TAM (Treatments and Medicines) NHS Highland
Important: Therapy notes
Antifungal preparations (Formulary)
Systemic antifungals
- For information on oral fluconazole, itraconazole and terbinafine refer to Antifungal drugs and to guidance on the management of skin/soft tissue infections.
- Only start systemic antifungal agents once positive cultures have been obtained. It is worthwhile advising patients that their nail will not appear normal for some months. Consider reinvestigation before a second course of treatment. Repeated sampling may be required.
Important: Therapy notes
Important: Formulation and dosage details
Formulation:
Dosage:
Apply 2 to 3 times daily, continuing for 14 days after lesions have healed.
Important: Formulation and dosage details
Formulation:
Solution 1%
Dosage:
Apply 2 to 3 times daily, continuing for 14 days after lesions have healed.
Important: Therapy notes
- Inappropriate oral terbinafine use is not only expensive but has a severe side-effect profile. Idiosyncratic liver reactions occur rarely with terbinfine.
- Not recommended for children.
Important: Formulation and dosage details
Formulation:
Dosage:
Tinea pedis: apply thinly once or twice daily for up to 1 week.
Tinea corporis and tinea cruris: apply thinly once or twice daily for 1 to 2 weeks .
Cutaneous candidiasis and pityriasis versicolor: apply thinly once or twice daily for 2 weeks and then review.