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Two medicines, side by side

Clotrimazole vs terconazole

Clotrimazole and terconazole are both labeled for fungal infections. Drugs@FDA records approvals of clotrimazole since 1975 and of terconazole since 1987. Pharmacies paid $0.133 per gram (Clotrimazole 1% topical cream) and $0.552 per gram (Terconazole 0.4% cream) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the clotrimazole FDA label on DailyMed (effective January 30, 2026); the terconazole FDA label on DailyMed (effective January 28, 2026).

Highlights of the clotrimazole record

Clotrimazole (Cvs) · label of January 30, 2026

Used for

From the label: indications

Clotrimazole cream USP is indicated for the topical treatment of candidiasis due to Candida albicans and tinea versicolor due to Malassezia furfur. […]

On the market

Earliest approval on file
February 3, 1975
Generic labelers
24 labelers
Pharmacy cost
$0.133 per gram

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the terconazole record

Terconazole (Terazol) · label of January 28, 2026

Used for

From the label: indications

Terconazole vaginal cream 0.4% is indicated for the local treatment of vulvovaginal candidiasis (moniliasis). As terconazole vaginal cream 0.4% is effective only for vulvovaginitis caused by the genus Candida, the diagnosis should be confirmed by KOH smears and/or cultures.

On the market

Earliest approval on file
December 31, 1987
Generic labelers
6 labelers
Pharmacy cost
$0.552 per gram

Supply and safety

Shortage
No current entry
Recalls
1

Source: FDA drug labels via openFDA (Clotrimazole label of January 30, 2026, Terconazole label of January 28, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do clotrimazole and terconazole differ on the record?

Both are in FDA's class azole antifungals.

Generics: clotrimazole since 1993; terconazole since 2004 (Drugs@FDA).

ClotrimazoleTerconazole
Labeled forFungal infectionsFungal infections
Pharmacologic classAzole AntifungalAzole Antifungal
How it works (label)n/an/a
Half-life (label)n/aElimination Across various studies in healthy women, after single or multiple intravaginal administration of terconazole as the cream or suppository/ovule, the mean elimination half-life of unchanged terconazole ranged …
Earliest approval on file (Drugs@FDA)February 3, 1975December 31, 1987
First generic approvedJuly 16, 1993April 6, 2004
Generic labelers (NDC)24 labelers6 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.133 per gram (Clotrimazole 1% topical cream)$0.552 per gram (Terconazole 0.4% cream)
12-month price change-6%-6%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded01
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)12,230822
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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