Fungal treatment – Athlete’s foot, Jock itch, Ring worm

Available over the counter creams
Brand	Generic/Strength	uses	age	directions
Lotrim	Clotrimazole 1%	athlete’s foot, jock itch, ring worm	age 2+	athletes foot/ring worm ·         BID between toes for 4 weeks jock itch ·         BID between toes for 2 weeks
Lotrim Ultra	Butenafine HCl 1%	athlete’s foot, jock itch, ring worm	age 12+	athletes foot ·         BID between toes for 1 week ·         QD for 4 weeks jock itch ·         QD for 2 weeks
Tinactin	Tolnaftate 1%	athlete’s foot, jock itch	age 2+	BID for 4 weeks
Lamisil	Terbinafine HCl 1%	athlete’s foot, jock itch, ring worm	age 12+	athletes foot ·         BID between toes for1 week ·         BID foot bottom or side for 2 weeks jock itch/ring worm ·         QD (AM or PM) for 1 week
Micatin	Miconazole nitrate 2%	athlete’s foot, jock itch, ring worm	age 2+	athletes foot/ring worm ·         BID between toes for 4 weeks jock itch ·         BID between toes for 2 weeks
Counseling Points
·         Wash and pat dry affected are daily or twice daily (morning and night) ·         Do not share towels with others or use same towel on other parts of the body ·         Wear protective footwear in areas with other family members or public ·         Launder contaminated towel and clothing in hot water and dry on hot setting ·         Avoid clothing or shoes that cause skin to stay wet such as wool and synthetic fabrics ·         Dry shoes before wearing them again ·         Dust shoes with medicated or nonmedicated foot powder to help dry ·         Change insoles every 3 to 4 months for odor control ·         Stop topical medications if causes irritation, sensitization, or worsening ·         Apply thin layer over affected area ·         Apply to space between toes as well if affected ·         Wear well-fitting ventilated shoes ·         Change socks at least once a day ·         Wash hands with soap and water after applying the cream, avoid getting cream in eye ·         Creams and solutions are easier to get into skin than spray and powder dosage forms ·         Consult doctor if: o    Lasts longer than 4 weeks o    Cause unknown o    Unsuccessful initial treatment or worsening o    Nails or scalp involved o    Face, mucous membranes, or genitalia involved o    Secondary bacterial infection signs such as oozing purulent material o    Excessive continuous exudation o    Widespread, very inflamed, or debilitating o    Diabetes, systemic infection, immune deficiency o    Fever or malaise

Krinsky DL, Berardi RR, Ferreri SP, et al. Handbook of nonprescription drugs: An interactive approach to self-care. 18th ed. Washington, D.C.: American Pharmacists Association; 2015.