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13.10.2 Antifungal preparations
NHS England (NHSE) has published new prescribing guidance for various common conditions for which over the counter (OTC) items should not be routinely prescribed in primary care (quick reference guide). These conditions include ringworm, athlete's foot, and nappy rash.
Many of these products are cheap to buy and are readily available OTC along with advice from pharmacies. Some self-care medicines are available from shops and supermarkets. Please click here for further information, exceptions, and a patient leaflet.
Please refer to Chapter 5, skin and soft tissue infections for dermatophyte infections
Clotrimazole
- Cream 1% (£1.46 = 20g)
- Spray 1% (£4.99 = 40ml)
Notes
- Clotrimazole spray is included for the treatment of pityriasis versicolor. Spray / solutions are ideal for the treatment of chronic paronychia as the solution will drip down behind the nail plates. Chronic paronychia is associated with a secondary infection of Candida albicans.
Ketoconazole
- Cream 2% (£4.24 = 30g)
Indications
Notes
- Pityriasis versicolor (fungal infection, normally of the scalp). Extensive or resistant that does not respond to topical preparations, oral terbinafine or itraconazole should be prescribed. See Chapter 5, skin infections.
Terbinafine
- Cream 1% (£2.68 = 15g)
Indications
Miconazole nitrate
- Cream 2% (£4.57 = 30g)
Indications
