Abstract | BACKGROUND: Results of topical dermatomycosis treatment are often unsatisfactory, particularly in patients with extended or multiple infection sites. OBJECTIVE: Given the high fluconazole concentrations attainable in the stratum corneum and the long elimination half-life of fluconazole, we investigated whether efficacy is satisfactory when using fluconazole at once weekly doses of 150 mg. METHODS: In an open, noncomparative study, tinea corporis and cruris patients were treated with once weekly fluconazole 150 mg over 2-4 weeks. Clinical ( pruritus, erythema, scaling, burning/pain, vesiculation) and mycologic (culture and microscopy) assessments were performed before treatment, at weekly intervals until the end of treatment and 3 weeks after treatment. All adverse events were recorded. RESULTS: The total severity scores of clinical symptoms were reduced from 7.1 before to 1.5 after treatment (p = 0.001, n = 100 patients). Seven patients experienced adverse events. CONCLUSIONS:
Fluconazole 150 mg once weekly for 2-4 weeks is an efficacious and safe regimen in the treatment of tinea corporis and cruris.
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Authors | A Stary, E Sarnow |
Journal | Dermatology (Basel, Switzerland)
(Dermatology)
Vol. 196
Issue 2
Pg. 237-41
( 1998)
ISSN: 1018-8665 [Print] Switzerland |
PMID | 9568414
(Publication Type: Clinical Trial, Journal Article, Multicenter Study)
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Chemical References |
- Antifungal Agents
- Fluconazole
|
Topics |
- Antifungal Agents
(administration & dosage, therapeutic use)
- Dermatomycoses
(drug therapy)
- Dose-Response Relationship, Drug
- Drug Evaluation
- Female
- Fluconazole
(administration & dosage, therapeutic use)
- Humans
- Male
- Middle Aged
- Mitosporic Fungi
(drug effects, isolation & purification)
- Tinea
(drug therapy, microbiology)
- Treatment Outcome
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