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FUNGAL (Medications (Tolnaftate (Tinactin: sprays, powders
Athlete's…
FUNGAL
Fungal Skin Infections
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Tinea capitis – scalp
SIGNS & SX:
- Begin as small papules
- Spread centrifugally
- Some scaling
- Little inflammation
- Hair turns dull gray color
- Hair breaks off above scalp level
Treatment:
- GENERAL APPROACH:
- Nonpharmacologic
- Antifungal
- Patient preference
- Characterization of infection
- Length of treatment
- NONPHARM:
- Different towels for different areas
- Do not share towels, clothing, etc.
- Launder with hot water
- Cleanse daily with soap and water and pat dry
- Keep dry (shoes, undergarments, etc.)
- Avoid contact with infected people
- Wear rubber or wooden sandals in public bathrooms or showers
- PHARM: 2-4 week Tx
- Butenafine
- Clioquinol (formerly iodochlorhydroxyquin)
- Clotrimazole
- Haloprogin
- Miconazole
- Terbinafine
- Tolnaftate
- Povidone-iodine – generally not labeled
- Undecylenic acid and its salts
- GOALS:
- Symptomatic relief
- Eradicate existing infection
- Prevent future infections
Medications
Tolnaftate
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Tinactin: sprays, powders
- Athlete's Foot
- Jock itch
- ringworm
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Butenafine
- Dosage:
- BID x 1 week; then QD x4 weeks
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Undecylenic acid
- Fungistatic
- Effective in mild cases of tinea pedis
- 25% undecylenic acid for nails
- 20% Zinc undecylenate, 5% undecylenic acid
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Salts of Aluminum
MOA:
- Astringent - drying
- Antibacterial - > 20% concentration
USE:
- Lesions with inflammation and wet, soggy type of athlete’s foot
- Shifts process back to dry type
- okay to combine with antiFUNGAL
ADMINISTER:
- Dilute with 10-40 parts water
- Immerse foot x 20 minutes up to tid, OR
- Apply to affected area
External use only
Soak or compress