Tinea versicolor (Pityriasis versicolor)
- Oral therapy recommended for:
- extensive involvement
- recurrent infections
- failure of topical agents.
- Oral terbinafine (Lamisil®) is not effective.
Usual Pathogens
Malassezia furfur (Pityrosporum orbiculare)
Topical
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Clotrimazole 1% | Apply bid | 7 days |
| or | ||
| Ketoconazole 2% | Apply daily | 7 days |
| or | ||
| Miconazole 2% | Apply bid | 7 days |
| or | ||
| Selenium sulfide 2.5% | Apply daily (lather, then wash off after 10 minutes) | 7 days |
| or | ||
| Terbinafine 1% | Apply daily - bid | 7 days |
Oral
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Itraconazole | 400mg PO daily | 3-7 days |
| or | ||
| Fluconazole | 400mg PO | 1 dose |
| or | ||
| Ketoconazole | 400mg PO or | 1 dose |
| 200mg PO daily | 7 days |