1. SeLF-CARE MANAGEMENT:FUNGAL INFECTIONs
Jovan Miles, Pharm.D., RPh.
SeLF-CARE MANAGEMENT:FUNGAL INFECTIONs

2. Objectives Causes and Symptoms: OTC Products Tinea Corporis Capitis
Cruris
Pedis
Versicolor
OTC Products

3. TINEA Transmission Higher Risk Animal→ Person Person →Person
Sharing Personal Items
Higher Risk
Dark moist areas
Public Locker Rooms
Shower stalls
Swimming pools
Hot and Humid areas
Towels hats combs Shoes

4. RINGWORM TINEA CORPORIS TINEA CAPITIS PRESENTATION:
Arms, legs, face, or other exposed body areas
Raised Scaly Rash
Itching
PRESESNTATION:
Scalp
Bald areas with small black dots
Low-grade fever or swollen lymph nodes in the neck
Itching
small red, raised spots and pimples. The border may look scaly…….USUALLY CHILDREN SUBSIDE IN PUBERTY

5. TINEA CORPORIS
Scaly

6. RINGWORMS????????
LEFT –granuloma annulare

7. TINEA CAPITIS

8. TINEA CAPITIS
Kerion
Pus filled region

9. JOCK ITCH Tinea Cruris PRESENTATION:
Groin
Thigh
Skin folds
Anus
Itching, Burning, Redness, Irritation, Discomfort, Vesicles
elderly under breast sedentary lifestyle, men

10. JOCK ITCH
Abnormally dark or light skin

11. ATHLETE’S FOOT Tinea Pedis PRESENTATION: Most Common
Around and in between toes
Itching
Burning
Cracking & Scaling
Redness
Soreness
Fissures
Odor 
Vesicles(burst may need powder

12. ATHLETE’S FOOT

13. ATHLETE’S FOOT

14. TINEA PEDIS Long Term Complications Onychomycosis Toes and Fingers
Fungal infection of the nail
Toes and Fingers
Discolored
Black
Easily fall off

15. ONYCHOMYCOSIS

16. ONYCHOMYCOSIS

17. OTC MEDICINAL AGENTS Tolnaftate 1% (Tinactin Cream)
>2 y/o
Clotrimazole 1% (Lotrimin AF Cream)
Miconazole 2% ( Micatin Cream)
Terbenafine 1% (Lamisil AT Cream)
>12 y/o
Butenafine 1% (Lotrimin Ultra Cream)
>12y/o
Undecylenic Acid % (Desenex)
>2y/o

18. FORMULATIONS
VARIOUS BRANDS
Cream
Gel
Spray
Powders

19. TREATMENT DURATION 2-4 WEEKS 1-2 WEEKS Tolnaftate 1% Clotrimazole 1%
Miconazole 2%
Butenafine 1%
Undecylenic Acid %
1-2 WEEKS
Terbenafine 1%

20. TREATMENT DURATION CAPITIS ONYCHOMYCOSIS SEE MD Up to 8 weeks
3-6 MONTHS

21. PATIENT TIPS Stay Clean and Dry Feet
Post Exercise/Physical Activity
Bathing
Elderly
Ambulate
Feet
Change socks(Cotton or Wool) & Wash qd
Dry in between toes well
Talcum powder  
Wear sandals, canvas tennis shoes, or go barefoot during treatment 
Blisters- soak in an astringent x 20 to 30 minutes BID
Avoid infected clothes and personal items
Treat even after burning/irritation stops