Tolnaftate

A to Z Drug Facts

(tahl-NAFF-tate)

Absorbine Antifungal, Absorbine Athlete's Foot Care, Absorbine Jr. Antifungal, Aftate for Athlete's Foot, Aftate for Jack Itch, Blis-To-Sol, Breezee Mist Antifungal, Desenex, Dr. Scholl's Athlete's Foot, Dr. Scholl's Maximum Strength Tritin, Genaspor, NP-27, Quinsana Plus, Tinactin, Tinactin for Jock Itch, Ting, Zeasorb-AF,  Pitrex, Tinactin Plus

Class: Topical/antifungal

 Action Distorts hyphae and inhibits mycelial growth in susceptible fungi.

 Indications Treatment and prophylaxis of tinea pedia (athlete's foot); treatment of tinea cruris (jock itch) or tinea corporis (ringworm) caused by specific fungi; treatment of onchomycosis, chronic scalp infections, palm and sole infections with kerion formation; treatment of tinea versicolor.

 Contraindications Standard considerations.

 Route/Dosage

ADULTS & CHILDREN: Topical Apply small amount of ointment, cream or powder or 1–3 gtt of solution to affected area bid for 2–3 wk (6 wk if skin is thickened); continue treatment to maintain remission. Reserve powder for mild infections.

 Interactions None well documented.

 Lab Test Interferences None well documented.

 Adverse Reactions

DERM: Sensitization; mild irritation; pruritus; contact dermatitis; tinging.

 Precautions

Pregnancy: Undetermined. Lactation: Undetermined. External use only: Avoid contact with eyes. Nail and scalp infections: Do not use drug except as adjunct to systemic treatment. Sensitization or irritation: Discontinue treatment if this occurs.

 Administration/Storage

• Cleanse skin with soap and water and dry thoroughly before applying.
• Apply small quantities of ointment, cream, solution, spray liquid, gel as primary therapy.
• Use powder or powder aerosol as adjunctive therapy or prophylaxis for athlete's foot. Use as primary therapy only in very mild conditions.
• Consult physician if no improvement after 10 days.
• To prevent recurrence, continue treatment for 2 wk beyond disappearance of symptoms.
• Store at room temperature. Avoid moisture and sunlight. Keep powders from getting wet or damp.

 Assessment/Interventions

• Obtain patient history, including drug history and any known allergies.
• Monitor for sensitization, irritation, pruritus, rash, stinging.

 Patient/Family Education

• Tell patient to cleanse skin with soap and water and dry thoroughly before applying.
• Emphasize to use only externally in small amounts massaged well into affected area and surrounding skin.
• Instruct patient to wash hands before and after applying medication.
• Tell patient to avoid contact with eyes.
• Advise patient to wear well-fitting, ventilated shoes and to change shoes and socks at least daily.
• Tell patient not to cover treated site with bandages unless ordered specifically by physician.
• Instruct patient to notify physician if no apparent improvement after 10 days of treatment.
• Emphasize that product should not be used on nail and scalp infections unless using in addition to internal medication prescribed by physician.
• Tell patient to store at room temperature and not in bathroom (specially powders).
• Instruct patient to report these symptoms to physician: persistent or severe irritation, itching, rash, stinging.

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Copyright © 2003 Facts and Comparisons
David S. Tatro
A to Z Drug Facts