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 | Duration | |
|---|---|---|
| Ciclopirox 1% | Apply bid | 2 weeks |
| or | ||
| Clotrimazole 1% |
Apply bid | 2 weeks |
| or | ||
| Ketoconazole 2% | Apply daily | 2 weeks |
| or | ||
| Miconazole 2% | Apply bid | 2 weeks |
| or | ||
| Terbinafine 1% | Apply bid | 7 days |
Oral
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Itraconazole | 200mg PO daily | 5 days |
| or | ||
| Fluconazole | 300mg PO weekly | 2 weeks |