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Clioquinol

Published: July 26, 2026Updated: August 26, 2026

Clioquinol is a topical antimicrobial agent belonging to the halogenated hydroxyquinoline class, used to treat various skin infections. It has both antibacterial and antifungal properties, making it effective against a range of pathogens.

Quick summary

A topical antimicrobial medication used to treat bacterial and fungal skin infections.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 26, 2026Editorial policy

Key facts at a glance

ATC
D08AH02
RxNorm
2128
Generic
Clioquinol
Class
atc-d08
Brands
—
Availability
otc
Pregnancy
C
Lactation
caution
Half-life (h)
0
Onset (min)
0
Duration (h)
0
Routes
topical, otic, rectal
Forms
cream, ointment, ear drops, suppository
Regions
United States, Canada, United Kingdom, Australia, India, Europe
Monitoring
local skin irritation, allergic contact dermatitis

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Estimated dose that may cause serious toxicity - data limited for oral exposure as drug is primarily topical
Chronic overdose: Prolonged topical use or accidental ingestion may lead to accumulation
Immediate actions
Supportive care - gastric decontamination if ingestion recent, monitor vital functions
Antidote
No specific antidote available(Supportive care is mainstay of treatment)
Poison Control: 1-800-222-1222

Special Populations

9 groups
⚠

pregnancy

all trimesters
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

avoid use on large body surface areas or for prolonged periods during pregnancy

Monitor

monitor for any adverse effects

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
C
Dose Adjustment

avoid application to breast area

Key Recommendations

avoid use on nipples or wash thoroughly before breastfeeding

Monitor

monitor infant for any adverse effects

Use with caution and monitor for adverse effects.

✓

geriatric

elderly
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

standard dosing applies but monitor for skin irritation due to potentially thinner skin

Monitor

regular skin assessment

⚠

pediatric_age

children under 2
caution
FDA Category
C
Dose Adjustment

use with extreme caution

Key Recommendations

avoid use in infants and young children unless specifically prescribed by pediatrician

Monitor

close monitoring for systemic absorption and adverse effects

Use with caution and monitor for adverse effects.

⚠

pediatric_age

children 2-12
caution
FDA Category
C
Dose Adjustment

use lower strength formulations if available

Key Recommendations

use for shortest duration necessary

Monitor

monitor for skin reactions

Use with caution and monitor for adverse effects.

✓

renal_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

standard topical dosing applies

Monitor

no specific monitoring required

⚠

renal_impairment

severe
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

avoid use on large surface areas or with occlusive dressings

Monitor

monitor renal function periodically

Use with caution and monitor for adverse effects.

✓

hepatic_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

standard topical dosing applies

Monitor

no specific monitoring required

⚠

hepatic_impairment

severe
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

avoid use on large surface areas or for prolonged periods

Monitor

monitor liver function periodically

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:1970s

Topical antimicrobial formulation approval period

drug_classWHO
2023

Drug class

Value:Topical Antimicrobial/Hydroxyquinoline

Antiseptic and antifungal agent classification

usageMedical guidelines
2023

Common uses

Value:Topical antifungal and antibacterial treatment

Therapeutic applications for skin infections

safetyRegulatory agencies
2023

Safety concern

Value:Withdrawn in Japan due to SMON disease

Subacute myelo-opticoneuropathy associated with long-term use

Clioquinol is used topically to treat bacterial and fungal skin infections, including cases of dermatitis complicated by secondary infections, otitis externa, and wound infections. It has historically been used orally for intestinal infections, though this use has been largely discontinued in many countries due to safety concerns.

Clioquinol exerts its antimicrobial effects by disrupting microbial cell membranes and interfering with essential enzymatic processes in bacteria and fungi. Its iodine content contributes to its broad-spectrum activity against various microorganisms.

For topical use only; avoid application to large body surface areas or broken skin for prolonged periods. Oral use has been associated with serious neurological effects and is restricted or withdrawn in many regions. May stain clothing and skin. Avoid use in patients with known hypersensitivity to iodine or halogenated compounds.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 26, 2026. · Read our editorial policy