Экзодерил

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Экзодерил

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Medically reviewed

Laura Arias

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Экзодерил

Quick Facts

Property Description
Active Ingredient Naftifine Hydrochloride (Naftifine)
Form Topical Cream or Solution
Pharmacological Class Allylamine Antifungal
Common Use Treatment of Mycoses (Fungal Infections)
Origin Synthetic
Manufacturer Focus Generally marketed for both skin and nail applications.

What is Exoderil and what class does it belong to?

Exoderil is a synthetic, topical antifungal medicine used for the external application to treat superficial fungal infections of the skin and nails. Its active component is Naftifine Hydrochloride (INN: Naftifine), a compound with a targeted action profile.

The drug is chemically classified as an allylamine derivative, a class of antifungal agents recognized in pharmacological studies for its activity against key pathogens. Naftifine is a single-ingredient product, relying exclusively on its established properties to inhibit the fungal growth responsible for various mycoses.

In which forms is Exoderil available?

Exoderil is manufactured for topical administration in two primary dosage forms: a topical cream and a topical solution.

These formulations are optimized for flexibility; the topical cream is suitable for treating dry, scaly skin lesions, while the topical solution (often with a hydro-alcoholic base) is frequently chosen for its ability to penetrate difficult areas, such as the nail plate in cases of onychomycosis. The versatility of Naftifine is observed across various topical forms for treating common dermatophytes causing skin mycoses.

General Purpose: What is Naftifine used for?

The general purpose of Naftifine is to combat a broad spectrum of cutaneous fungal infections caused by organisms such as dermatophytes, yeasts, and certain molds. The substance is known to exhibit both fungicidal (fungus-killing) and fungistatic (growth-inhibiting) activity, actively eliminating the infectious agents.

Naftifine is used in the external treatment of common mycoses. This supports its primary role as a targeted therapy used to resolve the underlying mycoses and is often accompanied by an ancillary anti-inflammatory effect, helping to soothe associated symptoms like redness and itching.

What side effects are possible with Экзодерил?

Possible side effects and safety information

The safety profile of the active ingredient, Naftifine Hydrochloride, is characterized primarily by adverse events localized to the application site, as documented in official government regulatory sources.


Adverse Reaction Scope

The most frequently observed adverse reactions, classified as Common (reported in clinical trials), are localized application site reactions.

Category Officially Documented Reactions
Common (ge 1%) Pruritus (itching), burning/stinging, dryness, erythema (redness), and local irritation at the site of application.
Incidence Not Known Rare reports from postmarketing surveillance include blood disorders (Leukopenia, Agranulocytosis), headache, and dizziness [Index 1.8].

These effects predominantly involve Skin and Subcutaneous Tissue Disorders. Rare reports from postmarketing surveillance also reference the Nervous System and Blood and Lymphatic System Disorders.


Safety Considerations and Restrictions

The medicine is contraindicated in individuals with a known history of hypersensitivity to Naftifine or any component of the formulation. Development of irritation or sensitivity during use requires discontinuation.

The official label states that the product is for topical use only and must not be used for ophthalmic (eye), oral, or intravaginal administration.

Population-Specific Status: Safety and effectiveness have not been established in all pediatric age groups. For pregnant or nursing women, there are no adequate and well-controlled studies on the use of the medicine, and it is not known if the drug is excreted in human milk.

Overdose and Emergency Response

Overdose and the Regulatory Risk Profile

The official regulatory profile for Naftifine Hydrochloride (Exoderil) is characterized by its topical-only use and minimal systemic absorption. Prescribing information confirms that specific systemic manifestations following overdose from excessive topical application are generally not documented, owing to minimal percutaneous absorption rates. The primary overdose event cited in regulatory risk assessments is accidental oral ingestion, as the medication is strictly not for oral use.

Mandate to Seek Immediate Medical Help

Government regulatory documents issue a clear mandate to seek emergency medical attention if an overdose is suspected or if the product has been accidentally swallowed. In such scenarios, users must seek immediate medical attention and contact a Poison Control Center or emergency medical services immediately. This requirement is based on the classification of the agent and the risk of unapproved systemic exposure. The official labeling specifies that the drug is strictly for topical administration.

Official Management and Supportive Procedures

Regulatory statements specify that no specific antidote is known to counteract the effects of a Naftifine Hydrochloride overdose. As a result, the official procedural management described in regulatory documents is directed towards providing symptomatic and supportive therapy. In the context of accidental ingestion, medical observation may be advised, and supportive measures are focused on ensuring patient stability and managing potential effects.

Therapeutic Uses of Экзодерил

What Экзодерил Treats: Main Uses and Benefits

The medication is utilized to address localized fungal pathology where additional symptomatic support is required. It is commonly used for the management of conditions presenting with acute episodes, such as tinea pedis (athlete's foot), tinea cruris (jock itch), and tinea corporis (ringworm of the body). Applications also include the management of superficial nail infections and certain cases of cutaneous candidiasis.


The medication is applied across domains where additional symptomatic support is needed, which generally helps to reduce the overall symptom burden and supports the management of the underlying mycosis. The medicine may assist with easing the pronounced symptoms related to inflammatory or irritative states, such as itching (pruritus), redness, and burning sensation. This supportive benefit helps with coping during acute, symptomatic episodes by assisting with maintaining functional stability while the infection clears. The medicine may be part of symptomatic management when symptoms become more noticeable in challenging anatomical areas, particularly in skin folds. By managing symptoms like scaling and painful fissures, it contributes to improved day-to-day comfort.

“The primary goal of this topical treatment is to manage disruptive symptoms and support the skin's return to a stable state.”

Quick Fact: Symptom Management Focus
Primary Symptom Axis Symptoms related to inflammatory or irritative states
Focus Benefit Contributes to improved comfort during symptomatic periods
Target Conditions Conditions involving episodic or fluctuating manifestations (e.g., Tinea)
Patient Context Supports functional stability when symptoms interfere with routine activities

Regulatory References

  1. National Institutes of Health (NIH) DailyMed service

Eligibility and Restrictions for Use

Who Can and Cannot Use Экзодерил? (Topical Naftifine)

The eligibility for topical Naftifine (Экзодерил) is defined by regulatory agencies based on established safety profiles and specific population limitations.

Absolute Contraindications

The medicine is contraindicated in any individual with a documented history of hypersensitivity or allergic reaction to the active substance (Naftifine) or any inactive component of the specific topical formulation.


Age-Group Eligibility and Restrictions

Age Group Eligibility Status
Adults & Adolescents (12+ years) Use is established for approved indications.
Children Under 12 Safety and effectiveness are not established for most uses.
Children Under 2 Safety and effectiveness are not established for all indications.

Conditional Use in Specific Populations

Official labeling mandates caution for individuals in specific physiological states:

  • Pregnancy: Use is recommended only if clearly needed, as adequate, controlled studies in pregnant women are lacking.
  • Lactation (Breastfeeding): Caution should be exercised because it is unknown if the drug is excreted into human milk.

Due to minimal systemic absorption, no specific restrictions related to renal or hepatic impairment are documented in the regulatory labeling.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Official government regulatory information for topical Naftifine Hydrochloride (the active ingredient in Exoderil) indicates a profile of minimal systemic interaction potential. This is due to the minimal systemic absorption observed following topical application to the skin, which significantly limits the opportunity for the substance to interact with co-administered oral medications.

Interaction Scope

Category Regulatory Finding
Specific interacting medicines None explicitly listed in official labeling.
Metabolic interactions No interactions involving CYP enzymes or other metabolic pathways are documented.
Timing-based rules No requirements for spacing or separating administration are formally stated.
Food, alcohol, supplements No specific restrictions or documented interactions are noted.

Official Interaction Statements

Regulatory documents establish that there are no known, clinically significant systemic interactions associated with the use of topical Naftifine Hydrochloride. As a consequence, no specific medicinal products or substance classes are formally prohibited from co-administration based on a systemic interaction risk, nor are there any mandatory timing constraints required. This structure defines the product’s interaction profile based on negligible systemic exposure.

Mechanism of Action

Inhibition of Fungal Ergosterol Biosynthesis

The primary action involves the molecule functioning as a selective inhibitor of Squalene 2,3-Epoxidase (SQLE), a critical enzyme within the fungal cell essential for synthesizing the essential membrane component, ergosterol. By blocking this step, the drug initiates a cascade that leads to cellular toxicity. This action severely depletes ergosterol and simultaneously causes the accumulation of the toxic intermediate squalene, resulting in irreversible structural and functional damage to the fungal cell membrane and its internal organelles. This mechanism results in fungal cell toxicity and is responsible for the molecule's fungicidal activity.

Ancillary Modulation of Local Inflammation

The molecule also exhibits a separate action on human host physiology, involving the modulation of localized inflammatory pathways. This mechanism influences the activity of Polymorphonuclear Leukocytes (PMNs), reducing their migration and the production of specific inflammatory mediators at the site of application. This action modulates host-driven physiological responses linked to leukocyte activity and mediator release.

Dosage and Administration Information

How to Use Экзодерил (Naftifine)

The usage of Naftifine Hydrochloride follows specific administration protocols. The product is strictly for topical use and must not be applied to the eyes, mouth, or other mucous membranes.

Application should occur on clean, dry skin where a thin layer of the preparation is applied to the affected skin area. To ensure comprehensive coverage, application typically extends to a half-inch margin of surrounding healthy skin.

Dosing and Duration Patterns

The frequency of use is typically once daily for 2% cream and gel formulations, while 1% formulations may be applied once or twice daily depending on the specific product form. The duration of treatment usually lasts 2 weeks for 2% preparations and up to 4 weeks for 1% preparations.

Feature Guideline
Route of Administration Topical (External use only)
Standard Frequency Once or twice daily
Typical Duration 2 to 4 weeks (Varies by concentration)
Key Procedural Step Apply to affected area plus a 1/2 inch margin of surrounding skin

Population and Contextual Rules

Specific age-group administration rules apply. Use of 2% formulations is recognized for Tinea Cruris and Pedis in children age 12 and above, and for Tinea Corporis in children age 2 and above. It is advised that occlusive dressings or wraps are not used over the treated area, as this may alter the intended administration conditions.

Recent Clinical Evidence

Экзодерил: Recent Clinical Evidence


Evidence for Common Skin Fungal Infections

Research explored the use of Naftifine for common superficial fungal conditions, such as Tinea Pedis, Tinea Cruris, and Tinea Corporis. The core evidence comes from Randomized Controlled Trials (RCTs), a type of study where participants are randomly assigned to receive either the active medication or a placebo. These trials was studied for exploring conditions characterized by fluctuating or episodic manifestations where symptoms may vary in intensity.

The researchers studied specific outcomes reflecting daily functioning and physiological strain related to the infection. This included using laboratory tests to measure mycological endpoints (the presence of the fungus) and tracking patient-reported outcomes describing perceived discomfort, such as changes in redness, scaling, and itching. Systematic reviews describe patterns observed in the studies over the short-term observation periods.

Research Gaps and Uncertainties

The current evidence structure means that long-term outcomes are not fully established. There are limited data available from studies that monitored the status of the skin or nail over several months or years to observe responses over extended periods.

Research has also explored the evaluation of Naftifine in settings beyond the primary Tinea types, such as cutaneous candidiasis and superficial nail infections. However, the existing clinical data for these specific conditions is limited in volume compared to the core Tinea evidence.

Follow-up and Special Populations

Naftifine was evaluated in trials that included a diverse range of adults for its primary indications. Researchers also studied for the medication’s evaluation in pediatric subjects (children 2 years of age and older). While subgroup findings are uncertain for formal analysis of conditions in specific groups like very young children, the results apply only to the populations studied and research provides context but not individual predictions for everyone.

Key Studies & References

  1. NAFTIFINE HYDROCHLORIDE topical cream and gel labeling information: Regulatory summary of clinical trials
  2. Efficacy and safety of allylamine drugs in the treatment of tinea pedis, tinea cruris, and tinea corporis: a systematic review and meta-analysis of randomized controlled trials

Frequently Asked Questions (FAQ)

Common questions about Экзодерил (FAQ)


Q: Can Exoderil be used during pregnancy or while breastfeeding?

A: Official documents state that use during pregnancy is recommended only if clearly needed, as adequate and well-controlled studies in pregnant women are lacking. Regarding breastfeeding, it is unknown if the drug is excreted in human milk. Therefore, official guidance indicates that caution is generally advised when considering its use.


Q: What information is available about the use of Exoderil in children?

A: Safety and effectiveness are established for specific indications and age groups. For example, the 1% cream is established for treating tinea corporis (ringworm of the body) in children aged 2 years and older. For the 2% gel formulation, safety and effectiveness for other uses in younger children have not been established.


Q: Can Exoderil interact with vitamins or dietary supplements?

A: Due to the minimal systemic absorption of the active ingredient, Naftifine, when applied topically, the opportunity for interaction with orally taken medications, vitamins, or dietary supplements is limited. Official regulatory documents do not report specific documented interactions with these substances.


Q: Which substances or materials should not be applied to the same area as Exoderil?

A: Official guidance advises against using occlusive dressings or wrappings over the treated area unless specifically directed by a healthcare provider. Furthermore, it is generally advised to avoid applying other topical products or cosmetics to the same area unless directed.


Q: Why is Exoderil only manufactured in topical forms for external use?

A: Official documents state that the product is strictly for topical use only and is not for ophthalmic (eye), oral, or intravaginal administration. This restriction reflects the established safety and intended use profile of the medication.


Q: What are the regulatory differences between Exoderil solution and cream?

A: Differences between the product forms (cream, solution/gel) and concentrations (1%, 2%) can affect the official regulatory status. This includes variations in the approved indications, the recommended frequency of application, and the minimum age of the patient for whom safety and effectiveness have been established.


Q: How does Exoderil affect the liver during topical application?

A: Following topical application, only minimal systemic absorption of the drug occurs, which results in low systemic exposure. Due to this low systemic exposure, specific restrictions related to hepatic impairment are not typically documented in the regulatory labeling.


Q: What should be done if symptoms worsen after starting Exoderil?

A: Patient counseling information states that if the skin problem does not improve within the expected course duration (e.g., 4 weeks), or if it becomes worse, the regulatory guidance suggests consulting with a healthcare provider. If severe irritation or sensitivity develops on the skin, treatment may need to be discontinued.


Q: What should I do if I forget to apply Exoderil at the scheduled time?

A: If a dose is missed, regulatory information advises applying it as soon as it is remembered. However, if it is almost time for your next scheduled dose, the missed dose is generally skipped, and the regular schedule resumed. Patients are advised not to use extra medication to compensate for a missed dose.


Q: Can Exoderil be used on the scalp or face?

A: Official instructions specify that the product is for topical use only and must be kept away from mucous membranes, including the eyes, nose, and mouth. Application to areas like the face or scalp is not listed within the approved treatment indications.


Q: Is it necessary to cover the treated area with a bandage after applying Exoderil?

A: Patient guidance advises against the use of occlusive (airtight) dressings or wrappings over the treated area unless specifically directed by a healthcare provider. The medication is designed to be applied directly to clean, dry skin without additional covering.


Q: Does Exoderil help with all types of fungus?

A: The drug is indicated for the treatment of specific fungal infections, such as tinea pedis (athlete's foot), tinea cruris (jock itch), and tinea corporis (ringworm of the body), which are caused by specific types of organisms (dermatophytes). The product is not officially indicated for all types of fungal infections.


Q: How long should treatment continue after symptoms disappear?

A: Official patient guidance instructs users to continue applying the medicine for the full prescribed treatment period, even if symptoms appear to clear up after only a few days. This is because stopping treatment too early may lead to the return of the infection.


Q: Does Exoderil help with ringworm or other skin infections?

A: Exoderil is indicated for the treatment of fungal infections, including tinea corporis and tinea cruris, which are commonly known as ringworm (a type of tinea/lichen). It is not indicated for treating non-fungal or other types of non-approved skin infections.


Q: Can Exoderil be applied immediately after a shower or bath?

A: The application instructions specify that the area must be cleaned and thoroughly dried before use. This procedural step ensures proper contact and absorption into the skin.


Q: Is there data available on the use of Exoderil in elderly people?

A: Clinical trials conducted for the medicine included subjects aged 65 years and older. According to the regulatory findings, no overall differences in safety or effectiveness were observed between these elderly subjects and younger subjects included in the studies.


Q: Can Exoderil cause allergic reactions?

A: The drug is formally contraindicated in individuals with a known history of hypersensitivity (allergic reaction) to the active substance or any component of the formulation. The official list of adverse reactions includes rash and severe irritation.


Q: Have there been reports of overdose from topical use?

A: An overdose from topical application of Naftifine is not expected to be dangerous due to the low rate of systemic absorption into the bloodstream. If the medication is accidentally swallowed, emergency medical assistance may be sought.


Q: How quickly does Exoderil absorb after application?

A: Pharmacokinetic studies indicate that the active substance penetrates the stratum corneum, which is the outermost layer of the skin, in sufficient concentrations to inhibit fungal growth. Systemic absorption into the rest of the body is minimal, typically less than 6% of the applied dose.


Q: What are the required storage conditions for Exoderil?

A: Official regulatory information specifies that the product should be stored at a controlled room temperature, typically between 20 C and 25 C (68 F and 77 F). The product must also be protected from freezing to maintain its stability and integrity.


Q: Are there studies comparing Exoderil with placebo?

A: Yes, regulatory documents confirm that the clinical efficacy for the approved indications was established through Randomized Controlled Trials (RCTs). These studies involved comparing the results of the drug against a Vehicle (placebo) application.


Q: What warnings are available for people with sensitive skin?

A: Official patient guidance states that if irritation or sensitivity develops upon use of the drug, treatment may need to be discontinued. The official guidance suggests contacting a healthcare provider for further evaluation.


Q: Can Exoderil be used if there are open wounds or cracks on the skin?

A: Official guidance advises against applying the medication to skin areas that have cuts, scrapes, or open wounds.


Q: What reactions occur if Exoderil gets into the eyes?

A: The product is not intended for ophthalmic use and must be kept away from the eyes. Official guidance states that if contact occurs, the eyes should be immediately flushed with plenty of water.


Q: Can Exoderil be used to treat athlete’s foot?

A: Yes, official documents explicitly list the treatment of interdigital tinea pedis, commonly known as athlete’s foot, as an approved indication for the medication when caused by the specified sensitive organisms.


Q: Are there dietary restrictions during the use of Exoderil?

A: Due to the minimal systemic absorption of the drug during topical use, official regulatory documents do not note any specific restrictions or documented interactions with food or alcoholic beverages.

How should Экзодерил be stored and disposed of?

Storage and Disposal of Экзодерил (Naftifine)


The official regulatory documents define specific storage and handling requirements for Экзодерил, the Naftifine topical antifungal product, to maintain its stability and integrity.

Storage Requirements

Item Requirement
Temperature Store at 20 C to 25 C (68 F to 77 F), with permitted variations up to 30 C.
Protection Keep from freezing and protect from excess heat and direct light.
Container Store in the original container and keep it tightly closed to prevent contamination and degradation.
Child Safety Keep out of the sight and reach of children.

Disposal Instructions

Do not dispose of unused or expired medicine by flushing it down a toilet or pouring it into a drain unless instructed otherwise by a healthcare professional or official label. The product should be disposed of through an authorized drug take-back program. If a take-back program is unavailable, follow the procedure for household trash disposal: mix the product with an undesirable substance (e.g., dirt) in a sealed bag before discarding it.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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