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Extina Foam is used for:

Treating seborrheic dermatitis (a skin condition). It may also be used for other conditions as determined by your doctor.

Extina Foam is an imidazole antifungal. Exactly how it works to treat seborrheic dermatitis is not known. Extina Foam kills sensitive fungi.

Do NOT use Extina Foam if:

• you are allergic to any ingredient in Extina Foam

Contact your doctor or health care provider right away if any of these apply to you.

Before using Extina Foam:

Some medical conditions may interact with Extina Foam. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have a weakened immune system

Some MEDICINES MAY INTERACT with Extina Foam. Because little, if any, of Extina Foam is absorbed into the blood, the risk of it interacting with another medicine is low.

Ask your health care provider if Extina Foam may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Extina Foam:

Use Extina Foam as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• An extra patient leaflet is available with Extina Foam. Talk to your pharmacist if you have questions about this information.
• Wash your hands in cool water and dry well before you use Extina Foam. If your fingers are too warm, the medicine will begin to melt right away when it touches your skin.
• To use Extina Foam, hold the can upright. Dispense the medicine into the cap or onto a cool surface. Do not dispense the medicine directly onto your skin or hands because it will melt too soon. If the can seems warm or the foam seems runny, hold the can under cold running water to cool it.
• Using your fingertips, gently massage Extina Foam into the affected areas until the foam disappears. To treat your scalp or other skin areas with hair, move your hair away so that the medicine can be applied to the affected skin.
• After you use Extina Foam, wipe any excess foam off of the container.
• Wash your hands immediately after you use Extina Foam, unless your hands are part of the treated area.
• To clear up your infection completely, use Extina Foam for the full course of treatment. Keep using it even if you feel better in a few days.
• If you miss a dose of Extina Foam, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Extina Foam.

Important safety information:

• Extina Foam is for external use only. Do not get it in your eyes, nose, vagina, or mouth. If you get it in any of these areas, rinse at once with cool tap water.
• Do NOT use more than the recommended dose or use for longer than prescribed without checking with your doctor.
• If your symptoms do not get better within 4 weeks or if they get worse, check with your doctor.
• Do not use Extina Foam for other skin conditions at a later time.
• Talk with your doctor before you use any other medicines or cleansers on your skin.
• Extina Foam may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Extina Foam. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
• Extina Foam is flammable. Do not store or use near an open flame. Do not smoke during or right after use of Extina Foam.
• Extina Foam should be used with extreme caution in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Extina Foam while you are pregnant. It is not known if Extina Foam is found in breast milk after topical use. If you are or will be breast-feeding while you use Extina Foam, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Extina Foam:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Mild, temporary burning or stinging.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); redness, irritation, or severe burning of the skin.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Store Extina Foam at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Avoid temperatures above 120 degrees F (49 degrees C). Do not refrigerate or freeze. Store away from heat and direct sunlight. Do not puncture, break, or burn the canister even if it appears to be empty. Keep Extina Foam out of the reach of children and away from pets.

General information:

• If you have any questions about Extina Foam, please talk with your doctor, pharmacist, or other health care provider.
• Extina Foam is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Extina Foam. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.