SeLF-CARE MANAGEMENT:FUNGAL INFECTIONs Jovan Miles, Pharm.D., RPh. SeLF-CARE MANAGEMENT:FUNGAL INFECTIONs

Objectives Causes and Symptoms: OTC Products Tinea Corporis Capitis Cruris Pedis Versicolor OTC Products

TINEA Transmission Higher Risk Animal→ Person Person →Person Sharing Personal Items Higher Risk Dark moist areas Public Locker Rooms Shower stalls Swimming pools Hot and Humid areas Towels hats combs Shoes

RINGWORM TINEA CORPORIS TINEA CAPITIS PRESENTATION: Arms, legs, face, or other exposed body areas Raised Scaly Rash Itching PRESESNTATION: Scalp Bald areas with small black dots Low-grade fever or swollen lymph nodes in the neck Itching small red, raised spots and pimples. The border may look scaly…….USUALLY CHILDREN SUBSIDE IN PUBERTY

TINEA CORPORIS Scaly

RINGWORMS???????? LEFT –granuloma annulare

TINEA CAPITIS

TINEA CAPITIS Kerion Pus filled region

JOCK ITCH Tinea Cruris PRESENTATION: Groin Thigh Skin folds Anus Itching, Burning, Redness, Irritation, Discomfort, Vesicles elderly under breast sedentary lifestyle, men

JOCK ITCH Abnormally dark or light skin

ATHLETE’S FOOT Tinea Pedis PRESENTATION: Most Common Around and in between toes Itching Burning Cracking & Scaling Redness Soreness Fissures Odor  Vesicles(burst may need powder

ATHLETE’S FOOT

ATHLETE’S FOOT

TINEA PEDIS Long Term Complications Onychomycosis Toes and Fingers Fungal infection of the nail Toes and Fingers Discolored Black Easily fall off

ONYCHOMYCOSIS

ONYCHOMYCOSIS

OTC MEDICINAL AGENTS Tolnaftate 1% (Tinactin Cream) >2 y/o Clotrimazole 1% (Lotrimin AF Cream) Miconazole 2% ( Micatin Cream) Terbenafine 1% (Lamisil AT Cream) >12 y/o Butenafine 1% (Lotrimin Ultra Cream) >12y/o Undecylenic Acid 10- 25% (Desenex) >2y/o

FORMULATIONS VARIOUS BRANDS Cream Gel Spray Powders

TREATMENT DURATION 2-4 WEEKS 1-2 WEEKS Tolnaftate 1% Clotrimazole 1% Miconazole 2% Butenafine 1% Undecylenic Acid 10- 25% 1-2 WEEKS Terbenafine 1%

TREATMENT DURATION CAPITIS ONYCHOMYCOSIS SEE MD Up to 8 weeks 3-6 MONTHS

PATIENT TIPS Stay Clean and Dry Feet Post Exercise/Physical Activity Bathing Elderly Ambulate Feet Change socks(Cotton or Wool) & Wash qd Dry in between toes well Talcum powder   Wear sandals, canvas tennis shoes, or go barefoot during treatment  Blisters- soak in an astringent x 20 to 30 minutes BID Avoid infected clothes and personal items Treat even after burning/irritation stops