Formulary for Tinea Versicolor
AGENT | INSTRUCTIONS | Topical agents: Over-the-counter | Selenium sulfide 1% (Selsun Blue) shampoo | Apply daily to wide area for 10 min, followed by a shower | Selenium sulfide 1%, zinc pyrithione (Head & Shoulders) shampoo | Apply daily to wide area for 10 min, followed by a shower | Miconazole 2% (Micatin) spray | Spray on once daily for 2 wks | Clotrimazole (Lotrimin) 1% cream | Apply once daily for 2 wks | Terbinafine (Lamisil) 1% cream | Apply twice daily for 1-4 wks | Topical agents: Prescription required | Ketoconazole 2% gel (Xolegel), 2% foam (Extina) | Apply twice daily for 1-4 wks | Ketoconazole 2% shampoo (Nizoral) | Apply daily to wide area for 10 min, followed by a shower | Selenium sulfide 2.5% shampoo (Selsun 2.5%) | Apply daily to wide area for 10 min, followed by a shower | Ciclopirox shampoo | Apply daily to wide area for 10 min, followed by a shower | Ciclopirox (Loprox) gel | Apply twice daily for 1-4 weeks | Systemic agents | Itraconazole (Sporanox) | 100 mg for 5 days | Fluconazole (Diflucan) | 150 mg for 5 days |
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