Chapter 16: Common Dermatologic Therapies

Antimicrobials: Antifungals

Clotrimazole, Miconazole, Ketoconazole: Active against dermatophytes, malassezia and candida. These are available OTC or can be prescribed.

Terbinafine: Fungicidal against dermatophytes and fungistatic against yeast. Available OTC or can be prescribed.

Tolnaftate: Effective against most dermatophytes, no activity against candida. Available OTC.

Nystatin: Active against yeast (candida) but not dermatophyte infections. Prescription only.

Ciclopirox olamine: Broad spectrum activity against dermatophytes and yeast, as well as both Gm+ and Gm- bacteria. Also has anti-inflammatory properties. Available as Rx only as a cream, shampoo, or nail lacquer.

Efinaconazole: Active against dermatophytes and candida. Used for onychomycosis as a 10% solution. Prescription only.

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Pediatric Dermatology Copyright © 2023 by Dr. Wingfield E. Rehmus, MD, MPH; Dr. Jamie Phillips; Dr. Lisa Flegel; Dr. Saud Alobaida; and Hannah Podoaba is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, except where otherwise noted.

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