The in vitro and in vivo tolerance of sertaconazole gel, a new topical
azole antifungal, was studied. Ketoconazole gel (Panfungol(R)) was us
ed as a reference substance. The methods applied for tolerance assessm
ent were the bovine corneal opacity and permeability test for the in v
itro assay and a modified Draize test for the in vivo assay. The resul
ts obtained show that both substances can be classified as slightly ir
ritant and with acceptable tolerance. However, unlike ketoconazole gel
, sertaconazole gel did not cause a positive lesion index in vivo. Ket
oconazole was 5.25 times more irritant in vitro than sertaconazole gel
, whose effect was similar to that of saline solution. Consequently, t
he negligible irritant effect of sertaconazole gel on a type of epithe
lium that is extremely sensitive, i.e. the cornea, confirms the tolera
nce of this new antifungal gel on other structures such as the skin an
d mucous membranes.