Fungal treatment - Athlete’s foot, Jock itch, Ring worm

Available over the counter options
Brand	Generic/Strength	Form	Uses	Age	Directions
Lotrimin	Clotrimazole 1%	cream	athlete’s foot, jock itch, ring worm	Age 2+	Athletes foot/ringworm -          BID between toes for 4 weeks Jock itch -          BID between toes for 2 weeks
Lotrimin Ultra	Butenafine hydrochloride 1%	cream	athlete’s foot, jock itch, ring worm	Age 12+	Athletes foot between toes -          BID between toes for 1 week -          QD for 4 weeks Jock itch -          QD for 2 weeks
Tinactin	Tolnaftate 1%	cream	athlete’s foot, jock itch	age 2+	BID for 4 weeks
Lamisil	Terbinafine hydrochloride 1%	cream	athlete’s foot, jock itch, ring worm	age 12+	Athletes foot -          BID between toes for 1 week -          BID foot bottom or side for 2 weeks Jock itch and ringworm -          QD (AM or PM) for 1 week
Micatin	Miconazole nitrate 2%	cream	athlete’s foot, jock itch, ring worm	age 2+	Athletes foot/ringworm -          BID between toes for 4 weeks Jock itch -          BID between toes for 2 weeks
Counseling points
-          Wash and pat dry affected area daily or twice daily (morning and night) -          Do not share towels with others or use same towel on other parts of the body -          Wear protective footwear in areas with other family members or public -          Launder contaminated towel and clothing in hot water and dry on hot dry setting -          Avoid clothing or shoes that cause skin to stay wet such as wool and synthetic fabrics -          Dry shoes before wearing them again -          Dust shoes with medicated or nonmedicated foot powder to help dry -          Change insoles every 3 to 4 months for odor control -          Stop topical medications if causes irritation, sensitization or worsening -          Apply thin layer over affected area -          Apply to spaces between toes as well if affected -          Wear well-fitting ventilated shoes -          Change socks at least once a day -          Wash hands with soap and water after applying the cream, avoid getting cream in eye -          Creams and solutions are easier to get into skin than spray and powder dosage forms -          Consult doctor o   if last longer than 4 weeks o   cause unknown o   unsuccessful initial treatment or worsening o   nails or scalp involved o   face, mucous membranes, or genitalia involved o   secondary bacterial infection signs such as oozing purulent material o   excessive continuous exudation o   widespread, very inflamed, or debilitating o   diabetes, systemic infection, immune deficiency o   fever or malaise

Krinsky DL, Berardi RR, Ferreri SP, et al. Handbook of nonprescription drugs: An interactive approach to self-care. 18th ed. Washington, D.C.: American Pharmacists Association; 2015.