Template:Tinea capitis treatment - Revision history

Danbot: Convert to AntibioticDose templates for SMW integration

2026-03-20T22:30:01Z

Convert to AntibioticDose templates for SMW integration

← Older revision		Revision as of 22:30, 20 March 2026
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	*Treatment involves oral antifungal with topical antifungals not effective due to inadequate ~~penetrating~~ of hair follicles and may miss sites of subclinical infection		*Treatment involves oral antifungal with topical antifungals not effective due to inadequate penetration of hair follicles and may miss sites of subclinical infection
	*[[Griseofulvin]] (first line)		*{{AntibioticDose\|drug=Griseofulvin\|dose=Microsize: 20-25 mg/kg/day (max 1000mg) x 6-12 weeks; Ultramicrosize: 10-15 mg/kg/day (max 750mg) x 6-12 weeks\|context=First line\|disease=Tinea capitis\|population=Pediatric}} (first line)
	**No labs needed before griseofulvin treatment. However if repeat courses or if therapy continued beyond 8 weeks then obtain CBC and LFTs.		**No labs needed before griseofulvin treatment. However if repeat courses or if therapy continued beyond 8 weeks then obtain CBC and LFTs.
	**Microsize formulation: 20-25 mg/kg per day (max daily dose 1000mg per day) for 6-12 weeks		**Give with fatty food (like peanut butter, ice cream) for better absorption. Therapy can fail due to lack of absorption.
	***Typical initial dose 20mg/kg per day for 6-8 weeks, if partial response increase to 25mg/kg per day for 12 weeks		*{{AntibioticDose\|drug=Terbinafine\|dose=10-20kg: 62.5mg daily; 20-40kg: 125mg daily; >40kg: 250mg daily x 4-6 weeks\|context=Alternative first line\|disease=Tinea capitis\|population=Pediatric}} is alternative first line however need LFTs prior to therapy (can be taken without regard to meals)
	**Ultramicrosize formulation: 10-15 mg/kg (max daily dose 750mg per day) per day for 6-12 weeks
	***Typical initial dose 10mg/kg per day for 6-8 weeks, if partial response increase to 15mg.kg per day for 12 weeks
	**Give with fatty food (like peanut butter, ice cream) for better absorption. Therapy can fail due to lack of absorption.
	*[[Terbinafine]] is alternative first line however need LFTs prior to therapy (can be taken without regard to meals)
	** 10 to 20 kg: 62.5 mg daily for four to six weeks
	** 20 to 40 kg: 125 mg daily for four to six weeks
	** Above 40 kg: 250 mg daily for four to six weeks
	*Second line (both below with limited efficacy data):		*Second line (both below with limited efficacy data):
	**[[Fluconazole]] 6mg/kg PO (max ~~daily dose~~ 400mg)~~per day~~ x 3-6 weeks		**{{AntibioticDose\|drug=Fluconazole\|dose=6mg/kg PO daily (max 400mg) x 3-6 weeks\|context=Second line\|disease=Tinea capitis\|population=Pediatric}}
	**[[Itraconazole]] 3-5mg/kg PO (max ~~daily dose~~ 400mg) ~~per day~~ x 4-6 weeks		**{{AntibioticDose\|drug=Itraconazole\|dose=3-5mg/kg PO daily (max 400mg) x 4-6 weeks\|context=Second line\|disease=Tinea capitis\|population=Pediatric}}
	*Adjunctive interventions		*Adjunctive interventions
	** Selenium sulfide 1 or 2.5%, ciclopirox 1%, or ketoconazole 2% shampoo at least twice weekly to decrease shedding of fungal spores		**Selenium sulfide 1 or 2.5%, ciclopirox 1%, or ketoconazole 2% shampoo at least twice weekly to decrease shedding of fungal spores
	** Use of antifungal shampoo by other household members may also decrease the risk for reinfection		**Use of antifungal shampoo by other household members may also decrease the risk for reinfection
	**Combs and hair trimming equipment be cleaned mechanically and disinfected (eg, with household bleach)		**Combs and hair trimming equipment be cleaned mechanically and disinfected (eg, with household bleach)

Sabedi: /* Antifungals */

2020-02-26T20:13:15Z

Antifungals

← Older revision		Revision as of 20:13, 26 February 2020
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	~~===[[Antifungals]]===~~		*Treatment involves oral antifungal with topical antifungals not effective due to inadequate penetrating of hair follicles and may miss sites of subclinical infection
	*~~Coverage for Trichophyton and Microsporum and should use both~~ topical and ~~systemic therapy simultaneously~~
	*Baseline liver function required prior to systemic antifungals

	~~====Systemic====~~
	*[[Griseofulvin]] (first line)		*[[Griseofulvin]] (first line)
	**No labs needed before griseofulvin treatment. However if repeat courses or if therapy continued beyond 8 weeks then obtain CBC and LFTs.		**No labs needed before griseofulvin treatment. However if repeat courses or if therapy continued beyond 8 weeks then obtain CBC and LFTs.
	**Microsize formulation: 20 mg/kg per day for ~~six~~ to ~~eight~~ weeks.		**Microsize formulation: 20-25 mg/kg per day (max daily dose 1000mg per day) for 6-12 weeks
	**Ultramicrosize formulation: 10 mg/kg per day for ~~six~~ to ~~eight~~ weeks.		***Typical initial dose 20mg/kg per day for 6-8 weeks, if partial response increase to 25mg/kg per day for 12 weeks
			**Ultramicrosize formulation: 10-15 mg/kg (max daily dose 750mg per day) per day for 6-12 weeks
			***Typical initial dose 10mg/kg per day for 6-8 weeks, if partial response increase to 15mg.kg per day for 12 weeks
	**Give with fatty food (like peanut butter, ice cream) for better absorption. Therapy can fail due to lack of absorption.		**Give with fatty food (like peanut butter, ice cream) for better absorption. Therapy can fail due to lack of absorption.
	*[[Terbinafine]] is alternative first line however need LFTs prior to therapy.		*[[Terbinafine]] is alternative first line however need LFTs prior to therapy (can be taken without regard to meals)
	*Second line:		** 10 to 20 kg: 62.5 mg daily for four to six weeks
	**[[Fluconazole]] ~~150mg (~~6mg/kg) ~~PO once a week~~ x 8 weeks		** 20 to 40 kg: 125 mg daily for four to six weeks
	**[[Itraconazole]] ~~200mg (~~5mg/kg) PO daily x 4 weeks		** Above 40 kg: 250 mg daily for four to six weeks
			*Second line (both below with limited efficacy data):
			**[[Fluconazole]] 6mg/kg PO (max daily dose 400mg)per day x 3-6 weeks
			**[[Itraconazole]] 3-5mg/kg PO (max daily dose 400mg) per day x 4-6 weeks
			*Adjunctive interventions
			** Selenium sulfide 1 or 2.5%, ciclopirox 1%, or ketoconazole 2% shampoo at least twice weekly to decrease shedding of fungal spores
			** Use of antifungal shampoo by other household members may also decrease the risk for reinfection
			**Combs and hair trimming equipment be cleaned mechanically and disinfected (eg, with household bleach)

Sabedi: /* Topical */

2020-02-26T19:59:19Z

Topical

← Older revision		Revision as of 19:59, 26 February 2020
Line 2:		Line 2:
	*Coverage for Trichophyton and Microsporum and should use both topical and systemic therapy simultaneously		*Coverage for Trichophyton and Microsporum and should use both topical and systemic therapy simultaneously
	*Baseline liver function required prior to systemic antifungals		*Baseline liver function required prior to systemic antifungals

	~~====Topical====~~
	*[[Selenium sulfide]] 2.25% shampoo daily x 2 weeks
	*[[Ketoconazole]] 2% shampoo daily x 2 weeks

	====Systemic====		====Systemic====

Rossdonaldson1 at 18:19, 10 February 2020

2020-02-10T18:19:36Z

← Older revision		Revision as of 18:19, 10 February 2020
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	===Antifungals===		===[[Antifungals]]===
	*Coverage for Trichophyton and Microsporum and should use both topical and systemic therapy simultaneously		*Coverage for Trichophyton and Microsporum and should use both topical and systemic therapy simultaneously
	*Baseline liver function required prior to systemic antifungals		*Baseline liver function required prior to systemic antifungals

	====Topical====		====Topical====
	*[[Selenium sulfide]] 2.25% shampoo daily x 2 weeks		*[[Selenium sulfide]] 2.25% shampoo daily x 2 weeks
	*[[Ketoconazole]] 2% shampoo daily x 2 weeks		*[[Ketoconazole]] 2% shampoo daily x 2 weeks

	====Systemic====		====Systemic====
	*[[Griseofulvin]] (first line)		*[[Griseofulvin]] (first line)

Rossdonaldson1 at 18:19, 10 February 2020

2020-02-10T18:19:08Z

← Older revision		Revision as of 18:19, 10 February 2020
Line 12:		Line 12:
	**Give with fatty food (like peanut butter, ice cream) for better absorption. Therapy can fail due to lack of absorption.		**Give with fatty food (like peanut butter, ice cream) for better absorption. Therapy can fail due to lack of absorption.
	*[[Terbinafine]] is alternative first line however need LFTs prior to therapy.		*[[Terbinafine]] is alternative first line however need LFTs prior to therapy.
	*[[Fluconazole]] 150mg (6mg/kg) PO once a week x 8 weeks		*Second line:
	*[[Itraconazole]] 200mg (5mg/kg) PO daily x 4 weeks		**[[Fluconazole]] 150mg (6mg/kg) PO once a week x 8 weeks
			**[[Itraconazole]] 200mg (5mg/kg) PO daily x 4 weeks

Hoxbox: /* Systemic */

2020-02-06T12:37:13Z

Systemic

← Older revision		Revision as of 12:37, 6 February 2020
Line 6:		Line 6:
	*[[Ketoconazole]] 2% shampoo daily x 2 weeks		*[[Ketoconazole]] 2% shampoo daily x 2 weeks
	====Systemic====		====Systemic====
			*[[Griseofulvin]] (first line)
			**No labs needed before griseofulvin treatment. However if repeat courses or if therapy continued beyond 8 weeks then obtain CBC and LFTs.
			**Microsize formulation: 20 mg/kg per day for six to eight weeks.
			**Ultramicrosize formulation: 10 mg/kg per day for six to eight weeks.
			**Give with fatty food (like peanut butter, ice cream) for better absorption. Therapy can fail due to lack of absorption.
			*[[Terbinafine]] is alternative first line however need LFTs prior to therapy.
	*[[Fluconazole]] 150mg (6mg/kg) PO once a week x 8 weeks		*[[Fluconazole]] 150mg (6mg/kg) PO once a week x 8 weeks
	*[[Griseofulvin]] 500mg (20mg/kg suspension) PO daily x 6 weeks
	*[[Itraconazole]] 200mg (5mg/kg) PO daily x 4 weeks		*[[Itraconazole]] 200mg (5mg/kg) PO daily x 4 weeks

Rossdonaldson1: /* Antifungals */

2016-05-11T11:00:14Z

Antifungals

← Older revision		Revision as of 11:00, 11 May 2016
Line 3:		Line 3:
	*Baseline liver function required prior to systemic antifungals		*Baseline liver function required prior to systemic antifungals
	====Topical====		====Topical====
	*Selenium sulfide 2.25% shampoo daily x 2 weeks		*[[Selenium sulfide]] 2.25% shampoo daily x 2 weeks
	*Ketoconazole 2% shampoo daily x 2 weeks		*[[Ketoconazole]] 2% shampoo daily x 2 weeks
	====Systemic====		====Systemic====
	*Fluconazole 150mg (6mg/kg) PO once a week x 8 weeks		*[[Fluconazole]] 150mg (6mg/kg) PO once a week x 8 weeks
	*Griseofulvin 500mg (20mg/kg suspension) PO daily x 6 weeks		*[[Griseofulvin]] 500mg (20mg/kg suspension) PO daily x 6 weeks
	*Itraconazole 200mg (5mg/kg) PO daily x 4 weeks		*[[Itraconazole]] 200mg (5mg/kg) PO daily x 4 weeks

Yoshmd: Created page with "===Antifungals=== Coverage for Trichophyton and Microsporum and should use both topical and systemic therapy simultaneously Baseline liver function required prior to systemi..."

2015-04-25T15:24:42Z

Created page with "===Antifungals=== *Coverage for Trichophyton and Microsporum and should use both topical and systemic therapy simultaneously *Baseline liver function required prior to systemi..."

New page

===Antifungals===
*Coverage for Trichophyton and Microsporum and should use both topical and systemic therapy simultaneously
*Baseline liver function required prior to systemic antifungals
====Topical====
*Selenium sulfide 2.25% shampoo daily x 2 weeks
*Ketoconazole 2% shampoo daily x 2 weeks
====Systemic====
*Fluconazole 150mg (6mg/kg) PO once a week x 8 weeks
*Griseofulvin 500mg (20mg/kg suspension) PO daily x 6 weeks
*Itraconazole 200mg (5mg/kg) PO daily x 4 weeks

Template:Tinea capitis treatment - Revision history

Danbot: Convert to AntibioticDose templates for SMW integration

Sabedi: /* Antifungals */

Sabedi: /* Topical */

Rossdonaldson1 at 18:19, 10 February 2020

Rossdonaldson1 at 18:19, 10 February 2020

Hoxbox: /* Systemic */

Rossdonaldson1: /* Antifungals */

Yoshmd: Created page with "===Antifungals=== *Coverage for Trichophyton and Microsporum and should use both topical and systemic therapy simultaneously *Baseline liver function required prior to systemi..."

Yoshmd: Created page with "===Antifungals=== Coverage for Trichophyton and Microsporum and should use both topical and systemic therapy simultaneously Baseline liver function required prior to systemi..."