| Comfort measures, general treatment | Topical medication (useful for erythema and scale without pustules or papules)1 | Oral medication (useful for thick plaques, follicular involvement) |
|---|---|---|
| Keep area cool and dry. | Clotrimazole 1% twice daily x 14 days | Fluconazole 150-200 mg orally once a week x 3-4 weeks. Check for drug interactions |
| Wash with a triclosan solution (Tersaseptic), rinse well, pat dry. | Miconazole 2% twice daily x 14 days | Terbinafine (Lamisil) 250 mg orally daily x 2 weeks. |
| Loose clothing. | Ketoconazole 2% twice daily x 14 days | Itraconazole (Sporanox) 100-200 mg orally twice a day for one week. Watch for interactions with other medications. |
| Treat tinea pedis or onychomycosis if present. | Econazole 2% twice daily x 14 days | Ketoconazole (Nizoral) 200-400 mg orally daily x 2 weeks. May cause hepatotoxicity. |
| Put on socks before other clothing. | Terbinafine 1% twice daily x 14 days | Griseofulvin 500 mg orally daily x 2-6 weeks. (May cause nausea or headache). |
| Ciclopirox olamine 1% twice daily x 14 days Nystatin not effective! |
