Page 165 - HPP ANTIMICROBIAL GUIDELINE 2018

Suggested Treatment
Infection/ Condition Comments
Preferred Alternative

Tinea manuum/ Tinea pedis Griseofulvin 500mg PO q12h for 6-12 Terbinafine 250mg PO q24h for 2-4 Patients with
weeks weeks contraindications to systemic
agents may consider topical
OR antifungal agents
Itraconazole 200mg PO q12h for 2-4
weeks

Tinea unguium Terbinafine 250mg PO q24h Amorolfine 5% nail lacquer weekly Amorolfine 5% nail lacquer is
For 6 weeks (finger nails) application not indicated for children less
For 12 weeks (toe nails) For 6 months (finger nails) For 12 months than 12 years old
(toe nails)
OR Patients with
Pulse Itraconazole 200mg PO q12h OR contraindications to systemic
for 1 week per month Griseofulvin 500mg PO q12h For 6 agents may consider topical
for 2 months (finger nails) months (finger nails) For 12 months antifungal agents
for 3 months (toe nails) (toe nails)

OR
Fluconazole 150mg PO once weekly
6-12 months for toenail
≥3 months for fingernail

Tinea versicolor Selenium sulphide 2% shampoo Itraconazole 200mg PO q24h for 1 week
apply to affected areas 10 minutes (recurrent cases)
before bathing

OR
Dilute to 1:1 with water, apply and
leave overnight (treat for 1-2 weeks)

For face: Topical imidazole for 4-6 weeks e.g.
miconazole 2% cream, clotrimazole
1% cream, tioconazole 1% cream

HPP AMG Skin & Soft Tissue Infections 77