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Dx Athlete's Foot Treatments:


The consensus is that over-the-counter antifungal agents should be tried first on mild cases (Lotrimin, PediFix Soap, Clotrimazole, Tinactin); then any of the topical prescription medications listed below. Oral therapy with terbinafine is more effective than griseofulvin. Betadine soaks, Tea Tree Oil, and 3% hydrogen peroxide might be an alternative over-the-counter effective treatment, albeit, but treatment may be significantly longer than prescription medications.

Athlete's Foot

The Merck Manual Home Edition
"Athlete's foot is a dermatophyte (fungal) infection of the feet.

Tinea pedis is the most common Dermatophytoses (Ringworm, Tinea) because foot sweating results in accumulation of moisture in the warm areas between the toes that allows fungi to grow. The infection may spread from person to person in communal showers and bathrooms or in other moist areas where infected people walk barefoot. People who wear tight shoes are also at risk. The infection is usually caused by Trichophyton.

The fungus can cause mild scaling with or without redness and itching. The scaling may involve a small area (particularly between the toes) or the entire sole of the foot. Sometimes scaling is severe, with breakdown and painful cracking (fissuring) of the skin. Fluid-filled blisters can also form. Over time, the skin on the soles may thicken. Because the fungus may cause the skin to crack, tinea pedis can lead to bacterial infection (see see Overview of Bacterial Skin Infections), especially in older people and in people with inadequate blood flow to the feet.

he diagnosis is usually obvious to doctors based on symptoms and the appearance of the affected area.

Medications Used in Treatment:
1. Azole Antifungals :ketoconazole, econazole, Ertaczo®
2. Azole Antifungals/ Corticosteroids: Lotrisone
3. Allylamine Antifungal: Naftin®, Tinactin®
4. Hydroxypyridone Antifungals: Loprox®, Ciclodan®
5. Tubulin Inhibitors: Griseofulvin®, Gris-Peg®
Antiprotozoals: Aloquin®
7. Antiprotozoals/ Corticosteroid
: Alcortin®A, Dermazene®
8. Gentian violet 1% topical

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Over-the-counter-Remedies that seem to work include Betadine (povidone-iodine) soaks, 3% hydrogen peroxide and corn starch.

*[Editor]: On the other hand, for resistant cases, The evidence suggests that terbinafine is more effective than griseofulvin and that terbinafine and itraconazole are more effective than no treatment.

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