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extina

Pharmaranks rates Extina 3.6/5 for recall safety — an independent score from its FDA recall history and its manufacturer's record. Extina (Ketoconazole) is an azole antifungal used to treat Blastomycosis, Chronic Mucocutaneous Candidiasis, Cutaneous Candidiasis, Oral Candidiasis.

Ketoconazole · by Rising

Available as a generic: Ketoconazole

72/100Limited · 1 source

Based on 1 source · Recall-safety score from FDA recall history — this product's own recalls and its manufacturer's record. Not an efficacy or quality rating. methodology →

Rated against independent regulatory sources·Last updated August 22, 2026·How we rate
Verified againstopenFDANIH DailyMedRxClass
$0.27 /g
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Key facts

Active ingredient
Ketoconazole
Form
Spray/Inhaler, Topical
Strength
Ketoconazole 2% **Federal Register Determination That Product was not Discontinued or Withdrawn for Safety or Effectiveness reasons**
Type
Prescription (Rx)
Brand or generic
Brand-name
Manufacturer
Rising
What the pharmacy pays
~$0.27 per gm — not your price
FDA application
NDA021738
Availability
Discontinued (per FDA)

Drug class

How this class works, per Antifungal Ergosterol Synthesis Inhibitors — StatPearls, NCBI Bookshelf (NIH).

May treat (source: NIH RxClass)

Dosage forms

Spray/Inhaler and Topical

The forms currently marketed in the U.S., per the FDA National Drug Code Directory.

Ways to save

Ask for the generic

Same active ingredient, far cheaper. Is there a generic? →

Request a 90-day supply

Bulk fills usually lower the per-dose price vs monthly refills.

Use copay cards

Manufacturer copay cards & patient-assistance programs — especially for brand drugs.

Compare alternatives

A same-class option may cost less. See alternatives →

Frequently asked questions

What does Extina treat?
Extina (Ketoconazole) may be used to treat blastomycosis, chronic mucocutaneous candidiasis, cutaneous candidiasis, oral candidiasis, vulvovaginal candidiasis, coccidioidomycosis, based on NIH RxClass drug-classification data (conditions a drug may treat — not a verbatim copy of the FDA-approved label). This is general reference, not medical advice.
How does Extina work?
Extina is a azole antifungal. Azole antifungals block a fungal enzyme (lanosterol 14-alpha-demethylase) that the fungus needs to make ergosterol, a key building block of its cell membrane. Without enough ergosterol the membrane becomes leaky and unstable, which stops the fungus from growing and can cause it to break apart and die.
How is Extina rated?
pharmaranks gives Extina a composite score of 3.6 out of 5, currently based on 1 weighted source (FDA regulatory recall-safety data weighted highest). See our methodology at /how-we-rate.
How much does Extina cost?
Nobody can tell you what you will pay — your price is set by your insurer's formulary, your deductible and the pharmacy's markup, and none of those are published. What IS published is what the pharmacy paid to acquire it: about $0.27 per gm, per the CMS NADAC survey. Treat that as the floor, not the quote — ask the pharmacist for the cash price as well as your copay, because for cheap generics the cash price often wins.
Is there a coupon or discount for Extina?
pharmaranks is an independent ratings site, not a pharmacy — we don't issue coupons or sell Extina. To pay less, ask your prescriber or pharmacist whether a generic equivalent exists, check the manufacturer's copay/savings card and patient-assistance program, and compare a pharmacy discount card against your insurance copay. Prices vary by pharmacy, insurance, and location, so always confirm at the counter. This is general reference, not medical or financial advice.
Who makes Extina?
Extina is marketed by Rising. You can see Rising's full profile, rating, and other products on pharmaranks.
Is Extina a brand-name or generic drug?
Extina is a brand-name product with the active ingredient Ketoconazole. Lower-cost generic equivalents containing Ketoconazole are available — ask your pharmacist.
Is Extina available over the counter?
No. Extina is a prescription (Rx) medication in the US — you need a prescription from a licensed clinician (in person or via telehealth); it isn't sold over the counter. For some conditions there are OTC alternatives — ask your pharmacist.
What forms does Extina come in?
Extina is currently marketed as spray/inhaler and topical, per the FDA's National Drug Code Directory.
What class of drug is Extina?
Extina is classified as azole antifungal, per the FDA's Established Pharmacologic Class.
Is Extina FDA-registered?
Extina is on record with the U.S. FDA under application number NDA021738. You can verify this on its official FDA label.
Has Extina been recalled by the FDA?
Extina has no FDA recalls recorded under its own application in the openFDA enforcement database. Its recall-safety score reflects its manufacturer's overall recall record. This is general reference, not medical advice — check the FDA recall database for the latest alerts.
Is Extina safe?
There's no single safe-or-not verdict. pharmaranks gives Extina a recall-safety score of 72/100, based on its FDA recall history (no recalls under its own FDA application) — not an efficacy or side-effect rating. Review its FDA-label side effects and warnings before use, and always consult a licensed professional.

Information is sourced from public FDA regulatory data. Provided for general reference only — not medical advice. Always consult a licensed professional and the current prescribing information.

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