Template:Tinea capitis treatment: Difference between revisions
| Line 6: | Line 6: | ||
*[[Ketoconazole]] 2% shampoo daily x 2 weeks | *[[Ketoconazole]] 2% shampoo daily x 2 weeks | ||
====Systemic==== | ====Systemic==== | ||
*[[Griseofulvin]] (first line) | |||
**No labs needed before griseofulvin treatment. However if repeat courses or if therapy continued beyond 8 weeks then obtain CBC and LFTs. | |||
**Microsize formulation: 20 mg/kg per day for six to eight weeks. | |||
**Ultramicrosize formulation: 10 mg/kg per day for six to eight weeks. | |||
**Give with fatty food (like peanut butter, ice cream) for better absorption. Therapy can fail due to lack of absorption. | |||
*[[Terbinafine]] is alternative first line however need LFTs prior to therapy. | |||
*[[Fluconazole]] 150mg (6mg/kg) PO once a week x 8 weeks | *[[Fluconazole]] 150mg (6mg/kg) PO once a week x 8 weeks | ||
*[[Itraconazole]] 200mg (5mg/kg) PO daily x 4 weeks | *[[Itraconazole]] 200mg (5mg/kg) PO daily x 4 weeks | ||
Revision as of 12:37, 6 February 2020
Antifungals
- Coverage for Trichophyton and Microsporum and should use both topical and systemic therapy simultaneously
- Baseline liver function required prior to systemic antifungals
Topical
- Selenium sulfide 2.25% shampoo daily x 2 weeks
- Ketoconazole 2% shampoo daily x 2 weeks
Systemic
- Griseofulvin (first line)
- No labs needed before griseofulvin treatment. However if repeat courses or if therapy continued beyond 8 weeks then obtain CBC and LFTs.
- Microsize formulation: 20 mg/kg per day for six to eight weeks.
- Ultramicrosize formulation: 10 mg/kg per day for six to eight weeks.
- Give with fatty food (like peanut butter, ice cream) for better absorption. Therapy can fail due to lack of absorption.
- Terbinafine is alternative first line however need LFTs prior to therapy.
- Fluconazole 150mg (6mg/kg) PO once a week x 8 weeks
- Itraconazole 200mg (5mg/kg) PO daily x 4 weeks