Modified from the AAFP and uptodate.com
(OTC) = Available in over-the-counter (non-prescription) preparations in the U.S. and some other countries.
I have used Ketoconazole 2% cream to tx tinea corpora with my PD. Also used it to treat a mild version of tinea capitis in a 6 yo male w/ Sorci. If it doesn’t work, tx w/ oral med.
I have used Clotrimazole 1% cream, Dispense 60 grams, to treat fungal rash to the trunk. Image, Clotrimazole 1% cream.
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Table of Contents Drug |
Dose |
How it is supplied |
Comments |
Azoles1 |
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| Clotrimazole (OTC) |
Twice per day | Cream 1% | |
| Ointment 1% | |||
| Solution 1% | |||
| Econazole | Once per day (twice per day for candidiasis) | Cream 1% | |
| Foam 1% | |||
| Efinaconazole | Once per day | Solution 10% | Indicated for onychomycosis. |
| Ketoconazole | Once per day (shampoo is usually one use) | Cream 2% | |
| Shampoo 2% (1% shampoo is available over-the-counter) | |||
| Gel 2% | |||
| Foam 2% | |||
| Luliconazole | Once per day | Cream 1% | |
| Miconazole
(OTC) |
Twice per day | Cream 2% | |
| Ointment 2% | |||
| Solution 2% | |||
| Lotion 2% | |||
| Powder 2% | |||
| Aerosol solution 2% | |||
| Aerosol powder 2% | |||
| Oxiconazole | Once to twice per day | Cream 1% | |
| Lotion 1% | |||
| Sertaconazole | Twice per day | Cream 2% | |
| Sulconazole | Once or twice per day | Cream 1% | |
| Solution 1% | |||
Allylamines2 |
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| Naftifine | Once per day (cream), twice per day (gel) | Cream 1% | |
| Cream 2% | |||
| Gel 1% | |||
| Gel 2% | |||
| Terbinafine
(OTC) |
Once to twice per day | Cream 1% | |
| Gel 1% | |||
| Spray solution 1% | |||
Benzylamine2 |
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| Butenafine
(OTC) |
Once per day (twice per day for tinea pedis) | Cream 1% | |
Polyene: Treats Candida infections only |
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| Nystatin | Two to three times per day | Cream 100,000 units/gram | |
| Ointment 100,000 units/gram | |||
| Powder 100,000 units/gram | |||
Other |
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| Ciclopirox | Twice per day | Cream 0.77% | Treats dermatophytes, tinea versicolor, and Candida. |
| Gel 0.77% | |||
| Suspension 0.77% | |||
| Shampoo 1% | |||
| Solution 8% | |||
| Tolnaftate
(OTC) |
Twice per day | Cream 1% | Does not treat Candida; less effective than other options for dermatophytes. |
| Powder 1% | |||
| Aerosol: | |||
| Liquid 1% | |||
| Powder 1% | |||
| Solution 1% | |||
1 Azoles have activity against dermatophytes, tinea versicolor, and Candida. Sulconazole, oxiconazole, and luliconazole may be less effective for Candida infection than other azoles.
2 Allylamines can treat Candida in addition to dermatophytes and tinea versicolor, but may be less effective than azoles and ciclopirox for Candida infection.