
A2 Lite Cream
Common Products - Cream - 20 G
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Terbinafine (1% w/w) + Clobetasol (0.05% w/w) + Ofloxacin (0.75% w/w) + Ornidazole (2% w/w)
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Castor-Nf Cream is used for treatment of Skin infections.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated October 2026
From a dermatologist, online
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Castor-Nf Cream contains Terbinafine (1% w/w) + Clobetasol (0.05% w/w) + Ofloxacin (0.75% w/w) + Ornidazole (2% w/w). It belongs to the Systemic antifungal, Corticosteroid / calcineurin inhibitor, Fluoroquinolone and Antibacterial agent class of medicines.
Treatment of Skin infections
Castor NF Ointment is a combination of four medicines: Terbinafine, Clobetasol, Ofloxacin and Ornidazole, which treats skin infections. Terbinafine is an antifungal which stops the growth of fungi by preventing them from forming their protective covering. Clobetasol is a steroid medicine. It blocks the production of certain chemical messengers (prostaglandins) that make the skin red, swollen and itchy. Ofloxacin is an antibiotic which kills bacteria by preventing them from reproducing and repairing themselves. Ornidazole is also an antibiotic which kills other infectious microorganisms in addition to bacteria by damaging the DNA.
This medicine is for external use only. Use it in the dose and duration as advised by your doctor. Check the label for directions before use. Clean and dry the affected area and gently massage the ointment.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
If you miss a dose of Castor NF Ointment, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
An overdose of this medicine can cause vomiting, liver injury and heart rhythm disturbance. It can suppress the body's own steroid production when it is used for a long time over large areas, especially in children. It can cause kidney injury, fits and heart rhythm disturbance. It can cause vomiting, severe loose motions and nerve symptoms. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Castor-Nf are mild and settle as the body gets used to the medicine. The ones reported most often are:
Stop the medicine and get help at once for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
Fungal skin and nail infections need long courses — weeks for skin, months for nails. Stopping when it looks better is the commonest reason it returns. Your doctor may check your liver with a blood test during a long course. Report yellowing of the eyes or skin, dark urine or persistent nausea at once. Tell your doctor if you have heart failure before taking itraconazole. This group interacts with a great many medicines — give your doctor a complete list. Use it only on the area and for the number of days your doctor specified. Potent steroid creams thin the skin permanently when used for too long. Never use a potent steroid cream on the face, the groin or the underarms unless your doctor has specifically told you to — the skin there is thin and absorbs much more. Do not use it on an infection. A steroid on ringworm, impetigo or herpes makes the infection worse while hiding it. Do not use leftover cream on a new rash, and never pass it to someone else. Stop and see your doctor if the area becomes more painful, weepy or crusted. Stop and contact your doctor at once if you develop pain, swelling or tenderness in a tendon — the Achilles tendon at the back of the ankle in particular. This group can damage tendons, and the risk is higher in older people and with steroids. Report any new numbness, tingling or burning in the hands or feet promptly. Tell your doctor about any change in mood, confusion or agitation. Avoid strong sunlight and use sun protection — this group makes the skin burn more easily. Finish the whole course; this group is heavily associated with antibiotic resistance and should be used only when prescribed. Finish the whole course even after you feel better. Do not drink any alcohol while taking metronidazole, ornidazole or tinidazole, or for the period after the course that your doctor states — the combination causes severe flushing, vomiting and a racing heart. Report severe or watery loose motions during or after the course rather than treating them yourself. Tetracyclines stain developing teeth and are avoided in young children and in pregnancy. Antibiotics do not work against colds, flu or most sore throats, which are caused by viruses.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with active liver disease, and several are not for use in pregnancy. Itraconazole is not for people with heart failure. Not for untreated bacterial, fungal or viral skin infections. Not for use in or around the eyes. Generally avoided in children and adolescents, in pregnancy, and in anyone with a history of tendon problems with these antibiotics.
Interacts strongly with statins, some heart medicines, blood thinners and sedatives — some combinations must be avoided altogether. Acid-reducing medicines lower the absorption of itraconazole. No significant interactions are expected from preparations used on the skin. Antacids, iron, zinc, calcium and milk markedly reduce absorption — separate them by at least two hours. Tell your doctor if you take steroids, a blood thinner or a medicine for heart rhythm. Antacids, iron, zinc and calcium reduce the absorption of tetracyclines — separate them by a couple of hours. Tell your doctor if you take a blood thinner.
Store below 30°C, away from direct sunlight. Close the cap tightly after each use. Keep out of the reach of children.

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Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered pharmacist. It does not replace your own doctor's advice.