What is the first line treatment for both tinea pedis and onychomycosis in adults?

What is the first line treatment for both tinea pedis and onychomycosis in adults?

Oral terbinafine is first-line therapy for tinea capitis and onychomycosis because of its tolerability, high cure rate, and low cost.

What is the best cream for tinea?

Most fungal infections respond well to these topical agents, which include:

  • Clotrimazole (Lotrimin AF) cream or lotion.
  • Miconazole (Micaderm) cream.
  • Selenium sulfide (Selsun Blue) 1 percent lotion.
  • Terbinafine (Lamisil AT) cream or gel.
  • Zinc pyrithione soap.

Which is better clotrimazole or terbinafine?

Clotrimazole are of almost equal in their efficacy for the treatment of Tinea Corporis, Tinea Cruris and Vaginal Candidiasis, but Topical Terbinafine is slightly more effective than Clotrimazole.

Which antifungal is best for tinea cruris?

Clotrimazole topical (Lotrimin, Mycelex) Clotrimazole topical is often the first-line drug used in the treatment of tinea cruris. It is a broad-spectrum antifungal agent that inhibits yeast growth by altering cell membrane permeability, causing the death of fungal cells.

What should I know about griseofulvin before taking it?

an allergy to penicillin. Taking griseofulvin during the first 3 months of pregnancy may cause birth defects. Do not take griseofulvin if you are pregnant. Use effective birth control to prevent pregnancy while you are using this medicine. Griseofulvin can make birth control pills less effective.

How much ultramicrosize griseofulvin can a child take?

Pediatric Use: Approximately 7.3 mg per kg of body weight per day of ultramicrosize griseofulvin is an effective dose for most pediatric patients. On this basis, the following dosage schedule is suggested:16-27 kg: 125 mg to 187.5 mg daily. over 27 kg: 187.5 mg to 375 mg daily

How much griseofulvin do you give a child for tinea capitis?

Although doses of20-25 mg/kg/day of griseofulvin are recommended, according to the literature, only one double blind, randomized trial has evaluated this higher dose in children with tinea capitis. In this trial, the cure rate for 20 mg/kg in 25 children was 84.

Is griseofulvin contraindicated in patients with hepatocellular failure?

Griseofulvin is contraindicated in patients with hepatocellular failure or porphyria. Elevations in AST, ALT, bilirubin, and jaundice have been reported. These reactions may be serious and may result in hospitalization or death. Monitoring for hepatic adverse events is recommended.