OTC - tinea fungal infection

Question 1

Types of fungal skin infections?

Answer 1

• tinea pedia (athletes foot)
• tinea corporis (body ringworm)
• tinea capatic (scalp ringworm)
• tinea cruris (jock itch)

Question 2

Athletes foot symptoms?

Answer 2

• white, itchy, flaky, possibly macerated skin in web spaces between toes
• looks soggy
• smelly

Question 3

Body ringworm symptoms?

Answer 3

• flat, slightly raised circular rings with a distinctive red scaly border and can have a central clearing

Question 4

Scalp ringworm symptoms?

Answer 4

• distinctive ring-shaped rash with associated hair loss - refer required oral antifungal

Question 5

Jock itch symptoms?

Answer 5

• fungal groin infection

- red-brown rash with well-defined edge on inner thighs and buttocks

Question 6

Referral criteria?

Answer 6

• facial or scalp involvement
• toenails also infected in athletes
• large area affected
• broken skin
• secondary bacterial infection
• diabetic/immunocompromised
• OTC failure after 2 weeks

Question 7

OTC products?

Answer 7

TOPICAL IMIDAZOLES

• all ages: clotrimazole (canesten)
• adults: ketoconazole (daktarin GOLD, intesiv)
• all ages: miconazole (daktarin, daktacort 15g - daktakort 10+, 7 days use only, thinly BD)
• terbinafine (lamisil 16+, lamisil once 18+)
  OTC licensing:
• spray, cream = jock itch and athletes foot
• gel = jock itch, athletes foot and body ringworm
• cutaneous solution (lamisil once) = athletes foot
• powders (mycota, mycil)l; can be used prophylactically for athletes foot)

Question 8

Advice?

Answer 8

• continue until at least 7 days after symptoms dissapepear
• contagious: easily transferred from pets and animals
• avoid sharing towels: avoid tight shoes, clothing and accumulation of sweat and heat
• in athletes foot: change socks regularly, dry skin thoroughly, wear flip flops in communal areas

Question 9

Lamisil once OTC age?

Answer 9

18+

Question 10

Daktacort 30g tube?

Answer 10

POM

OTC - 15g