If only small areas of skin are involved, an antifungal (imidazole) cream is an alternative e.g. clotrimazole.
If topical therapy fails, or if the infection is widespread, treat systemically with itraconazole 200mg once daily for 7 days.
ketoconazole 2% shampoo
applied once daily
for a maximum of 5 days (leave preparation on for 3-5 minutes before rinsing)
selenium sulphide 2.5% shampoo (unlicensed indication) used as a lotion (diluted with water to reduce irritation) and left on for 10 minutes
Selenium sulphide is not suitable for children under 5 years.
apply once daily
7 days and repeat course if necessary