Which medications are indicated in the treatment of pediatric tinea versicolor?

Updated: Jan 27, 2020
  • Author: Lyubomir A Dourmishev, MD, PhD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Tinea versicolor responds well to both topical and oral antimycotic therapies. Some patients prefer oral therapy because of convenience, while others prefer the safety of topical therapies. Many effective topical therapies are available without prescription and can be used for suppressive therapy or for treating recurrences without the need for a follow-up visit. Traditional topical herbal therapies are still used in many parts of the world. [15]

Topical therapy alone is indicated for most patients. Systemic treatment may be indicated for patients with extensive involvement, those with recurrent infections, or those in whom topical therapy has failed.

Systemic azoles are highly effective against M furfur and are usually combined with topical antimycotics in severe cases, and new agents are being investigated. [16]  While oral fluconazole has been used in tinea versicolor, the results may be no better than with topical agents. [17, 18]


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