View source for Template:Tinea capitis treatment

*Treatment involves oral antifungal with topical antifungals not effective due to inadequate penetration of hair follicles and may miss sites of subclinical infection
*{{AntibioticDose|drug=Griseofulvin|dose=Microsize: 20-25 mg/kg/day (max 1000mg) x 6-12 weeks; Ultramicrosize: 10-15 mg/kg/day (max 750mg) x 6-12 weeks|context=First line|disease=Tinea capitis|population=Pediatric}} (first line)
**No labs needed before griseofulvin treatment. However if repeat courses or if therapy continued beyond 8 weeks then obtain CBC and LFTs.
**Give with fatty food (like peanut butter, ice cream) for better absorption. Therapy can fail due to lack of absorption.
*{{AntibioticDose|drug=Terbinafine|dose=10-20kg: 62.5mg daily; 20-40kg: 125mg daily; >40kg: 250mg daily x 4-6 weeks|context=Alternative first line|disease=Tinea capitis|population=Pediatric}} is alternative first line however need LFTs prior to therapy (can be taken without regard to meals)
*Second line (both below with limited efficacy data):
**{{AntibioticDose|drug=Fluconazole|dose=6mg/kg PO daily (max 400mg) x 3-6 weeks|context=Second line|disease=Tinea capitis|population=Pediatric}}
**{{AntibioticDose|drug=Itraconazole|dose=3-5mg/kg PO daily (max 400mg) x 4-6 weeks|context=Second line|disease=Tinea capitis|population=Pediatric}}
*Adjunctive interventions
**Selenium sulfide 1 or 2.5%, ciclopirox 1%, or ketoconazole 2% shampoo at least twice weekly to decrease shedding of fungal spores
**Use of antifungal shampoo by other household members may also decrease the risk for reinfection
**Combs and hair trimming equipment be cleaned mechanically and disinfected (eg, with household bleach)