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Generic Grifulvin Information
Introduction
Grifulvin is an oral antifungal medication used primarily to treat dermatophyte infections of the skin, hair, and nails. The product contains the active compound Griseofulvin, which belongs to the anti‑fungal drug class. In Hong Kong, Grifulvin is prescribed for conditions such as tinea capitis, tinea corporis, and onychomycosis when topical agents are insufficient. The medication is manufactured by several licensed generic pharmaceutical companies that follow international quality standards.
What is Grifulvin?
Grifulvin is the generic version of the original brand Gris‑PEG (also marketed as Grifulvin‑M, Grisoforal, and similar names), containing the same active compound Griseofulvin. Our online pharmacy provides this generic alternative as a cost‑effective treatment option. Griseofulvin is a synthetic, lipophilic compound that interferes with fungal cell division. The drug is supplied as oral tablets in various strengths (usually 250 mg and 500 mg) and is classified as an anti‑fungal agent.
How Grifulvin Works
Griseofulvin binds to fungal tubulin, a protein essential for the formation of microtubules during cell division. By disrupting microtubule assembly, the drug halts mitotic spindle formation, preventing fungal cells from completing mitosis. The result is a fungistatic effect—the fungus cannot proliferate while the drug is present at therapeutic concentrations. Griseofulvin is absorbed best when taken with a fatty meal; food increases its bioavailability by 2–3 fold. After oral administration, peak plasma levels are reached in 2–4 hours, and the drug is primarily eliminated unchanged in the feces after hepatic metabolism. The half‑life ranges from 6 to 24 hours, depending on dose and individual hepatic function, allowing once‑ or twice‑daily dosing.
Conditions Treated with Grifulvin
- Tinea capitis (scalp ringworm) – the most common indication; systemic therapy is required because the infection resides deep in hair follicles.
- Tinea corporis, tinea cruris, and tinea pedis (body, groin, and foot ringworm) – used when topical agents fail or when extensive disease is present.
- Onychomycosis (fungal nail infection) – oral therapy is preferred for involvement of the nail matrix.
- Cutaneous dermatophytosis in immunocompromised patients – systemic treatment reduces risk of dissemination.
In Hong Kong, dermatophyte infections account for a noticeable proportion of ambulatory dermatology visits, especially among school‑age children and laborers. Grifulvin’s oral formulation offers a practical solution when topical creams cannot reach the infection site or when adherence to lengthy topical regimens is challenging.
Who is Grifulvin For?
- Children aged ≥ 2 years with confirmed tinea capitis, given the drug’s proven efficacy in pediatric scalp infections.
- Adults with extensive or refractory dermatophyte infections who have not responded to topical agents.
- Patients with fungal nail disease affecting the nail matrix, where oral therapy is required for cure.
- Individuals without severe hepatic impairment (since the drug is metabolized in the liver).
Grifulvin is not appropriate for:
- Patients with known hypersensitivity to Griseofulvin or any tablet excipients.
- Those with severe liver disease (elevated transaminases > 3 × upper limit) or uncontrolled congestive heart failure.
- Pregnant or breastfeeding women, because Griseofulvin crosses the placenta and is excreted in breast milk.
Healthcare providers should assess liver function, renal status, and concomitant medications before initiating therapy.
Risks, Side Effects, and Interactions
Common Adverse Events
- Gastro‑intestinal discomfort (nausea, abdominal cramps, diarrhea).
- Headache and dizziness.
- Photosensitivity leading to easy sunburn.
- Mild elevation of liver enzymes (ALT/AST).
Rare Adverse Events
- Peripheral neuropathy (tingling or numbness in extremities).
- Severe skin reactions such as Stevens‑Johnson syndrome (very uncommon).
- Hematologic changes (leukopenia, thrombocytopenia).
Serious Adverse Events
- Hepatotoxicity manifesting as jaundice, dark urine, or right‑upper‑quadrant pain.
- Severe allergic reactions (anaphylaxis, angio‑edema).
- Bone marrow suppression leading to pancytopenia.
Drug–Drug Interactions
- Cytochrome P450 inducers (e.g., rifampin, carbamazepine) reduce Griseofulvin plasma levels, risking therapeutic failure.
- Warfarin – Griseofulvin may enhance anticoagulant effect; INR should be monitored closely.
- Oral contraceptives – efficacy can be reduced; additional non‑hormonal contraception is advised.
- Phenytoin, phenobarbital – may increase hepatotoxic risk.
Patients should disclose all prescription, over‑the‑counter, and herbal products before starting Grifulvin.
Practical Use: Dosing, Missed Dose, Overdose
- Standard adult dosing: 500 mg orally twice daily for tinea capitis; 250–500 mg twice daily for other dermatophyte infections, not exceeding 1 g per day.
- Pediatric dosing: 20–25 mg/kg/day divided into two doses, usually 500 mg tablets for children > 2 years when weight permits.
- Duration of therapy: 4–6 weeks for skin infections; 6–12 weeks for scalp infections; 6–12 months for nail infections, depending on clinical response.
Missed dose – Take the missed tablet as soon as remembered unless the next scheduled dose is due within 2 hours; in that case, skip the missed dose and continue the regular regimen. Do not double‑dose.
Overdose – Symptoms may include severe nausea, vomiting, abdominal pain, and headache. Seek urgent medical attention; supportive care and activated charcoal may be administered in a clinical setting.
Precautions –
- Take Grifulvin with a fatty meal (e.g., milk, cheese, or a full‑fat snack) to improve absorption.
- Avoid excessive alcohol, which can exacerbate hepatic side effects.
- Use sunscreen and protective clothing to mitigate photosensitivity.
- Regular liver function monitoring is recommended for treatment periods longer than 4 weeks.
Buying Grifulvin from Our Online Pharmacy
Grifulvin can be purchased securely from our online pharmacy in Hong Kong.
- Affordable pricing – We source the generic product near manufacturer cost, offering a price substantially lower than most retail pharmacies.
- Verified quality – All batches are supplied by licensed overseas manufacturers that meet International Conference on Harmonisation (ICH) standards; our pharmacy conducts independent verification of certificates of analysis.
- Guaranteed delivery – Discreet packaging is shipped by express courier within 7 days for local orders, or ~3 weeks by regular airmail for overseas stock. Tracking is provided for every shipment.
- Online‑only access – For patients who encounter limited availability in local pharmacies or who lack insurance coverage for generic antifungals, our pharmacy broker service connects you with vetted overseas suppliers while respecting privacy.
Our service operates as a pharmacy broker, collaborating with licensed pharmacies abroad to ensure you receive a genuine, high‑quality product while maintaining confidentiality.
FAQ
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Is Grifulvin available in both brand‑name and generic forms in Hong Kong?
Yes. The original brand names such as Gris‑PEG, Grifulvin‑M, and Grisoforal contain the same active ingredient, Griseofulvin. Generic versions like Grifulvin are marketed at lower cost while providing identical therapeutic effects. -
Does Grifulvin require refrigeration?
No. Grifulvin tablets should be stored at controlled room temperature (15 °C–30 °C), protected from excess heat, moisture, and direct sunlight. Refrigeration is unnecessary and may affect tablet integrity. -
What does the imprint on Grifulvin tablets look like?
Tablet appearance varies by manufacturer, but common imprints include “GRI 250” or “GRI 500” indicating the dose strength. The tablets are typically round, white to off‑white, and may have a scored line for easy splitting. -
Can I travel internationally with Grifulvin in my carry‑on luggage?
Yes, provided you carry a copy of the prescription or a doctor’s note, as required by many jurisdictions. Keep the medication in its original container with the label visible to facilitate customs inspection. -
Are there any special warnings for Asian populations?
Studies show a slightly higher incidence of photosensitivity among individuals with lighter skin tones, which includes many East Asian patients. Sun protection measures are therefore especially important for users in Hong Kong’s subtropical climate. -
How does Grifulvin differ from newer antifungals like terbinafine?
Grifulvin acts by inhibiting fungal mitosis, whereas terbinafine blocks ergosterol synthesis. Grifulvin requires longer treatment courses, especially for nail infections, but remains effective against strains resistant to newer agents. -
What clinical trials established Grifulvin’s efficacy?
Randomized controlled trials in the 197s and 198s demonstrated cure rates of 80‑90 % for tinea capitis when administered at 20 mg/kg/day for 6 weeks. Subsequent meta‑analyses confirm comparable efficacy to other systemic antifungals for dermatophyte infections. -
Is Grifulvin detectable in drug‑testing programs?
Griseofulvin is not a controlled substance and is not screened for in standard occupational drug‑testing panels. However, its metabolites may appear in specialized forensic analyses, though this is uncommon. -
Can I crush Grifulvin tablets if I have difficulty swallowing?
Crushing is not recommended because it reduces the protective coating that aids absorption with fatty meals. If swallowing is an issue, discuss alternative formulations (e.g., oral suspension) with your healthcare provider. -
What are the differences in formulation between US and EU versions of Griseofulvin?
US formulations often contain lactose as a filler, while many EU products use maize starch. In Hong Kong, both excipient types may be present depending on the source manufacturer. Patients with lactose intolerance should verify the excipient list before use.
Glossary
- Fungistatic
- An effect that inhibits the growth and reproduction of fungi without directly killing them, allowing the immune system to clear the infection.
- Bioavailability
- The proportion of a drug that reaches systemic circulation unchanged after oral administration; for Griseofulvin, it is significantly enhanced when taken with a fatty meal.
- Photosensitivity
- Increased susceptibility of the skin to ultraviolet (UV) radiation, leading to sunburn or rash after exposure. Patients on Grifulvin should use sunscreen and protective clothing.
- Hepatotoxicity
- Liver damage caused by a chemical agent; manifested by elevated liver enzymes or clinical signs such as jaundice.
⚠️ Disclaimer
The information provided about Grifulvin is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Grifulvin for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Information about ordering Generic Grifulvin in online pharmacy asia
Please note that this medicine is a generic version of Grifulvin.One can buy Generic Grifulvin online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to griseofulvin and fully familiar with medication Grifulvin;
- No paper instructions about side effect warnings or usage directions are sent with Generic Grifulvin medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.