Treatment plan

Treatment plan
• Local:
o Ketoconazole shampoo
o Topical cream (e.g. clotrimazole)
• Extensive/non-responsive to topical:
o Oral antifungals (triazoles)
o Examples: itraconazole, fluconazole
o Contraindicated: children, pregnancy (teratogenic)
• Resolution: Typically, 2-3 months after starting treatment
• Relapse prevention:
o Ketoconazole shampoo once every 2-4 weeks for 6 months OR
o Prophylactic use before hot/humid environment exposure:
Apply 3 days before travel.