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Clotrimazole

Published: July 26, 2026Updated: August 29, 2026

Clotrimazole is an antifungal medication belonging to the azole class, commonly used in oral form to treat fungal infections of the mouth and throat, particularly oral candidiasis.

Quick summary

Clotrimazole is an antifungal agent used to treat oral fungal infections like thrush by disrupting fungal cell membrane formation.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 29, 2026Editorial policy

Key facts at a glance

ATC
A01AB18
RxNorm
2598
Generic
Clotrimazole
Class
atc-a01
Brands
Fungicure Solution, Dermatin, Aardora Anti-Fungal Maximum Strength, Alevazol, Motazol, Otomax, Mometamax, Fungistat, Lotrimin, Jock-Eze, Mometavet, Trimazole, Clotic, Lasolex Liquid, Cruex Antifungal
Availability
otc
Pregnancy
B
Lactation
safe
Half-life (h)
0
Onset (min)
0
Duration (h)
12
Routes
otic, topical, vaginal, oral
Forms
cream, lotion, solution, gel, powder, spray, vaginal tablet, lozenge, otic drops
Regions
US, EU, Canada, UK, Australia, India, worldwide
Monitoring
none

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)lozenge
Usual dose
10mg five times daily
Maximum
consult physician
Frequency
every 4 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)lozenge
Usual dose
5mg five times daily
Maximum
consult physician
Frequency
every 4 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)lozenge
Usual dose
10mg five times daily
Maximum
consult physician
Frequency
every 4 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single oral dose that may cause serious toxicity; topical overdose rarely causes systemic effects
Chronic overdose: prolonged high-dose topical use may lead to systemic absorption and hepatic effects
Immediate actions
supportive care; gastric decontamination if large oral ingestion
Antidote
no specific antidote available(supportive care is mainstay of treatment)
Poison Control: 1-800-222-1222

Special Populations

9 groups
⚠

pregnancy

first trimester
caution
FDA Category
B
Dose Adjustment

use lowest effective dose

Key Recommendations

topical application preferred over oral; avoid oral clotrimazole lozenges unless clearly needed

Monitor

regular prenatal check-ups

Use with caution and monitor for adverse effects.

✓

pregnancy

second trimester
safe
FDA Category
B
Dose Adjustment

standard dosing

Key Recommendations

topical clotrimazole is generally considered safe for treating superficial fungal infections

Monitor

routine prenatal care

✓

pregnancy

third trimester
safe
FDA Category
B
Dose Adjustment

standard dosing

Key Recommendations

topical application safe; oral lozenges should be used only if benefits outweigh risks

Monitor

routine prenatal care

✓

lactation

breastfeeding
safe
FDA Category
B
Dose Adjustment

standard topical dosing

Key Recommendations

topical clotrimazole is safe during lactation; avoid applying to breast area before nursing

Monitor

monitor infant for any oral thrush

⚠

pediatric_age

infants
caution
FDA Category
B
Dose Adjustment

use under medical supervision

Key Recommendations

not recommended for infants under 1 month; use only under pediatrician guidance

Monitor

monitor for skin irritation

Use with caution and monitor for adverse effects.

✓

pediatric_age

children
safe
FDA Category
B
Dose Adjustment

standard pediatric dosing

Key Recommendations

suitable for children over 1 year; supervise application to prevent ingestion

Monitor

monitor for allergic reactions

✓

geriatric

elderly
safe
FDA Category
B
Dose Adjustment

standard dosing

Key Recommendations

suitable for elderly patients; monitor for skin sensitivity

Monitor

check for skin irritation or allergic reactions

✓

renal_impairment

mild to moderate
safe
FDA Category
B
Dose Adjustment

no adjustment needed

Key Recommendations

minimal systemic absorption with topical use makes renal dosing unnecessary

Monitor

standard monitoring

✓

hepatic_impairment

mild to moderate
safe
FDA Category
B
Dose Adjustment

no adjustment needed

Key Recommendations

topical use does not require hepatic dose adjustment

Monitor

standard monitoring

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:1970s

General prescribing information

drug_classWHO
2023

Drug class

Value:Azole antifungal

Drug class information

usageMedical guidelines
2023

Common uses

Value:Treatment of fungal infections (athlete's foot, jock itch, ringworm, vaginal yeast infections)

Common therapeutic uses

Treatment of oral candidiasis (thrush), oropharyngeal candidiasis, and prevention of fungal infections in immunocompromised patients. May also be used for other localized fungal infections as determined by a healthcare provider.

Clotrimazole works by inhibiting the enzyme lanosterol 14-alpha-demethylase, which is required for the synthesis of ergosterol—an essential structural component of fungal cell membranes. Without ergosterol, the fungal cell membrane becomes unstable and permeable, leading to cell death.

For oral use, allow troches to dissolve slowly in the mouth without chewing. Complete the full course of treatment even if symptoms improve. Inform your doctor of any other medications being taken, as clotrimazole may interact with certain drugs. Common side effects may include mild mouth irritation or altered taste. Not for systemic fungal infections.

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 29, 2026. · Read our editorial policy