Dermatology Book

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Topical AntifungalAka: Antifungal Agents for Superficial Skin Infections

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  1. Indications
    1. Tinea Corporis
    2. Tinea Cruris
    3. Tinea Pedis
    4. Cutaneous Candidiasis (e.g. Intertrigo)
    5. Vulvovaginal Candidiasis
  2. Contraindications (due to lack of efficacy)
    1. Tinea Unguium
    2. Tinea Capitis
  3. Preparations: Older, narrow spectrum fungistatic agents
    1. Tolnaftate (Tinactin, OTC)
      1. Narrow spectrum with no effect on candida species
      2. Fungistatic for dermatophytes and Tinea Versicolor
    2. Haloprogin (Halotex)
      1. Similar to Tolnaftate with added candida coverage
      2. Increased risk of irritant dermatitis
  4. Preparations: Newer broader spectrum, fungicidal agents
    1. Imidazoles
      1. Clotrimazole (Lotrimin, OTC)
      2. Miconazole (Micatin, OTC)
      3. Econazole (Spectazole)
      4. Ketoconazole (Nizoral)
      5. Oxiconazole (Oxistat)
      6. Sulconazole (Exelderm)
    2. Ciclopirox (Loprox, Penlac)
    3. Butenafine (Mentax)
      1. Similar to Allylamines
      2. Highly effective fungicidal agent
  5. Preparations: Broad-spectrum, high efficacy agents
    1. Allylamines
      1. Naftifine (Naftin)
      2. Terbinafine (Lamisil)
  6. Protocol
    1. See Vulvovaginal Candidiasis
    2. Cutaneous Candidiasis Management
      1. Polyene (e.g. Nystatin)
      2. Imidazoles (e.g. Clotrimazole)
    3. Dermatophyte Infections (e.g. Tinea Corporis)
      1. Imidazoles (e.g. Clotrimazole)
    4. Refractory Dermatophyte Infections
      1. Allylamines (e.g. Naftin, Lamisil)
  7. References
    1. Gupta (1998) Drugs 55:645
    2. Weinstein (2002) Am Fam Physician 65(10):2095

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