{"adverse_reactions":["6 ADVERSE REACTIONS During clinical trials with Econazole Nitrate Topical Foam, 1%, the most common adverse reactions were application site reactions which occurred in less than 1% of subjects in both the Econazole Nitrate Topical Foam, 1% and vehicle arms. ( 6 ) To report SUSPECTED ADVERSE REACTIONS, contact Xiromed, LLC. at 844-XIROMED (844-947-6633) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. In two double-blind, vehicle-controlled clinical trials, 495 subjects were exposed to Econazole Nitrate Topical Foam, 1% or vehicle (246 subjects were exposed to Econazole Nitrate Topical Foam, 1% and 249 were exposed to vehicle). Subjects with interdigital tinea pedis applied foam or vehicle once daily for approximately 28 days. During clinical trials with Econazole Nitrate Topical Foam, 1%, the most common adverse reactions were application site reactions which occurred in less than 1% of subjects in both the Econazole Nitrate Topical Foam, 1% and vehicle arms."],"carcinogenesis_and_mutagenesis_and_impairment_of_fertility":["13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility Long-term animal studies to determine the carcinogenic potential of Econazole Nitrate Topical Foam, 1% have not been performed. Oral administration of econazole nitrate in rats has been reported to produce prolonged gestation."],"clinical_pharmacology":["12 CLINICAL PHARMACOLOGY 12.1 Mechanism of Action Econazole Nitrate Topical Foam, 1% is an azole antifungal [ see Clinical Pharmacology (12.4) ] . 12.2 Pharmacodynamics The pharmacodynamics of Econazole Nitrate Topical Foam, 1% have not been established . 12.3 Pharmacokinetics The systemic absorption of Econazole Nitrate Topical Foam, 1% following topical application was studied in one clinical trial in adults and one clinical study in pediatric subjects. In the adult trial, 19 subjects (male and female) with tinea pedis applied Econazole Nitrate Topical Foam, 1% once daily for 29 days. Subjects applied a mean daily amount of 2.4 g of Econazole Nitrate Topical Foam, 1% to soles, toes, interdigital spaces and tops of both feet up to the ankles. Blood samples were obtained on Day 29 at pre-dose and 1, 2, 4, 6, 8, and 12 hours after application. Results (mean ± SD) showed the time to reach peak plasma concentrations (T max ) was 6.8 ± 5.1 h with maximum concentration (C max ) of 417 ± 218 pg/ml. The area under the concentration time curve for the first 12 hours post application on Day 29 (AUC (0-12) ) was 3440 ± 1920 pg-h/ml. In the pediatric trial, 18 subjects (male and female ages 12 - 17) with interdigital tinea pedis and positive fungal cultures were treated with Econazole Nitrate Topical Foam, 1% once daily for 4 weeks. Subjects applied a mean daily amount of 3.2 g of Econazole Nitrate Topical Foam, 1% to soles, toes, interdigital spaces and tops of both feet up to the ankles. Blood samples were obtained on Day 28 at pre-dose and 7 h and 11 h post-dose. The mean ± SD econazole plasma concentration was 397 ± 289, 534 ± 745 and 575 ± 638 pg/mL at pre-dose and 7 h and 11 h post-dose, respectively. 12.4 Microbiology Mechanism of Action Econazole nitrate, an azole antifungal agent, inhibits fungal cytochrome P-450-mediated 14 alpha-lanosterol demethylase enzyme. This enzyme functions to convert lanosterol to ergosterol. The accumulation of 14 alpha-methyl sterols correlates with the subsequent loss of ergosterol in the fungal cell wall and may be responsible for the fungistatic activity of econazole. Mammalian cell demethylation is less sensitive to econazole inhibition. Activity in vitro and in clinical infections Econazole nitrate has been shown to be active against most strains of the following microorganisms, both in vitro and in clinical infections [ see Indications and Usage (1) ]. Trichophyton rubrum Epidermophyton floccosum Trichophyton mentagrophytes"],"clinical_studies":["14 CLINICAL STUDIES In two multi-center, randomized, double-blind, vehicle-controlled clinical trials a total of 505 subjects with interdigital tinea pedis were randomized 1:1 to Econazole Nitrate Topical Foam, 1% or vehicle; subjects applied the assigned medication once daily for 4 weeks. The severity of erythema, scaling, fissuring, maceration, vesiculation, and pruritus were graded using a 4-point scale (none, mild, moderate, severe). Subjects had KOH examination and fungal cultures taken to confirm eligibility. A total of 339 subjects with positive fungal cultures were evaluated for efficacy. Efficacy was evaluated on Day 43, 2 weeks post-treatment with treatment success being defined as complete cure (negative KOH and fungal culture and no evidence of clinical disease). The study population ranged in age from 12 to 71 years with 3 subjects less than 18 years of age at baseline. The subjects were 71% male and 52% Caucasian. Table 1 presents the efficacy results for each trial. Table 1: Efficacy Results at Two Weeks Post-treatment (Day 43) Complete Cure, Effective Treatment and Mycological Cure Trial 1 Trial 2 Econazole Nitrate Topical Foam, 1% N = 82 n(%) Foam Vehicle N = 83 n(%) Econazole Nitrate Topical Foam, 1% N = 91 n(%) Foam Vehicle N = 83 n(%) Complete cure Mycological cure and an absence of clinical signs and symptoms (erythema, scaling, fissuring, maceration, vesiculation, or pruritus). 19 (23.2%) 2 (2.4%) 23 (25.3%) 4 (4.8%) Effective treatment Mycological cure and no or mild erythema and/or scaling with all other signs and symptoms absent. 40 (48.8%) 9 (10.8%) 44 (48.4%) 9 (10.8%) Mycological cure Negative KOH and fungal culture. 56 (68.3%) 13 (15.7%) 61 (67.0%) 15 (18.1%)"],"clinical_studies_table":["<table width=\"85%\"> <caption>Table 1: Efficacy Results at Two Weeks Post-treatment (Day 43) Complete Cure, Effective Treatment and Mycological Cure</caption> <col align=\"center\" valign=\"middle\" width=\"26%\"/> <col align=\"center\" valign=\"middle\" width=\"21%\"/> <col align=\"center\" valign=\"middle\" width=\"16%\"/> <col align=\"center\" valign=\"middle\" width=\"21%\"/> <col align=\"center\" valign=\"middle\" width=\"16%\"/> <thead> <tr styleCode=\"Botrule\"> <th styleCode=\"Rrule Lrule\"/> <th colspan=\"2\" styleCode=\"Rrule\">Trial 1</th> <th colspan=\"2\" styleCode=\"Rrule\">Trial 2</th> </tr> <tr> <th styleCode=\"Rrule Lrule\"/> <th styleCode=\"Rrule\">Econazole Nitrate Topical Foam, 1% N = 82 n(%)</th> <th styleCode=\"Rrule\">Foam Vehicle N = 83 n(%)</th> <th styleCode=\"Rrule\">Econazole Nitrate Topical Foam, 1% N = 91 n(%)</th> <th styleCode=\"Rrule\">Foam Vehicle N = 83 n(%)</th> </tr> </thead> <tbody> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">Complete cure<footnote>Mycological cure and an absence of clinical signs and symptoms (erythema, scaling, fissuring, maceration, vesiculation, or pruritus).</footnote> </content> </td> <td styleCode=\"Rrule\">19 (23.2%)</td> <td styleCode=\"Rrule\">2 (2.4%)</td> <td styleCode=\"Rrule\">23 (25.3%)</td> <td styleCode=\"Rrule\">4 (4.8%)</td> </tr> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">Effective treatment<footnote>Mycological cure and no or mild erythema and/or scaling with all other signs and symptoms absent. </footnote> </content> </td> <td styleCode=\"Rrule\">40 (48.8%)</td> <td styleCode=\"Rrule\">9 (10.8%)</td> <td styleCode=\"Rrule\">44 (48.4%)</td> <td styleCode=\"Rrule\">9 (10.8%)</td> </tr> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">Mycological cure<footnote>Negative KOH and fungal culture.</footnote> </content> </td> <td styleCode=\"Rrule\">56 (68.3%)</td> <td styleCode=\"Rrule\">13 (15.7%)</td> <td styleCode=\"Rrule\">61 (67.0%)</td> <td styleCode=\"Rrule\">15 (18.1%)</td> </tr> </tbody> </table>"],"contraindications":["4 CONTRAINDICATIONS None. None. ( 4 )"],"description":["11 DESCRIPTION Econazole Nitrate Topical Foam, 1% contains the azole antifungal agent, econazole nitrate in an oil-in-water emulsion base consisting of the following inactive ingredients: dimethicone, glycerin, polysorbate 20, povidone, propylene glycol, stearic acid, trolamine, purified water and butane as a propellant. Each gram of Econazole Nitrate Topical Foam, 1% contains 10 mg of econazole nitrate, USP, in a white to off-white foam. Econazole Nitrate Topical Foam, 1% is alcohol (ethanol)-free and for topical use only. Chemically, econazole nitrate is 1-[2-{(4-chloro-phenyl)methoxy}-2-(2,4-dichlorophenyl)ethyl]-1H-imidazole mononitrate. Econazole nitrate has the molecular formula C 18 H 15 Cl 3 N 2 O.HNO 3 and a molecular weight of 444.70. Its molecular structure is as follows: chem structure"],"dosage_and_administration":["2 DOSAGE AND ADMINISTRATION Econazole Nitrate Topical Foam, 1% is for topical use only. Econazole Nitrate Topical Foam, 1% is not for oral, ophthalmic, or intravaginal use. Econazole Nitrate Topical Foam, 1% should be applied to cover affected areas once daily for 4 weeks. For topical use only; not for oral, ophthalmic, or intravaginal use. ( 2 ) Apply once daily for 4 weeks. ( 2 )"],"dosage_forms_and_strengths":["3 DOSAGE FORMS AND STRENGTHS Foam, 1%. Each gram of Econazole Nitrate Topical Foam, 1%, contains 10 mg of econazole nitrate in a white to off-white foam. Foam, 1%. ( 3 )"],"drug_interactions":["7 DRUG INTERACTIONS 7.1 Warfarin Concomitant administration of econazole and warfarin has resulted in enhancement of anticoagulant effect. Most cases reported product application with use under occlusion, genital application, or application to a large body surface area which may increase the systemic absorption of econazole nitrate. Monitoring of International Normalized Ratio (INR) and/or prothrombin time may be indicated especially for patients who apply econazole to large body surface areas, in the genital area, or under occlusion."],"effective_time":"20160719","geriatric_use":["8.5 Geriatric Use Of the 173 subjects treated with Econazole Nitrate Topical Foam, 1% in the adult clinical trials, 6 subjects were 65 years or older. No overall differences in safety or effectiveness were observed between these subjects and younger subjects."],"how_supplied":["16 HOW SUPPLIED/ STORAGE AND HANDLING Econazole Nitrate Topical Foam, 1% is white to off-white foam supplied in 70 g (NDC 70700-100-70) aluminum pressurized canister. Store at controlled room temperature 20°C to 25°C (68°F to 77°F) with excursions permitted between 15°C and 30°C (59°F and 86°F). Do not refrigerate or freeze. Econazole Nitrate Topical Foam, 1% is flammable. Avoid heat, flame, and smoking during and immediately following application. Contents under pressure. Do not puncture and/or incinerate the containers. Do not expose containers to heat and/or store at temperatures above 120°F (49°C) even when empty. Do not store in direct sunlight."],"id":"edd0a5f8-51d9-95e9-874a-be6b9ca78d4f","indications_and_usage":["1 INDICATIONS AND USAGE Econazole Nitrate Topical Foam, 1%, is indicated for the treatment of interdigital tinea pedis caused by Trichophyton rubrum, Trichophyton mentagrophytes, and Epidermophyton floccosum in patients 12 years of age and older. Econazole Nitrate Topical Foam, 1% is an azole antifungal indicated for the treatment of interdigital tinea pedis caused by Trichophyton rubrum, Trichophyton mentagrophytes , and Epidermophyton floccosum in patients 12 years of age and older. ( 1 )"],"information_for_patients":["17 PATIENT COUNSELING INFORMATION See FDA-approved patient labeling (Patient Information) The patient should be instructed as follows: Inform patients that Econazole Nitrate Topical Foam, 1% is for topical use only. Econazole Nitrate Topical Foam, 1% is not intended for oral, intravaginal, or ophthalmic use. Econazole Nitrate Topical Foam, 1% is flammable; avoid heat, flame, and smoking during and immediately following application. If a reaction suggesting sensitivity or chemical irritation develops with the use of Econazole Nitrate Topical Foam, 1%, use of the medication should be discontinued."],"instructions_for_use":["Instructions for Use Econazole Nitrate Topical Foam, 1% Important information: Econazole Nitrate Topical Foam, 1% is for use on skin only. Do not use Econazole Nitrate Topical Foam, 1% in your eyes or vagina. Parts of Econazole Nitrate Topical Foam, 1% Canister. (See Figure A) Figure A How to apply Econazole Nitrate Topical Foam, 1% : Step 1: Before you apply Econazole Nitrate Topical Foam, 1% , shake the Econazole Nitrate Topical Foam, 1% canister for about 5 seconds. Step 2: Remove the cap and turn the Econazole Nitrate Topical Foam, 1% canister upside down over the palm of your hand. Step 3: Press down firmly on the actuator until there is a small amount of foam about the size of a golf ball in the palm of your hand. (See Figures B and C ) Figure B Figure C Step 4: Use your finger-tips to scoop up small amounts of Econazole Nitrate Topical Foam, 1% and apply to the affected skin areas on your feet. Gently rub the foam into the skin. (See Figure D ) Figure D Step 5: You should apply Econazole Nitrate Topical Foam, 1% to your toes, to the spaces between your toes, and to the surrounding areas 1 time a day for 4 weeks or as prescribed by your doctor. Step 6: Replace the cap. Wash your hands after applying Econazole Nitrate Topical Foam, 1% . How should I store Econazole Nitrate Topical Foam, 1% ? Store Econazole Nitrate Topical Foam, 1% at room temperature, between 68°F to 77°F (20°C to 25°C). Do not refrigerate or freeze Econazole Nitrate Topical Foam, 1% . Do not store Econazole Nitrate Topical Foam, 1% in direct sunlight. Econazole Nitrate Topical Foam, 1% is flammable. Keep the Econazole Nitrate Topical Foam, 1% canister away from heat and temperatures above 120°F (49°C), even if the canister is empty. Do not puncture or burn the Econazole Nitrate Topical Foam, 1% canister. Keep Econazole Nitrate Topical Foam, 1% and all medicines out of the reach of children. This Instructions for Use has been approved by the U.S. Food and Drug Administration. Distributed by Xiromed, LLC, Florham Park, NJ 07932 Issued: 09/2016 PIL-100-00 figure A figure b figure c Figure d"],"instructions_for_use_table":["<table width=\"85%\"> <col align=\"left\" valign=\"top\" width=\"100%\"/> <tbody> <tr styleCode=\"Botrule\"> <td styleCode=\"Toprule Lrule Rrule\"> <content styleCode=\"bold\">Important information: <content styleCode=\"bold\">Econazole Nitrate Topical Foam, 1%</content> is for use on skin only. </content>Do not use <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> in your eyes or vagina.</td> </tr> </tbody> </table>","<table styleCode=\"Noautorules\" width=\"100%\"> <col align=\"left\" valign=\"top\" width=\"10%\"/> <col align=\"left\" valign=\"top\" width=\"90%\"/> <tbody> <tr> <td> <content styleCode=\"bold\">Step 1:</content> </td> <td>Before you apply <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content>, shake the <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> canister for about 5 seconds.</td> </tr> <tr> <td> <content styleCode=\"bold\">Step 2:</content> </td> <td>Remove the cap and turn the <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> canister upside down over the palm of your hand.</td> </tr> <tr> <td> <content styleCode=\"bold\">Step 3:</content> </td> <td>Press down firmly on the actuator until there is a small amount of foam about the size of a golf ball in the palm of your hand. <content styleCode=\"bold\">(See <linkHtml href=\"#figb\">Figures B</linkHtml> and <linkHtml href=\"#figc\">C</linkHtml>)</content> </td> </tr> </tbody> </table>","<table styleCode=\"Noautorules\" width=\"90%\"> <col align=\"center\" valign=\"top\" width=\"35%\"/> <col align=\"center\" valign=\"top\" width=\"35%\"/> <col align=\"center\" valign=\"top\" width=\"30%\"/> <tbody> <tr> <td> <renderMultiMedia ID=\"figb\" referencedObject=\"MM3\"/> </td> <td> <renderMultiMedia ID=\"figc\" referencedObject=\"MM4\"/> </td> <td/> </tr> <tr> <td> <content styleCode=\"bold\">Figure B</content> </td> <td> <content styleCode=\"bold\">Figure C</content> </td> <td/> </tr> </tbody> </table>","<table styleCode=\"Noautorules\" width=\"100%\"> <col align=\"left\" valign=\"top\" width=\"10%\"/> <col align=\"left\" valign=\"top\" width=\"90%\"/> <tbody> <tr> <td> <content styleCode=\"bold\">Step 4:</content> </td> <td>Use your finger-tips to scoop up small amounts of <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> and apply to the affected skin areas on your feet. Gently rub the foam into the skin. <content styleCode=\"bold\">(See <linkHtml href=\"#figd\">Figure D</linkHtml>)</content> </td> </tr> <tr> <td colspan=\"2\"> <paragraph> <renderMultiMedia ID=\"figd\" referencedObject=\"MM5\"/>   <content styleCode=\"bold\">Figure D</content> </paragraph> </td> </tr> <tr> <td> <content styleCode=\"bold\">Step 5:</content> </td> <td>You should apply <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> to your toes, to the spaces between your toes, and to the surrounding areas 1 time a day for 4 weeks or as prescribed by your doctor.</td> </tr> <tr> <td> <content styleCode=\"bold\">Step 6:</content> </td> <td>Replace the cap. Wash your hands after applying <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content>.</td> </tr> </tbody> </table>"],"mechanism_of_action":["12.1 Mechanism of Action Econazole Nitrate Topical Foam, 1% is an azole antifungal [ see Clinical Pharmacology (12.4) ] ."],"microbiology":["12.4 Microbiology Mechanism of Action Econazole nitrate, an azole antifungal agent, inhibits fungal cytochrome P-450-mediated 14 alpha-lanosterol demethylase enzyme. This enzyme functions to convert lanosterol to ergosterol. The accumulation of 14 alpha-methyl sterols correlates with the subsequent loss of ergosterol in the fungal cell wall and may be responsible for the fungistatic activity of econazole. Mammalian cell demethylation is less sensitive to econazole inhibition. Activity in vitro and in clinical infections Econazole nitrate has been shown to be active against most strains of the following microorganisms, both in vitro and in clinical infections [ see Indications and Usage (1) ]. Trichophyton rubrum Epidermophyton floccosum Trichophyton mentagrophytes"],"nonclinical_toxicology":["13 NONCLINICAL TOXICOLOGY 13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility Long-term animal studies to determine the carcinogenic potential of Econazole Nitrate Topical Foam, 1% have not been performed. Oral administration of econazole nitrate in rats has been reported to produce prolonged gestation."],"nursing_mothers":["8.3 Nursing Mothers It is not known whether econazole nitrate is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when econazole nitrate is administered to a nursing woman. Following oral administration of econazole nitrate to lactating rats, econazole and/or metabolites were excreted in milk and were found in nursing pups."],"openfda":{},"package_label_principal_display_panel":["PRINCIPAL DISPLAY PANEL - 70 g Can Label NDC 70700- 100 -07 Econazole Nitrate Topical Foam, 1% For Topical Use Only Not for ophthalmic, oral or intravaginal use. Keep Out of Reach of Children Rx Only Net Wt 70g PRINCIPAL DISPLAY PANEL - 70 g Can Label","PRINCIPAL DISPLAY PANEL - 70 g Canister Carton NDC 70700- 100 -70 Econazole Nitrate Topical Foam, 1% For Topical Use Only Not for ophthalmic, oral or intravaginal use. Keep Out of Reach of Children Rx Only Net Wt 70g PRINCIPAL DISPLAY PANEL - 70 g Canister Carton"],"pediatric_use":["8.4 Pediatric Use Of the 173 subjects treated with Econazole Nitrate Topical Foam, 1% in the clinical trials, 2 subjects were 12-17 years old. In a pediatric maximal use trial, Econazole Nitrate Topical Foam, 1% was applied once daily to eighteen subjects aged 12 to 17 years with interdigital tinea pedis for 28 days [ see Clinical Pharmacology (12.3) ]. The safety findings for subjects 12 to 17 years were similar to those in adult population."],"pharmacodynamics":["12.2 Pharmacodynamics The pharmacodynamics of Econazole Nitrate Topical Foam, 1% have not been established ."],"pharmacokinetics":["12.3 Pharmacokinetics The systemic absorption of Econazole Nitrate Topical Foam, 1% following topical application was studied in one clinical trial in adults and one clinical study in pediatric subjects. In the adult trial, 19 subjects (male and female) with tinea pedis applied Econazole Nitrate Topical Foam, 1% once daily for 29 days. Subjects applied a mean daily amount of 2.4 g of Econazole Nitrate Topical Foam, 1% to soles, toes, interdigital spaces and tops of both feet up to the ankles. Blood samples were obtained on Day 29 at pre-dose and 1, 2, 4, 6, 8, and 12 hours after application. Results (mean ± SD) showed the time to reach peak plasma concentrations (T max ) was 6.8 ± 5.1 h with maximum concentration (C max ) of 417 ± 218 pg/ml. The area under the concentration time curve for the first 12 hours post application on Day 29 (AUC (0-12) ) was 3440 ± 1920 pg-h/ml. In the pediatric trial, 18 subjects (male and female ages 12 - 17) with interdigital tinea pedis and positive fungal cultures were treated with Econazole Nitrate Topical Foam, 1% once daily for 4 weeks. Subjects applied a mean daily amount of 3.2 g of Econazole Nitrate Topical Foam, 1% to soles, toes, interdigital spaces and tops of both feet up to the ankles. Blood samples were obtained on Day 28 at pre-dose and 7 h and 11 h post-dose. The mean ± SD econazole plasma concentration was 397 ± 289, 534 ± 745 and 575 ± 638 pg/mL at pre-dose and 7 h and 11 h post-dose, respectively."],"pregnancy":["8.1 Pregnancy Pregnancy Category C There are no adequate and well-controlled trials with Econazole Nitrate Topical Foam, 1% in pregnant women. Econazole Nitrate Topical Foam, 1% should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Econazole nitrate has not been shown to be teratogenic when administered orally to mice, rabbits or rats. Fetotoxic or embryotoxic effects were observed in Segment I oral studies with rats receiving 10 to 40 times the human dermal dose. Similar effects were observed in Segment II or Segment III studies with mice, rabbits and/or rats receiving oral doses 80 or 40 times the human dermal dose."],"set_id":"5861b5c0-e690-0c5f-a4ac-678085a4f66a","spl_patient_package_insert":["Patient Information Econazole Nitrate Topical Foam, 1 % Important information: Econazole Nitrate Topical Foam, 1% is for use on skin only. Do not use Econazole Nitrate Topical Foam, 1% in your eyes or vagina. What is Econazole Nitrate Topical Foam, 1%? Econazole Nitrate Topical Foam, 1% is a prescription medicine used on the skin (topical) to treat athlete's foot that is between the toes (interdigital tinea pedis) in people 12 years of age and older. What should I tell my doctor before using Econazole Nitrate Topical Foam, 1%? Before using Econazole Nitrate Topical Foam, 1%, tell your doctor about all of your medical conditions, including if you: are pregnant or plan to become pregnant. It is not known if Econazole Nitrate Topical Foam, 1% will harm your unborn baby. are breastfeeding or plan to breastfeed. It is not known if Econazole Nitrate Topical Foam, 1% passes into your breast milk. Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. How should I use Econazole Nitrate Topical Foam, 1% ? See the detailed Instructions for Use for information about how to use Econazole Nitrate Topical Foam, 1% . Use Econazole Nitrate Topical Foam, 1% exactly as your doctor tells you to use it. Apply Econazole Nitrate Topical Foam, 1% to the affected skin areas of your feet 1 time a day for 4 weeks. If Econazole Nitrate Topical Foam, 1% gets in or near your eyes, rinse them well with water. Wash your hands after you apply Econazole Nitrate Topical Foam, 1% . What should I avoid while using Econazole Nitrate Topical Foam, 1% ? Econazole Nitrate Topical Foam, 1% is flammable. Avoid heat, flame and smoking while applying and right after you apply Econazole Nitrate Topical Foam, 1% to your skin. What are the possible side effects of Econazole Nitrate Topical Foam, 1% ? Econazole Nitrate Topical Foam, 1% may cause skin reactions at the treatment site. Tell your doctor if you have any skin reactions on the areas of your skin treated with Econazole Nitrate Topical Foam, 1% . These are not all the possible side effects of Econazole Nitrate Topical Foam, 1% . Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. How should I store Econazole Nitrate Topical Foam, 1% ? Store Econazole Nitrate Topical Foam, 1% at room temperature, between 68°F to 77°F (20°C to 25°C). Do not refrigerate or freeze Econazole Nitrate Topical Foam, 1% . Do not store Econazole Nitrate Topical Foam, 1% in direct sunlight. Econazole Nitrate Topical Foam, 1% is flammable. Keep the Econazole Nitrate Topical Foam, 1% canister away from heat and temperatures above 120°F (49°C), even if the canister is empty. Do not puncture or burn the Econazole Nitrate Topical Foam, 1% canister. Keep Econazole Nitrate Topical Foam, 1% and all medicines out of the reach of children. General information about the safe and effective use of Econazole Nitrate Topical Foam, 1% Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. You can ask your doctor or pharmacist for information about Econazole Nitrate Topical Foam, 1% that is written for health professionals. Do not use Econazole Nitrate Topical Foam, 1% for a condition for which it was not prescribed. Do not give Econazole Nitrate Topical Foam, 1% to other people, even if they have the same symptoms that you have. It may harm them. What are the ingredients in Econazole Nitrate Topical Foam, 1% ? Active ingredient: econazole nitrate, USP Inactive Ingredients: dimethicone, glycerin, polysorbate 20, povidone, propylene glycol, stearic acid, trolamine, purified water and butane as a propellant. Distributed by Xiromed, LLC, Florham Park, NJ 07932 For more information call Xiromed, LLC. at 844-XIROMED (844-947-6633). This Patient Information has been approved by the U.S. Food and Drug Administration. Issued: 09/2016"],"spl_patient_package_insert_table":["<table width=\"90%\"> <col align=\"left\" valign=\"top\" width=\"100%\"/> <thead> <tr> <th align=\"center\" styleCode=\"Rrule Lrule\">Patient Information Econazole Nitrate Topical Foam, 1 %</th> </tr> </thead> <tbody> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">Important information: Econazole Nitrate Topical Foam, 1% is for use on skin only. </content>Do not use Econazole Nitrate Topical Foam, 1% in your eyes or vagina.</td> </tr> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">What is Econazole Nitrate Topical Foam, 1%? </content>  Econazole Nitrate Topical Foam, 1% is a prescription medicine used on the skin (topical) to treat athlete&apos;s foot that is between the toes (interdigital tinea pedis) in people 12 years of age and older.</td> </tr> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">What should I tell my doctor before using Econazole Nitrate Topical Foam, 1%?</content>  Before using Econazole Nitrate Topical Foam, 1%, tell your doctor about all of your medical conditions, including if you: <list listType=\"unordered\" styleCode=\"disc\"> <item>are pregnant or plan to become pregnant. It is not known if <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> will harm your unborn baby. </item> <item>are breastfeeding or plan to breastfeed. It is not known if <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> passes into your breast milk.</item> </list>   <content styleCode=\"bold\">Tell your doctor about all the medicines you take,</content> including prescription and over-the-counter medicines, vitamins, and herbal supplements.</td> </tr> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">How should I use <content styleCode=\"bold\">Econazole Nitrate Topical Foam, 1%</content>?</content>  See <linkHtml href=\"#IU\">the detailed Instructions for Use</linkHtml> for information about how to use <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content>. <list listType=\"unordered\" styleCode=\"disc\"> <item>Use <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> exactly as your doctor tells you to use it. </item> <item>Apply <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> to the affected skin areas of your feet 1 time a day for 4 weeks.</item> <item>If <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> gets in or near your eyes, rinse them well with water. </item> <item>Wash your hands after you apply <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content>.</item> </list> </td> </tr> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">What should I avoid while using <content styleCode=\"bold\">Econazole Nitrate Topical Foam, 1%</content>?</content> <list listType=\"unordered\" styleCode=\"disc\"> <item> <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> is flammable. Avoid heat, flame and smoking while applying and right after you apply <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> to your skin.</item> </list> </td> </tr> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">What are the possible side effects of <content styleCode=\"bold\">Econazole Nitrate Topical Foam, 1%</content>? </content>   <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> may cause skin reactions at the treatment site. Tell your doctor if you have any skin reactions on the areas of your skin treated with <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content>. These are not all the possible side effects of <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content>. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.</td> </tr> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">How should I store <content styleCode=\"bold\">Econazole Nitrate Topical Foam, 1%</content>? </content> <list listType=\"unordered\" styleCode=\"disc\"> <item>Store <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> at room temperature, between 68&#xB0;F to 77&#xB0;F (20&#xB0;C to 25&#xB0;C).</item> <item>Do not refrigerate or freeze <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content>.</item> <item>Do not store <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> in direct sunlight.</item> <item> <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> is flammable. Keep the <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> canister away from heat and temperatures above 120&#xB0;F (49&#xB0;C), even if the canister is empty.</item> <item>Do not puncture or burn the <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> canister.</item> </list>   <content styleCode=\"bold\">Keep <content styleCode=\"bold\">Econazole Nitrate Topical Foam, 1%</content> and all medicines out of the reach of children.</content> </td> </tr> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">General information about the safe and effective use of <content styleCode=\"bold\">Econazole Nitrate Topical Foam, 1%</content> </content>  Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. You can ask your doctor or pharmacist for information about <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> that is written for health professionals. Do not use <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> for a condition for which it was not prescribed. Do not give <content styleCode=\"none\">Econazole Nitrate Topical Foam, 1%</content> to other people, even if they have the same symptoms that you have. It may harm them.</td> </tr> <tr styleCode=\"Botrule\"> <td styleCode=\"Rrule Lrule\"> <content styleCode=\"bold\">What are the ingredients in <content styleCode=\"bold\">Econazole Nitrate Topical Foam, 1%</content>? </content>   <content styleCode=\"bold\">Active ingredient: </content>econazole nitrate, USP  <content styleCode=\"bold\">Inactive Ingredients: </content>dimethicone, glycerin, polysorbate 20, povidone, propylene glycol, stearic acid, trolamine, purified water and butane as a propellant. Distributed by Xiromed, LLC, Florham Park, NJ 07932 For more information call Xiromed, LLC. at 844-XIROMED (844-947-6633). This Patient Information has been approved by the U.S. Food and Drug Administration. Issued: 09/2016</td> </tr> </tbody> </table>"],"spl_product_data_elements":["Econazole Nitrate Topical Foam, 1% Econazole Nitrate Topical Foam, 1% ECONAZOLE NITRATE ECONAZOLE DIMETHICONE GLYCERIN POLYSORBATE 20 POVIDONE K29/32 PROPYLENE GLYCOL STEARIC ACID TROLAMINE WATER BUTANE white to off-white Proderm Technology - Logo"],"spl_unclassified_section":["Distrubuted by Xiromed, LLC Florham Park, NJ 07932 U.S, Patent 5,993,830 Issued: 09/2016 PI100-00"],"storage_and_handling":["Store at controlled room temperature 20°C to 25°C (68°F to 77°F) with excursions permitted between 15°C and 30°C (59°F and 86°F). Do not refrigerate or freeze. Econazole Nitrate Topical Foam, 1% is flammable. Avoid heat, flame, and smoking during and immediately following application. Contents under pressure. Do not puncture and/or incinerate the containers. Do not expose containers to heat and/or store at temperatures above 120°F (49°C) even when empty. Do not store in direct sunlight."],"teratogenic_effects":["Pregnancy Category C There are no adequate and well-controlled trials with Econazole Nitrate Topical Foam, 1% in pregnant women. Econazole Nitrate Topical Foam, 1% should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Econazole nitrate has not been shown to be teratogenic when administered orally to mice, rabbits or rats. Fetotoxic or embryotoxic effects were observed in Segment I oral studies with rats receiving 10 to 40 times the human dermal dose. Similar effects were observed in Segment II or Segment III studies with mice, rabbits and/or rats receiving oral doses 80 or 40 times the human dermal dose."],"use_in_specific_populations":["8 USE IN SPECIFIC POPULATIONS 8.1 Pregnancy Pregnancy Category C There are no adequate and well-controlled trials with Econazole Nitrate Topical Foam, 1% in pregnant women. Econazole Nitrate Topical Foam, 1% should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Econazole nitrate has not been shown to be teratogenic when administered orally to mice, rabbits or rats. Fetotoxic or embryotoxic effects were observed in Segment I oral studies with rats receiving 10 to 40 times the human dermal dose. Similar effects were observed in Segment II or Segment III studies with mice, rabbits and/or rats receiving oral doses 80 or 40 times the human dermal dose. 8.3 Nursing Mothers It is not known whether econazole nitrate is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when econazole nitrate is administered to a nursing woman. Following oral administration of econazole nitrate to lactating rats, econazole and/or metabolites were excreted in milk and were found in nursing pups. 8.4 Pediatric Use Of the 173 subjects treated with Econazole Nitrate Topical Foam, 1% in the clinical trials, 2 subjects were 12-17 years old. In a pediatric maximal use trial, Econazole Nitrate Topical Foam, 1% was applied once daily to eighteen subjects aged 12 to 17 years with interdigital tinea pedis for 28 days [ see Clinical Pharmacology (12.3) ]. The safety findings for subjects 12 to 17 years were similar to those in adult population. 8.5 Geriatric Use Of the 173 subjects treated with Econazole Nitrate Topical Foam, 1% in the adult clinical trials, 6 subjects were 65 years or older. No overall differences in safety or effectiveness were observed between these subjects and younger subjects."],"version":"7","warnings_and_cautions":["5 WARNINGS AND PRECAUTIONS Contents are flammable. Instruct the patient to avoid heat, flame, and/or smoking during and immediately following application. ( 5.1 ) 5.1 Flammability Econazole Nitrate Topical Foam, 1% is flammable. Avoid heat, flame, and smoking during and immediately following application. Contents under pressure. Do not puncture and/or incinerate the containers. Do not expose containers to heat and/or store at temperatures above 120°F (49°C) even when empty. Do not store in direct sunlight."]}