Tinea pedis topical therapy

The azoles miconazole (Micatin, others) and econazole (Spectrazole, others) and the allylamines naftifine (Naftin) and terbinafine (Lamisil, others) are effective topical agents for the treatment of localized tinea corporis and uncomplicated tinea pedis. Topical therapy with the azoles is preferred for localized cutaneous candidiasis and tinea versicolor. 

TINEA PEDIS Topical therapy with the azoles and allylamines is effective for tinea pedis. Macerated toe web disease may require the addition of antibacterial therapy. Econazole nitrate, which has a hmited antibacterial spectrum, can be useful in this situation. Systemic therapy with griseofulvin, terbinafine, or itraconazole (sporanox, others) is used for more extensive tinea pedis. It should be recognized that long-term topical therapy may be necessary in some patients after courses of systemic antifungal therapy. 

Tinea pedis is the most common dermatophytoses (affecting approximately 70% of adults). It is better known as athletes foot and occurs in hot weather, with exposure to surface reservoirs (locker room floors), and with use of occlusive footwear." Treatment with topical therapy for 2 to 4 weeks often is adequate for mild infections however, severe infections or involvement of the nails requires oral therapy (see Table 118-8). Recurrence of infection occurs in up to 70% of individuals. Prolonged treatment with either topical or systemic therapy may be required." " ... 

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