Post on 15-Dec-2015
transcript
Jovan Miles, Pharm.D., RPh.
Objectives
Causes and Symptoms: Tinea
Corporis Capitis Cruris Pedis Versicolor
OTC Products
TINEA
Transmission Animal→ Person Person →Person
Sharing Personal Items Higher Risk
Dark moist areas Public Locker Rooms Shower stalls Swimming pools Hot and Humid areas
RINGWORM
TINEA CORPORIS TINEA CAPITIS
PRESENTATION: Arms, legs, face, or
other exposed body areas
Raised Scaly Rash Itching
PRESESNTATION: Scalp Bald areas with small
black dots Low-grade fever or
swollen lymph nodes in the neck
Itching
TINEA CORPORISScaly
RINGWORMS????????
TINEA CAPITIS
TINEA CAPITISKerion
JOCK ITCH
Tinea Cruris PRESENTATION:
Groin Thigh Skin folds Anus
Itching, Burning, Redness, Irritation, Discomfort, Vesicles
JOCK ITCHAbnormally dark or light skin
ATHLETE’S FOOT Tinea Pedis
Most Common PRESENTATION:
Around and in between toes Itching Burning Cracking & Scaling Redness Soreness Fissures Odor
ATHLETE’S FOOT
ATHLETE’S FOOT
TINEA PEDIS
Long Term Complications Onychomycosis
Fungal infection of the nail Toes and Fingers
Discolored Black Easily fall off
ONYCHOMYCOSIS
ONYCHOMYCOSIS
OTC MEDICINAL AGENTS
Tolnaftate 1% (Tinactin Cream) >2 y/o
Clotrimazole 1% (Lotrimin AF Cream) >2 y/o
Miconazole 2% ( Micatin Cream) >2 y/o
Terbenafine 1% (Lamisil AT Cream) >12 y/o
Butenafine 1% (Lotrimin Ultra Cream) >12y/o
Undecylenic Acid 10- 25% (Desenex) >2y/o
FORMULATIONS
VARIOUS BRANDS Cream Gel Spray Powders
TREATMENT DURATION
2-4 WEEKS Tolnaftate 1% Clotrimazole 1% Miconazole 2% Butenafine 1% Undecylenic Acid 10- 25%
1-2 WEEKS Terbenafine 1%
TREATMENT DURATION
CAPITIS SEE MD Up to 8 weeks
ONYCHOMYCOSIS SEE MD 3-6 MONTHS
PATIENT TIPS
Stay Clean and Dry Post Exercise/Physical Activity Bathing Elderly
Ambulate Feet
Change socks(Cotton or Wool) & Wash qd Dry in between toes well Talcum powder Wear sandals, canvas tennis shoes, or go barefoot
during treatment Blisters- soak in an astringent x 20 to 30 minutes
BID Avoid infected clothes and personal items Treat even after burning/irritation stops