|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!