Dermatophyte Infection - Skin

Terbinafine is fungicidal: treatment time shorter than with fungistatic imidazoles.

If candida possible, use imidazole.

If intractable, send skin scrapings, and if infection confirmed, use oral terbinafine/itraconazole.

Scalp: discuss with dermatology, oral therapy indicated

Topical terbinafine

BD

1-2 weeks for 1-2 wks after healing (i.e. 4-6wks)

or topical imidazole

BD

1-2 weeks for 1-2 wks after healing (i.e. 4-6wks)

or (athlete’s foot only): topical undecanoates:e.g. Mycota

BD

1-2 weeks for 1-2 wks after healing (i.e. 4-6wks)