Dermatology
Tinea (Ringworm)
دادھ
Itching with well-circumscribed lesions on the face, abdomen, hands or head; usually multiple but may be single.
- ICD-10
- —
- Source
- OPD handbook pp.106–107
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- Itching
- Well-circumscribed lesion on the face, abdomen, hands or head
Diagnosis
- Well-circumscribed lesion
- Usually multiple, may be single
Treatment
Step 1 of 3
1. Topical antifungal
- Dermosporin lotion = clotrimazole + hydrocortisone
- Spectrazole lotion/cream = clotrimazole + betamethasone
- Terbisil lotion is used in the sample prescription
Prescription
Clotrimazole + HydrocortisoneTopical antifungal + steroid
DoseApply to the affected site
Brand Dermosporin lotion
Clotrimazole + BetamethasoneTopical antifungal + steroid
DoseApply morning and evening to the affected site
Brand Spectrazole lotion / cream
21 days (sample)
TerbinafineTopical antifungal
DoseApply morning and evening to the affected site
Brand Terbisil lotion
21 days (sample)
Also sold as Terbisil, Cutis
Step 2 of 3
2. Antihistamine
- Cetirizine or levocetirizine
Prescription
CetirizineAntihistamine
Dose1 at night
Brand Tab Sedil 10 mg
7 days (sample)
Also sold as Rigix, Sedil, Antial, Neo-Antial, Cetrix, Zyrtec
Step 3 of 3
3. Oral antifungal
- If the patient is co-morbid or topical therapy fails, an oral antifungal is given (the details are cut off at the edge of the scanned page)
Sample prescription from the book (patient details removed)
- Male, 7 y, itching over the arm for 1 month; three circular lesions of 3×3 cm; diagnosis tinea: Spectrazole cream / Terbisil lotion applied on the affected site morning and evening for 21 days; Tab Sedil 10 mg 1 at night for 7 days; review after 1 week (the last line is partly cut off in the scan).