Skin scrapings not routinely required. If scalp infection or intractable, severe, extensive infection - send skin scrapings to guide use of oral terbinafine.

Scalp: Discuss with dermatology. Oral therapy indicated if confirmed

Drug details

Topical terbinafine 1%

BD

1-2 weeks

Alternative:

Topical imidazole e.g. clotrimazole, miconazole

as per BNF

as per BNF

Alternative for Athlete’s foot:

Over-the-counter undecenoic acid cream or topical preparations containing tolnaftate