Transcript SeLF-CARE MANAGEMENT:FUNGAL INFECTIONs

Jovan Miles, Pharm.D., RPh.
SELF-CARE MANAGEMENT:FUNGAL
INFECTIONS
Objectives
 Causes and Symptoms:
 Tinea
 Corporis
 Capitis
 Cruris
 Pedis
 Versicolor
 OTC Products
TINEA
 Transmission
 Animal→ Person
 Person →Person
 Sharing Personal Items
 Higher Risk





Dark moist areas
Public Locker Rooms
Shower stalls
Swimming pools
Hot and Humid areas
RINGWORM
TINEA CORPORIS
TINEA CAPITIS
 PRESENTATION:
 PRESESNTATION:
 Arms, legs, face, or other
 Scalp
exposed body areas
 Raised Scaly Rash
 Itching
 Bald areas with small black
dots
 Low-grade fever or swollen
lymph nodes in the neck
 Itching
TINEA CORPORIS
Scaly
RINGWORMS????????
TINEA CAPITIS
TINEA CAPITIS
Kerion
JOCK ITCH
 Tinea Cruris
 PRESENTATION:
 Groin
 Thigh
 Skin folds
 Anus
 Itching, Burning, Redness, Irritation,
Discomfort, Vesicles
JOCK ITCH
Abnormally dark or light skin
ATHLETE’S FOOT
 Tinea Pedis
 Most Common
 PRESENTATION:
 Around and in between toes
 Itching
 Burning
 Cracking & Scaling
 Redness
 Soreness
 Fissures
 Odor
ATHLETE’S FOOT
ATHLETE’S FOOT
TINEA PEDIS
 Long Term Complications
 Onychomycosis
 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)
 >2 y/o
 Miconazole 2% ( Micatin Cream)
 >2 y/o
 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
 Tolnaftate 1%
 Clotrimazole 1%
 Miconazole 2%
 Butenafine 1%
 Undecylenic Acid 10- 25%
 1-2 WEEKS
 Terbenafine 1%
TREATMENT DURATION
 CAPITIS
 SEE MD
 Up to 8 weeks
 ONYCHOMYCOSIS
 SEE MD
 3-6 MONTHS
PATIENT TIPS
 Stay Clean and Dry
 Post Exercise/Physical Activity
 Bathing
 Elderly
 Ambulate
 Feet
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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