Tinea: Treatment Duration and Medication Explained - Dermatology

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Regarding skin fungus?


I visited a dermatology clinic because my buttocks were constantly itchy, and even after improvement, it recurred.
The doctor diagnosed it as tinea, but he mentioned in a book that continuous medication for fourteen days is necessary for a complete cure.
Is this true? Here are the medications:
1.
Yucomy (Ketoconazole) - BID, 1 tablet, total 6
2.
Baymin (Mequitazine) - BID, 1 tablet, total 6
3.
Sinquart 10GM - EXT, 1 application, total 1
Do these medications really need to be taken for fourteen days for a complete cure? What about the ointment? What are the functions of these three oral and topical medications?

Duo Duo, 20~29 year old female. Ask Date: 2006/06/07

Dr. Huang Ruiyun reply Dermatology


1.
Antifungal medications.
2.
Antihistamines (for itching relief).
3.
Antifungal + antibacterial + corticosteroids.
To be precise, the term "cure" should be used instead of "eradicate." Given the climate in Taiwan, it's uncertain whether one might experience fungal infections again in their lifetime.

Reply Date: 2006/06/07

More Info


Tinea, commonly known as ringworm, is a fungal infection that can affect various parts of the body, including the skin, scalp, and nails. It is characterized by itchy, red, and often circular patches on the skin. The treatment duration for tinea can vary depending on the severity of the infection and the specific area affected. In many cases, a continuous treatment for at least two weeks is recommended to ensure that the infection is fully eradicated. This is particularly important because fungal infections can be persistent and may recur if not treated adequately.

In your case, the physician has prescribed a combination of medications, which includes both oral and topical treatments. Let's break down the medications you've mentioned:
1. Yucomy (Ketoconazole): Ketoconazole is an antifungal medication that is effective against a variety of fungal infections, including tinea. It works by inhibiting the growth of fungi by interfering with their cell membrane synthesis. The typical dosage for treating tinea is often 200 mg taken orally once daily for a duration of 14 days, depending on the severity of the infection. In your case, it seems you are instructed to take it twice a day (BID), which may be a higher intensity treatment to ensure the infection is cleared.

2. Baymin (Mequitazine): Mequitazine is an antihistamine that is primarily used to relieve allergy symptoms. While it is not an antifungal, it may be prescribed to help alleviate itching and discomfort associated with the tinea infection. It is important to note that while it can help manage symptoms, it does not treat the underlying fungal infection.

3. Sinquart (10GM): This appears to be a topical medication, likely an antifungal cream or ointment. Topical antifungals are commonly used to treat localized infections like tinea. They are applied directly to the affected area and can help to clear the infection more rapidly. The exact formulation and active ingredients would determine its specific action, but generally, topical antifungals are effective for treating superficial fungal infections.

Regarding the treatment duration, it is indeed common for dermatologists to recommend a minimum of 14 days of continuous antifungal therapy for tinea. This duration helps to ensure that the fungal spores are fully eradicated, reducing the risk of recurrence. It is also essential to continue using the medication for the full prescribed duration, even if symptoms improve before completing the course. Stopping treatment too early can lead to a resurgence of the infection.

In addition to medication, it is crucial to maintain good hygiene and keep the affected area dry, as fungi thrive in moist environments. Wearing loose-fitting clothing and avoiding sharing personal items can also help prevent the spread of the infection.

If you have any concerns about the medications or the treatment plan, it is advisable to discuss them with your healthcare provider. They can provide personalized advice based on your specific situation and may adjust the treatment if necessary. Overall, following the prescribed regimen and maintaining good skin care practices will be key to successfully managing and overcoming tinea.

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