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griseofulvin

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Brand names: Grifulvin V

Antifungal Rx

Griseofulvin is an antifungal medicine. It treats fungal infections of the skin, hair, and nails.

Drug Pricing (NADAC)

Generic Price

$0.33/unit

Generic Available

Yes (7 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

This medicine treats fungal infections called dermatophyte infections.

Common side effects

Headache, Nausea, Vomiting

Key warnings

Griseofulvin can cause liver problems.

How It Works

Griseofulvin stops fungi from growing and multiplying. It binds to a protein in the fungi. This disrupts the fungi's cell structure and prevents it from spreading.

How to Take It

Take this medicine exactly as your doctor tells you. The usual adult dose is 0.5 grams daily, taken as 125 mg four times a day, 250 mg twice a day, or 500 mg once a day. Children's doses are based on weight. Keep taking the medicine until the infection is completely gone, even if you feel better.

Pregnancy & Breastfeeding

Do not take this medicine if you are pregnant. It can cause harm to your unborn baby. Talk to your doctor about birth control options if you are a woman who could become pregnant.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store this medicine at room temperature, between 68° to 77°F (20° to 25°C).

Side Effects (from patient reports)

Based on 136 FDA adverse event reports.

The medicine is not working
39
Headache
15
Using the medicine for a condition it's not approved for
12
Fever
11
Skin rash
11
Diarrhea
10
Allergic reaction to the medicine
10
The infection is resistant to the medicine
10
Severe allergic reaction with organ involvement
9
The medicine is no longer effective
9

FDA Adverse Event Report Analysis

Detailed analysis of 278 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

278

Death-Related Reports

15

Hospitalization Reports

94

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 107 (44%)
Male 135 (56%)

Age Distribution

0–17 55
18–44 56
45–64 44
65–74 25
75+ 9

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG INEFFECTIVE 38
2 HEADACHE 15
3 OFF LABEL USE 12
4 PYREXIA 11
5 RASH 11
6 DIARRHOEA 10
7 DRUG HYPERSENSITIVITY 10
8 PATHOGEN RESISTANCE 10
9 DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS 9
10 DRUG RESISTANCE 9
11 PAIN 9
12 DELIRIUM 8
13 DIZZINESS 8
14 DRUG INTERACTION 8
15 LINEAR IGA DISEASE 8

Reactions in Death Reports

DEATH 6
CEREBELLAR INFARCTION 3
CEREBRAL TOXOPLASMOSIS 3
DIARRHOEA 3
ORAL CANDIDIASIS 3
DRUG INEFFECTIVE 2
DYSPNOEA 2
MENINGITIS 2
ABSCESS FUNGAL 1
ACUTE RESPIRATORY DISTRESS SYNDROME 1

Reactions in Hospitalization Reports

DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS 9
DELIRIUM 8
DRUG INTERACTION 8
DIARRHOEA 7
LINEAR IGA DISEASE 7
PAIN 7
ERYTHEMA MULTIFORME 6
ACUTE KIDNEY INJURY 5
DRUG INEFFECTIVE 5
OEDEMA PERIPHERAL 5

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Griseofulvin can cause liver problems. If you have liver failure or a history of sensitivity to griseofulvin, you should not take this medicine. Do not take this medicine if you have porphyria. Griseofulvin can harm an unborn baby, so do not take it if you are pregnant or could become pregnant.

Known Drug Interactions

Griseofulvin decreases the activity of warfarin-type anticoagulants, so that patients receiving these drugs concomitantly may require dosage adjustment of the anticoagulant during and after griseofulvin therapy.

Mechanism: Griseofulvin makes warfarin less effective by helping the body get rid of it faster.

What to do: Your doctor may need to change your warfarin dose during and after your treatment with this medicine.

Cyclosporine levels may be reduced when administered concomitantly with griseofulvin, resulting in a decrease in the pharmacologic effects of cyclosporine.

Mechanism: Griseofulvin lowers the amount of cyclosporine in your blood, which can make the medicine work less well.

What to do: Your doctor may need to adjust your cyclosporine dose to make sure it stays at the right level.

Some drugs or herbal products that may decrease the effectiveness of hormonal contraceptives include phenytoin, barbiturates, carbamazepine, bosentan, felbamate, griseofulvin, oxcarbazepine, rifampin, topiramate and products containing St.

Mechanism: Griseofulvin causes your body to get rid of birth control hormones more quickly than it should. This can make your birth control fail to prevent pregnancy.

What to do: Use a backup birth control method, like condoms, while taking this medicine. Discuss your contraceptive options with your healthcare provider.

Examples Aprepitant, barbiturates, bosentan, carbamazepine, efavirenz, felbamate, griseofulvin, oxcarbazepine, phenytoin, rifampin, rifabutin, rufinamide, topiramate, products containing St.

Mechanism: Griseofulvin speeds up how fast your body gets rid of estradiol, which can make the hormone therapy less effective.

What to do: Talk to your doctor about monitoring your symptoms or adjusting your medication while taking this antifungal drug.

Some drugs or herbal products that may decrease the effectiveness of hormonal contraceptives include: phenytoin, barbiturates, carbamazepine, bosentan, felbamate, griseofulvin, oxcarbazepine, rifampicin, topiramate, rifabutin, rufinamide, aprepitant, and products containing St.

Mechanism: Griseofulvin causes your body to process birth control hormones faster, which can make the birth control less effective at preventing pregnancy.

What to do: Use a backup method of birth control, such as condoms, while taking this medication.

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Common Questions

How long will I need to take this medicine?
You may need to take this medicine for several weeks or months. For scalp infections, it's usually 4-6 weeks. For nail infections, it can be at least 4 months for fingernails and 6 months for toenails.
Can I drink alcohol while taking this medicine?
No. Drinking alcohol while taking griseofulvin can cause nausea, vomiting, flushing, fast heart rate, and low blood pressure.
Will this medicine affect my birth control?
Yes, this medicine can make birth control pills less effective. Use another form of birth control while taking this medicine.
What should I do if I get a rash while taking this medicine?
Stop taking the medicine and call your doctor right away. A rash could be a sign of an allergic reaction.
Can I take this medicine if I have kidney problems?
Talk to your doctor before taking this medicine if you have kidney problems. This medicine can sometimes affect the kidneys.
Is it okay to stop taking this medicine when my symptoms are gone?
No, keep taking the medicine until your doctor tells you to stop. Stopping too soon can cause the infection to come back.
Can children take this medicine?
Yes, children older than 2 years can take this medicine. The dose is based on their weight.
Does this medicine interact with other medicines I am taking?
Yes, this medicine can interact with other medicines, including blood thinners and cyclosporine. Tell your doctor about all the medicines you are taking.
Can I drive while taking this medicine?
This medicine can cause dizziness or confusion. Be careful driving or operating machinery until you know how it affects you.
What kind of lab tests will I need while taking this medicine?
Your doctor may want to check your liver function with blood tests while you are taking this medicine.
What are the common side effects of griseofulvin?
The most commonly reported side effects of griseofulvin include Headache, Nausea, Vomiting, Diarrhea, Fatigue. Based on 136 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does griseofulvin interact with other medications?
Yes, griseofulvin has 12 known drug interactions. Notable interactions include warfarin, cyclosporine, drospirenone/ethinyl estradiol. Always inform your doctor about all medications you are taking.
What drug class is griseofulvin?
griseofulvin belongs to the Antifungal drug class. It requires a prescription (Rx). This medicine treats fungal infections called dermatophyte infections.
Is griseofulvin safe during pregnancy?
Do not take this medicine if you are pregnant. It can cause harm to your unborn baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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Related Health & Safety Data

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What the FDA Data Shows for griseofulvin

The FDA label for griseofulvin (sold under brand names such as Grifulvin V) classifies it as a prescription-only medication in the Antifungal class. This medicine treats fungal infections called dermatophyte infections. Official labeling lists 8 commonly reported side effects, including Headache, Nausea, Vomiting.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 136 voluntary reports. The database also lists 12 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated minor severity. NADAC pricing from CMS shows a generic unit cost of $0.33.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: November 4, 2025

All federal data sources used on this page