Fungal foot infection

Question 1

What topical options are available?

Answer 1

Terbinafine 1% cream (children 12 and older) Apply thinly to the affected area once or twice a day for up to 7 days.

Clotrimazole 1% cream Apply to the affected area 2–3 times a day and continue for at least 4 weeks

Miconazole 2% cream Apply to the affected area twice a day for 2–6 weeks depending on the severity of the lesions, and continue for 10 days after all skin lesions are healed.

Question 2

What is the oral option?

Answer 2

terbinafine 250 mg once daily for 2–6 weeks, depending on the severity of infection.

itraconazole 100 mg once daily for 30 days, alternatively 200 mg twice daily for 7 days.

griseofulvin 500 mg daily, increased if necessary to 1000 mg daily for severe infections, for at least four weeks; reduce the dose when treatment response occurs.