Effective treatment of tinea capitis requires systemic antifungal medications because topical treatments alone are insufficient. Common treatment options include:
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Oral Antifungal Medications:
- Griseofulvin: Typically prescribed for a duration of 6-8 weeks. It is the only oral antifungal approved for use in children.
- Terbinafine: Often considered the first choice due to its effectiveness. It is usually prescribed for 4 weeks.
- Itraconazole and Fluconazole: Other options that may be used depending on the specific fungal species and patient response.
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Medicated Shampoos:
- Shampoos containing 2% ketoconazole or 1% selenium sulfide are recommended for twice-weekly use to reduce fungal spores and prevent the spread of infection. These shampoos are not curative on their own but help control the spread.
