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