Acvaketo Soap (Ketoconazole 1% w/w): 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 the face, lips, or throat, or difficulty breathing.
- Widespread rash or blistering of the skin after using the soap.
- Signs of liver problems such as yellowing of the eyes or skin, dark urine, or severe fatigue.
- Intense burning, pain, or peeling of the skin at the application site.
- No improvement in symptoms after 4 weeks of consistent use.
- Fever with worsening skin redness and swelling.
If experiencing severe symptoms, call emergency services immediately.
What is clear all medicated soap used for?
This medicine is a medicated soap containing ketoconazole 1% w/w, used to treat fungal skin infections such as dandruff, seborrheic dermatitis, and tinea versicolor. It works by breaking down the fungal cell membrane, leading to the death of the fungus. It is applied to the affected skin or scalp, left on for a few minutes, and then rinsed off.
- Generic Name: Ketoconazole
- Manufacturer: Sun Life Sciences Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 clear all medicated soap के बारे में (Hindi Summary)
उपयोग: यह दवा एक केटोकोनाज़ोल 1% w/w वाला साबुन है, जिसका उपयोग त्वचा और सिर की फंगल बीमारियों जैसे डैंड्रफ, सेबोरहाइक डर्मेटाइटिस और टिनिया वर्सिकलर के इलाज के लिए किया जाता है। यह फंगस की कोशिका की दीवार को तोड़कर उसे मार देता है। इसे प्रभावित जगह पर लगाकर कुछ मिनट छोड़ना होता है और फिर धो लेना होता है। यह साबुन खुजली, पपड़ी और लालिमा को कम करने में मदद करता है। इसे डॉक्टर की सलाह के अनुसार ही इस्तेमाल करें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभाव हल्के होते हैं, जैसे त्वचा का रूखा होना, खुजली, हल्की जलन या लालिमा। कुछ लोगों को बालों का झड़ना या बालों की बनावट में बदलाव महसूस हो सकता है। गंभीर दुष्प्रभाव बहुत कम होते हैं, लेकिन अगर आपको एलर्जी, सूजन, सांस लेने में तकलीफ या त्वचा पर छाले पड़ें तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा का इस्तेमाल सिर्फ त्वचा पर करें। आंखों, मुंह और नाक से दूर रखें। अगर आंखों में चला जाए तो तुरंत पानी से धोएं। टूटी हुई त्वचा पर बिना डॉक्टर की सलाह के न लगाएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें। धूप और गर्मी से बचाएं।
💊 clear all medicated soap Uses & Benefits
[{"condition":"Dandruff","description":"This medicine helps to control flaking and itching of the scalp caused by Malassezia yeast.","evidence":"Well-established"},{"condition":"Seborrheic dermatitis","description":"It reduces scaling, redness, and irritation on the scalp and other oily areas of the skin.","evidence":"Well-established"},{"condition":"Tinea versicolor","description":"This medicine is used to treat the light or dark patches on the skin caused by Malassezia furfur.","evidence":"Well-established"},{"condition":"Tinea corporis","description":"It can be used as an adjunct to treat ringworm of the body, although other formulations may be preferred.","evidence":"Moderate"},{"condition":"Tinea cruris","description":"This medicine may help in treating jock itch, but it is not the first-line treatment.","evidence":"Limited"}]
Off-label uses: [{"condition":"Acne vulgaris","description":"Sometimes used off-label for its mild antibacterial and anti-inflammatory effects, but evidence is limited.","evidence":"Limited"},{"condition":"Rosacea","description":"Rarely used off-label to reduce facial redness and bumps, but not a standard treatment.","evidence":"Limited"}]
Primary treatment for: Dandruff and seborrheic dermatitis
Also treats: Tinea versicolor, Tinea corporis, Tinea cruris
📋 Drug Information
| Generic Name(s) | Ketoconazole |
| Brand Name | Arcolane 2% Scalp Solution |
| Manufacturer | Sun Life Sciences Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | DERMA |
| Action Class | Fungal ergosterol synthesis inhibitor |
| Route of Administration | Topical (applied to the skin). Although the identity section lists the route as subcutaneous, this is incorrect for a soap. This product is meant to be used externally on the skin and scalp |
| Storage | Store at room temperature between 15°C and 30°C. Keep away from direct sunlight and moisture. Do not refrigerate unless specifically instructed. Keep the soap in its original packaging until use. |
| Shelf Life | The shelf life is typically 24 months from the date of manufacture. Check the expiry date on the packaging before use. Do not use the product after the expiry date. |
| 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 by inhibiting the fungal enzyme cytochrome P450 14α-demethylase. This enzyme is responsible for converting lanosterol to ergosterol, which is a key building block of the fungal cell membrane. When ergosterol production is blocked, the fungal cell membrane becomes weak and leaky. This leads to the loss of essential cellular components and eventually causes the fungal cell to die. Because human cell membranes use cholesterol instead of ergosterol, this medicine has a selective action against fungi and generally does not harm human cells at the concentrations used on the skin.
Mechanism Steps
💡 How to Take clear all medicated soap
Strength: Medicated soap containing ketoconazole 1% w/w.
Dosage Information
| Adult Dosage | For adults, this medicine is usually used once or twice daily for the initial treatment of dandruff, seborrheic dermatitis, or tinea versicolor. For maintenance, it may be used once weekly or once every two weeks. The soap should be applied to the affected area, lathered gently, and left on the skin for 3 to 5 minutes before rinsing thoroughly with water. The exact frequency and duration depend on the condition being treated and your doctor's advice. 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 can generally use this medicine in the same way as younger adults. However, because older adults may have thinner skin, they should use it with caution and watch for increased irritation. If you are above 65, consult your doctor before starting this medicine. |
| Renal Impairment | No dose adjustment is needed for patients with kidney disease because topical absorption is minimal. However, if you have severe kidney impairment, inform your doctor before using this medicine. |
| Hepatic Impairment | No dose adjustment is needed for patients with liver disease because topical absorption is minimal. However, if you have severe liver disease, consult your doctor before using this medicine. |
| Maximum Daily Dose | The maximum daily dose for topical use is not strictly defined because systemic absorption is very low. However, it is recommended not to exceed the frequency advised by your doctor or the product label. Typically, using the soap more than twice daily is not necessary and may increase the risk of skin irritation. |
Dosage Timeline
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of clear all medicated soap
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Minor | |
| Sulfonylureas | Minor | |
| Other topical antifungals | Moderate | |
| Topical corticosteroids | Moderate | |
| Cosmetics | Minor |
🚨 Major Interactions
- Oral anticoagulants (e.g., warfarin)
- Oral hypoglycemics (e.g., sulfonylureas)
⚡ Moderate Interactions
- Other topical antifungals
- Topical corticosteroids
🍷 Alcohol Interaction
There is no known interaction between alcohol and this medicine when it is used on the skin. However, drinking alcohol may worsen certain skin conditions such as seborrheic dermatitis, so it is best to limit alcohol intake while treating your skin condition.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity or allergy to ketoconazole or any other ingredient in the soap.","Do not use on broken or severely inflamed skin unless directed by a doctor.","Do not use in the eyes or on mucous membranes.","Not for internal use.","Avoid use in children under 12 years unless prescribed by a doctor."]
⚠️ Warnings & Precautions
["For external use only. Do not swallow.","Avoid contact with eyes. If contact occurs, rinse thoroughly with water.","Keep away from sources of ignition as the soap may be flammable.","Do not use for prolonged periods without medical advice.","If symptoms persist or worsen after 2 to 4 weeks of use, consult a doctor.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","Do not share this soap with others to avoid spreading infection.","Keep out of reach of children."]
🤱 Lactation Safety
It is not known whether ketoconazole passes into breast milk after topical use. However, because absorption through the skin is very low, the amount that might reach breast milk is likely to be negligible. To be safe, avoid applying the soap to the breast area, especially around the nipples, to prevent the baby from ingesting it. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
This medicine is for external use only, so overdose is unlikely. If the soap is accidentally swallowed, seek medical attention immediately. If it gets into the eyes, rinse with plenty of water for at least 15 minutes and consult a doctor if irritation persists. If excessive amounts are applied to the skin, rinse the area with water and discontinue use until the skin recovers.
⏰ Missed Dose
If you miss a scheduled application of this medicine, use it as soon as you remember. However, if it is almost time for your next scheduled application, skip the missed one and continue with your regular schedule. Do not use extra amounts to make up for a missed application.
Additional Safety Advice
Use this medicine only on the skin and only as directed by your doctor or the product label. Avoid contact with the eyes, nose, mouth, and other mucous membranes. If the soap accidentally gets into your eyes, rinse thoroughly with plenty of clean water. Do not use this product on broken or severely inflamed skin unless your doctor has told you to do so. Keep the soap away from open flames and high heat because it is flammable. Do not share your soap with anyone else, as this can spread infections. If you are pregnant or breastfeeding, talk to your doctor before using this medicine. Do not use it for a longer period than recommended without medical advice. If your condition does not improve after the recommended course, or if it gets worse, consult a doctor. Keep this product out of the reach of children. Store it in a cool, dry place, away from direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may have thinner and more sensitive skin, so they should use this medicine with caution. If irritation occurs, reduce the frequency of use or stop and consult a doctor. There are no other specific precautions for the elderly.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, you can use this medicine, but it is best to inform your doctor. Topical ketoconazole is considered low risk, but your doctor may recommend alternative treatments if needed.
🏥 Post-Surgery Considerations
If you have recently had surgery, avoid applying this soap to surgical wounds or broken skin unless your surgeon has approved it. Consult your doctor before using it on any area that is healing from surgery.
🦷 Dental Procedures
This medicine is for skin use and does not affect dental procedures. However, if you are using it on your face, avoid getting it near your mouth during dental work.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
There are no specific exercise restrictions while using this medicine. However, if you have a fungal infection in skin folds, avoid excessive sweating and chafing during workouts. Shower and dry your skin thoroughly after exercise to prevent the infection from worsening.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine does not affect your ability to drive or operate machinery. You can continue your normal daily activities while using it. However, if you have a visible skin condition, you may feel self-conscious, but treatment will help clear it over time. There is no need to take time off work unless your doctor advises otherwise.
🛑 When to Stop This Medicine
You should stop using this medicine when your symptoms have completely resolved or when your doctor tells you to stop. If you are using it for maintenance, follow the schedule your doctor recommended. Do not stop suddenly if you are in the middle of a treatment course, as the infection may return. If you experience severe side effects, stop using the soap and consult your doctor immediately.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when used as directed. However, using it for extended periods without medical supervision may lead to skin dryness, irritation, or rare allergic reactions. There is no evidence that topical ketoconazole causes serious long-term health problems. If you need to use it for more than 4 weeks, it is best to consult your doctor to confirm that continued treatment is appropriate. Regular monitoring of your skin condition is recommended.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
An alternative antifungal for dandruff and seborrheic dermatitis.
Evidence: Well-establishedA mild antifungal that can help control dandruff.
Evidence: Well-establishedA topical antifungal for various fungal skin infections.
Evidence: Well-establishedSome people use diluted tea tree oil for mild dandruff, but evidence is limited.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. You can receive vaccinations while using this soap.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep away from open flames
❌ DON'T
Do not expose to high heat
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging to avoid confusion. If you are flying, pack it in your checked luggage or in a clear plastic bag if carrying it in hand luggage. Bring a copy of your prescription in case you need to show it at customs. Store the soap in a cool, dry place away from direct sunlight. If you are traveling across time zones, continue using the soap as per your usual schedule; there is no need to adjust the timing. Always keep the soap in a leak-proof container to prevent it from melting or making a mess.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start noticing improvement in scaling and itching within 1 to 2 weeks of regular use. However, it may take up to 4 weeks for full benefit.
A: Yes, but only if your doctor has advised it for a facial condition such as seborrheic dermatitis. Avoid contact with the eyes and rinse thoroughly.
A: It is not recommended for children under 12 years without a doctor's advice. Consult a pediatrician for appropriate treatment.
A: Topical ketoconazole is considered low risk, but you should consult your doctor before using it during pregnancy.
A: If you miss an application, use it as soon as you remember. If it is almost time for your next application, skip the missed one and continue with your regular schedule.
🤔 Common Patient Concerns
🔄 Substitutes for clear all medicated soap
View AllAlternative brands with exact same active ingredient:
-
ketonid 75gm bar soapNidus Pharma Pvt Ltd ₹57.84 13.3% CHEAPER
-
ketza soapPluzine Healthcare ₹71.19 6.7% COSTLIER
-
kitnor soapLyra Laboratories Pvt Ltd ₹75.00 12.4% COSTLIER
-
ketoden 1% soapWelgenic Pharma ₹75.00 12.4% COSTLIER
-
ketozar 1% soapKyna Pharmaceuticals ₹75.00 12.4% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This soap can cure all types of skin infections.
Fact: This medicine is effective only against fungal infections. It does not treat bacterial or viral skin infections. - Myth: Using more soap will make the infection go away faster.
Fact: Using more than the recommended amount can cause skin irritation and does not speed up healing. - Myth: This soap can be used internally to treat stomach infections.
Fact: This medicine is for external use only and must never be swallowed. - Myth: Once symptoms disappear, you can stop using the soap immediately.
Fact: It is important to complete the full course as advised by your doctor to prevent the infection from returning.
🔄 Alternative Options
Generic Alternatives
- Ketoconazole 1% w/w soap
- Ketoconazole 2% w/w soap (higher strength, prescription only)
Brand Alternatives
- Ketoconazole soap by other manufacturers