment for more than two weeks, your doctor should reassess your condition.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Proper hygiene can help prevent and treat mild fungal infections.
Evidence: Well-establishedDepending on the specific cause, a doctor may prescribe separate antifungal, antibiotic, or steroid creams.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are due for a vaccination, inform your doctor that you are using this medicine.
📦 Storage Guide
✅ DO
Store below 30°C in a dry place.
❌ DON'T
Do not freeze.
✅ DO
Keep the tube tightly closed.
❌ DON'T
Do not transfer to another container.
✅ DO
Protect from direct sunlight.
❌ DON'T
Do not store in the bathroom.
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label. Keep a copy of your prescription with you. Store it below 30°C and protect it from direct sunlight. If you are crossing time zones, continue applying as per your usual schedule. Declare it at customs if required. Do not leave it in a hot car or checked luggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start to feel relief from itching and redness within a few days. However, it is important to complete the full course as prescribed, even if symptoms improve.
A: No, you should complete the full prescribed course to ensure the infection is fully treated and to prevent recurrence.
A: This medicine is not recommended for children under 12 years unless prescribed by a doctor. Consult a pediatrician.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This cream can be used for any skin rash.
Fact: This medicine is only for specific infected skin conditions. Using it for other rashes can worsen them or cause side effects. - Myth: More cream means faster healing.
Fact: Applying more than prescribed increases the risk of side effects without speeding up healing. - Myth: It is safe to use for months.
Fact: Prolonged use can cause skin thinning and other serious side effects. Use only for the prescribed duration.