infectious disease header

Infection
Dermatologic Possible therapeutic alternatives
Phthiriasis (pubic lice, crabs)

 

NEW MONOGRAPHS

  Common pathogens
Permethrin (Elimite): Scabies: apply cream from to soles of feet and wash after 8-14 hours. [5% cream]. Lice (Nix rinse): saturate hair and scalp with rinse. Wash after 10 minutes.
Lindane (Kwell): Scabies: apply 30-60 ml of lotion/cream in a thin layer from the neck to the toes. Bathe and remove after 8-12 hours. Repeat treatment in 7 days if still present. Pediculosis, lice: 15-30 ml of shampoo-lather for 4-5 minutes. Rinse hair thoroughly and comb with a fine tooth comb to remove nits. May repeat in 7 days is still present.
RID, A-200 (pyrethrins, piperonyl butoxide):  Lice: Apply shampoo, wash after 10 minutes. Re-apply in 5-7 days.
Crotamiton (Eurax):  Scabies: apply cream/lotion from chin to feet. Repeat In 24hrs. Bathe after 48 hours. Pruritus: massage as needed. [cream/lot 10%]
Nail Infections  
Terbinafine (Lamisil) 250 mg PO qd x 6weeks (fingernails) or x 12 weeks (toenails)
Itraconazole (Sporanox) 100mg PO bid or 200mg PO qd x 8 weeks (fingernails) or x 12 weeks (toenails). Pulse regimen: 200mg PO bid x 1w, for 2 consecutive months (fingernails) or 3 consecutive months (toenails)
Fluconazole (Diflucan) 150-300mg PO weekly x 6-12 months (until complete nail growth)
Tinea corporis/tinea cruris Trichophyton rubrum
 ciclopirox (Loprox ®): Apply cream or lotion twice daily  [cream/lotion 1%]
butenafine (Mentax ®): Apply cream once or twice daily. [cream 1%]
clotrimazole (Lotrimin ®): Apply twice daily.   Supplied:  [1% cream /solution /lotion]
enconazole (Spectazole ®): Tinea: apply once daily. Candida: apply twice daily.   Supplied:[1% cream]
ketoconazole: (Nizoril ®) Tinea/candida: apply once a day  Supplied: [2% cream]. Seborrheic dermatitis: apply shampoo/cream  once or twice daily. Dandruff: shampoo 2 times per week.
Miconazole: Tinea/candida: apply twice a day.  Supplie:  [2% cream/powder/spray]
naftifine (Naftin ®): Tinea: apply once daily (cream) or  twice a day- (gel)
terbinafine (Lamisil ®): Tinea: apply once or twice daily.   Supplied: [cream 1%]
tolnaftate (Tinactin ®): Apply twice a day.  Supplied:  [1% cream /powder/ gel /solution]

References - Infectious Disease Section
Infectious Disease References

Disclaimer
The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgement. Neither GlobalRPh Inc. nor any other party involved in the preparation of this program shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.
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