Materiały źródłowe

• #1 Tinea Versicolor – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482500/

  Tinea versicolor, or pityriasis versicolor, is a common, benign, superficial fungal skin infection. This activity reviews the evaluation and management of pityriasis versicolor and highlights the role of interprofessional team members in collaborating to provide well-coordinated care and enhance patient outcomes. […] Implement evidence-based treatment modalities for tinea versicolor. […] Medical treatment is effective for tinea versicolor; however, the condition often returns, so preventive medicine may be essential over a more extended period. […] Topical medications are the first-line therapy for tinea versicolor. Ketoconazole, 2% shampoo, is highly effective. […] Other acceptable topical alternatives are: selenium sulfide 2.25% to 2.5% shampoo or lotion applied for 10 minutes daily for 1 week, topical 1% terbinafine once or twice daily from 1 to 4 weeks, ciclopirox 1% applied twice daily for 2 weeks, zinc pyrithione 1% daily for 5 minutes for 2 weeks.

• #2 Pediatric Tinea Versicolor Treatment & Management: Medical Care, Diet, Activity

  https://emedicine.medscape.com/article/911138-treatment

  Tinea versicolor (pityriasis versicolor) can be treated with various agents, and skin color alterations usually resolve within a few months of treatment. It does not leave any permanent scars or pigment changes. […] Topical therapy alone is indicated for most patients. Systemic treatment is indicated for extensive involvement, for recurrent infections, or when topical therapy has failed. Because treatment is relatively easy and recurrence is common, therapy must be as safe, inexpensive, and convenient as possible. A plan for prophylactic therapy should be discussed with all patients to reduce the high recurrence rate. […] Various regimens involve both topical and oral therapies. The most common approach consists of varying regimens of selenium sulfide lotion, topical zinc pyrithione, topical benzoyl peroxide, and topical therapy with imidazoles. Oral imidazole therapy is used in adults but less commonly in children. […] Tinea versicolor has a high recurrence rate and may require frequent prophylactic treatment with intermittent topical or oral therapy. […] Some authors recommend prophylaxis with varying regimens of selenium sulfide shampoo or lotion.

• #3 Tinea versicolor (pityriasis versicolor) – UpToDate

  https://www.uptodate.com/contents/tinea-versicolor-pityriasis-versicolor

  Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] For most patients with tinea versicolor, we suggest treatment with a topical azole antifungal drug, topical terbinafine, or topical selenium sulfide, rather than other therapies. […] Topical azole antifungal drugs have direct antifungal activity and are considered effective for tinea versicolor. […] Topical azole antifungal drugs are available in a variety of formulations, including shampoos, creams, foams, gels, and solutions. […] Topical terbinafine is an allylamine antifungal drug. […] Topical selenium sulfide exerts antifungal activity primarily through the promotion of shedding of the infected stratum corneum. […] Oral antifungal therapy is typically reserved for tinea versicolor that is refractory to topical therapy, recurs frequently, or is associated with a scenario in which adequate application of topical therapy is not feasible. […] Oral fluconazole and oral itraconazole are the preferred antifungal therapies for patients who require oral treatment. […] Prophylactic therapy is an option for patients who experience frequent recurrences of tinea versicolor, particularly during warm seasons.

• #4 Tinea Versicolor Treatment & Management: Medical Care, Diet, Long-Term Monitoring

  https://emedicine.medscape.com/article/1091575-treatment

  Patients should be informed that tinea versicolor is caused by a fungus that is normally present on the skin surface and is therefore not considered contagious. The condition does not leave any permanent scar or pigmentary changes, and any skin color alterations resolve within 1-2 months after treatment has been initiated. Recurrence is common, and prophylactic therapy may help reduce the high rate of recurrence. […] Tinea versicolor can be successfully treated with various agents. First-line treatment includes topical agents include selenium sulfide, zinc-pyrithione, sodium sulfacetamide, ciclopirox olamine, tacrolimus, as well as azole and allylamine antifungals. […] Various regimens can be used. Selenium sulfide lotion is liberally applied to affected areas of the skin daily for 2 weeks; each application is allowed to remain on the skin for at least 10 minutes prior to being washed off. In resistant cases, overnight application can be helpful. Topical azole antifungals can be applied every night for 2 weeks. Weekly application of any of the topical agents for the following few months may help prevent recurrence.

• #5 Tinea versicolor (pityriasis versicolor) – UpToDate

  https://www.uptodate.com/contents/tinea-versicolor-pityriasis-versicolor/print

  Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] High-quality comparative studies of treatments for tinea versicolor are limited, making the optimal approach to treatment unclear. […] For most patients with tinea versicolor, we suggest treatment with a topical azole antifungal drug, topical terbinafine, or topical selenium sulfide, rather than other therapies. […] We frequently treat with ketoconazole 2% shampoo because of ease of application and the short course of treatment. […] For patients in whom topical therapy is ineffective or not feasible, we suggest oral fluconazole rather than other treatments. Oral itraconazole is a reasonable alternative. […] Prophylactic therapy is an option for patients who experience frequent recurrences of tinea versicolor, particularly during warm seasons.

• #6 Tinea Versicolor: Symptoms, Causes & Treatments

  https://my.clevelandclinic.org/health/diseases/17719-tinea-versicolor

  If your symptoms are severe, your healthcare provider may also prescribe oral antifungals such as: Fluconazole (Diflucan), Itraconazole (Onmel or Sporanox). […] There are several options for treating tinea versicolor yourself. The most common (and economical) is using a dandruff shampoo containing selenium. […] Healthcare providers dont recommend most natural or at-home remedies because their effects arent well studied. […] Tinea versicolor is generally easy to treat. Your skin may stay lighter or darker for several weeks or months, but it should return to its usual color eventually. Mild cases of tinea versicolor respond well to over-the-counter treatments, but some people need stronger medication from their healthcare provider. Tinea versicolor can return, especially in the summer months. Some people may need to use medication several times a year to manage skin discoloration.

• #7 Tinea versicolor – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tinea-versicolor/diagnosis-treatment/drc-20378390

  If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. Some of these medications are topical preparations that you rub on your skin. Others are drugs that you swallow. Examples include: […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. Most fungal infections respond well to these topical agents, which include: […] When using creams, ointments or lotions, wash and dry the affected area. Then apply a thin layer of the product once or twice a day for at least two weeks. If you’re using shampoo, rinse it off after waiting five to 10 minutes. If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] In persistent cases, you may need to take a medication once or twice a month to prevent the infection from recurring.

• #8 Tinea Versicolor: Symptoms, Causes & Treatments

  https://my.clevelandclinic.org/health/diseases/17719-tinea-versicolor

  If your symptoms are severe, your healthcare provider may also prescribe oral antifungals such as: Fluconazole (Diflucan), Itraconazole (Onmel or Sporanox). […] There are several options for treating tinea versicolor yourself. The most common (and economical) is using a dandruff shampoo containing selenium. […] Healthcare providers dont recommend most natural or at-home remedies because their effects arent well studied. […] Tinea versicolor is generally easy to treat. Your skin may stay lighter or darker for several weeks or months, but it should return to its usual color eventually. Mild cases of tinea versicolor respond well to over-the-counter treatments, but some people need stronger medication from their healthcare provider. Tinea versicolor can return, especially in the summer months. Some people may need to use medication several times a year to manage skin discoloration.

• #9 Tinea Versicolor: Cause, Symptoms, and Treatments

  https://www.webmd.com/skin-problems-and-treatments/tinea-versicolor-cause-symptoms-treatments

  Antifungal pills. These may be used to treat more serious or recurrent cases of tinea versicolor. Sometimes, doctors use them because they clear up the infection faster. Youll need a prescription for these medicines. They can have side effects. Your doctor will keep an eye on you while youre taking antifungal pills. […] Treatment usually gets rid of the fungal infection. However, skin discoloration may take several months to resolve. […] If you want a more natural treatment, you can make your own tinea versicolor cream or solutions with ingredients you may already have in your pantry. Be aware that these home remedies arent backed by strong evidence and may not be as effective as OTC or prescription antifungal medications. […] Selsun Blue is a dandruff shampoo used to relieve itchy, flakey scalp. It’s also used to treat and prevent the recurrence of tinea versicolor. Selsun Blue purchased over the counter contains 1% selenium sulfide, an anti-infective medication that works by slowing the growth of the yeast that causes tinea versicolor.

• #10 Tinea Versicolor: Symptoms, Causes & Treatments

  https://my.clevelandclinic.org/health/diseases/17719-tinea-versicolor

  Healthcare providers treat the condition with topical or oral antifungal medications. Some treatments are available over-the-counter. With treatment, most people recover fully from tinea versicolor. […] Tinea versicolor is treated with topical creams, lotions or shampoos applied to the skin. For more severe or widespread cases of tinea versicolor, your healthcare provider may prescribe oral medications. These medicines all contain antifungals to kill the fungus or stop its growth. Proper treatment with antifungal medication is necessary to ensure a complete recovery and prevent recurrences. […] Mild cases of tinea versicolor respond well to antifungal creams, lotions or shampoos you can purchase at the drugstore. […] Your doctor may recommend a topical antifungal medication such as: Ketoconazole (Nizoral or Extina), Ciclopirox (Loprox or Penlac).

• #11 Tinea Versicolor: Cause, Symptoms, and Treatments

  https://www.webmd.com/skin-problems-and-treatments/tinea-versicolor-cause-symptoms-treatments

  Tinea versicolor usually doesnt clear up on its own. Antifungal medications are most effective at healing your rashes and discolored areas of skin. […] Treatment of tinea versicolor can consist of creams, lotions, or shampoos that you put on your skin. It can also include medication given as pills. The type of treatment will depend on the size, location, and thickness of the infected area. […] Treatment options include: Topical antifungals. You put these directly on your skin. They may be in the form of lotion, shampoo, cream, foam, or soap. They keep yeast growth under control. Over-the-counter (OTC) antifungal topical products, which contain ingredients such as clotrimazole, ketoconazole, miconazole, zinc-pyrithione, selenium sulfide, and terbinafine, are available. Prescription products are available too.

• #12 Tinea Versicolor: Symptoms, Causes & Treatments

  https://my.clevelandclinic.org/health/diseases/17719-tinea-versicolor

  If you have a history of tinea versicolor, your healthcare provider may recommend you use soap containing zinc pyrithione, ketoconazole or selenium sulfide. This type of soap may help prevent future infections and yeast overgrowth. Your healthcare provider may also recommend using prescriptions medications during summer months when tinea versicolor is more likely to return. […] Using medicated soap a couple of times each week or month can reduce recurrences of tinea versicolor. […] You can treat tinea versicolor with antifungal medicine from the drug or grocery store. This can clear up mild cases of tinea versicolor within a few weeks. Topical antifungal creams, shampoos or lotions work best when they soak into your skin for several minutes a day. […] Contact your healthcare provider if you dont see improvement after two to three weeks of daily use. They may want to prescribe a more effective medication.

• #13 Tinea Versicolor: Symptoms and Treatment | Center for Surgical Dermatology

  https://www.centerforsurgicaldermatology.com/conditions/tinea-versicolor

  The dermatologists at the Center for Surgical Dermatology Dermatology Associates are skilled in treating Tinea Versicolor. Depending on the severity of the infection, they may prescribe specialized creams, shampoos, or pills to effectively kill the fungus. For more severe cases, stronger medications may be recommended. […] Scheduling a skin consultation is the first step in determining the best course of treatment for Tinea Versicolor. Our dermatologists will assess your condition and provide personalized recommendations to ensure the most effective treatment plan. Following your dermatologist’s advice is crucial for achieving the best results and accomplishing your healthy skin goals. […] If tinea versicolor is diagnosed, dermatologists may prescribe oral antifungal medications. It’s essential to follow the prescribed treatment regimen consistently to ensure effective resolution of the infection. Scheduling a skin check is recommended to create your custom treatment plan.

• #14 Tinea Versicolor Condition, Treatments and Pictures for Adults – Skinsight

  https://skinsight.com/skin-conditions/tinea-versicolor/

  If you suspect you have tinea versicolor, you can try an over-the-counter antifungal cream such as clotrimazole (Lotrimin) or miconazole (Monistat). Over-the-counter shampoos such as those containing selenium sulfide (Selsun Blue), ketoconazole (Nizoral), or zinc pyrithione (Head Shoulders) can be applied as a body wash to the affected areas in the shower and then rinsed off well. However, if the condition does not seem to be getting better after 2 weeks of daily treatment, see a dermatologist or another medical professional for evaluation. […] Once a diagnosis of tinea versicolor has been confirmed, the medical professional may recommend one of the following treatments: Over-the-counter selenium sulfide, ketoconazole, or zinc pyrithione shampoo, if these have not yet been tried; Prescription-strength ketoconazole shampoo; Antifungal cream such as ketoconazole (Extina, Ketozole), econazole (Ecoza), or ciclopirox (Loprox); Antifungal pills such as fluconazole (Diflucan) or itraconazole (Sporanox). […] Recurrence of the infection after treatment is common. Your medical professional may recommend a preventive or maintenance treatment to use during the warmer, more humid months, such as an antifungal cream or shampoo applied every week.

• #15 What Is Tinea Versicolor? Symptoms, Causes, Diagnosis, Treatment, and Prevention

  https://www.everydayhealth.com/tinea-versicolor/

  Tinea versicolor is a common skin disorder caused by the fungus Malassezia furfur. […] Most people clear the infection with antifungal treatment. […] Many treatments for tinea versicolor are available. […] Your doctor may suggest one of these over-the-counter antifungal creams, lotions, ointment, or shampoos as a first-line therapy: clotrimazole (Lotrimin AF, Mycelex) cream or lotion, miconazole (Monistat, M-Zole) cream, selenium sulfide (Selsun Blue) 1 percent shampoo, terbinafine (Lamisil) gel or cream, Zinc pyrithione soap. […] If they dont work, you may need one of these prescription-strength topical remedies: ciclopirox (Loprox, Penlac) gel, lotion, or cream, ketoconazole (Nizoral) foam, cream, gel, or shampoo, Selenium sulfide in 2.5 percent lotion or shampoo. […] Some people with tinea versicolor might prefer oral medicines, as they arent as messy and can be more convenient.

• #16 What Is Tinea Versicolor? Symptoms, Causes, Diagnosis, Treatment, and Prevention

  https://www.everydayhealth.com/tinea-versicolor/

  Tinea versicolor is a common skin disorder caused by the fungus Malassezia furfur. […] Most people clear the infection with antifungal treatment. […] Many treatments for tinea versicolor are available. […] Your doctor may suggest one of these over-the-counter antifungal creams, lotions, ointment, or shampoos as a first-line therapy: clotrimazole (Lotrimin AF, Mycelex) cream or lotion, miconazole (Monistat, M-Zole) cream, selenium sulfide (Selsun Blue) 1 percent shampoo, terbinafine (Lamisil) gel or cream, Zinc pyrithione soap. […] If they dont work, you may need one of these prescription-strength topical remedies: ciclopirox (Loprox, Penlac) gel, lotion, or cream, ketoconazole (Nizoral) foam, cream, gel, or shampoo, Selenium sulfide in 2.5 percent lotion or shampoo. […] Some people with tinea versicolor might prefer oral medicines, as they arent as messy and can be more convenient.

• #17 Tinea versicolor – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tinea-versicolor/diagnosis-treatment/drc-20378390

  If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. Some of these medications are topical preparations that you rub on your skin. Others are drugs that you swallow. Examples include: […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. Most fungal infections respond well to these topical agents, which include: […] When using creams, ointments or lotions, wash and dry the affected area. Then apply a thin layer of the product once or twice a day for at least two weeks. If you’re using shampoo, rinse it off after waiting five to 10 minutes. If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] In persistent cases, you may need to take a medication once or twice a month to prevent the infection from recurring.

• #18 Tinea Versicolor (Pityriasis Versicolor) | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/t/tinea-versicolor-pityriasis-versicolor.html

  The rash is treated with antifungal or medicated dandruff shampoo on the skin. Use the shampoo over your whole body in the shower. Let the shampoo stay on for a few minutes before rinsing it off. Dont use soap afterward. Do this every day for 4 weeks. […] Your healthcare provider may also prescribe antifungal cream or oral antifungal medicine to take by mouth. They may advise you to use miconazole or clotrimazole cream without a prescription. Use this 2 times a day for 7 days. […] You may need to use the shampoo each month to keep the rash from coming back. It may take several months for your skin to return to its normal color. […] To help prevent the rash from returning, use medicated dandruff shampoo over your whole body when in the shower. Do this once a month for the next year. This is very important to do in the summertime. […] The rash is treated with antifungal or medicated dandruff shampoo on the skin. […] Your skin may only get better for a short time. Then the rash may happen again. You may need to use the shampoo each month to keep the rash from coming back.

• #19 Tinea Versicolor

  https://fpnotebook.com/Derm/Fungus/TnVrsclr.htm

  Hypopigmentation resolves slowly after treatment […] Recurrent infections (recurrence rate is high) […] Consider repeat treatment prior to summer […] Frequently worn clothing may harbor Fungus […] Consider discarding suspected clothing […] Consider boiling suspected clothing […] First Line: Topical Antifungal […] Both Selenium sulfide 1% (Selsun Blue) and Ketoconazole 1% (Nizoral A-D) are available OTC […] Best studied efficacy is with the higher concentration prescription items […] Efficacy of lower concentrations is unknown […] Selenium sulfide (Selsun, Exsel) 2.5% lotion […] Apply lather neck to knees […] Course […] Apply once daily for 7 days […] Wash off after 5-10 minutes […] Alternative regimen 1 […] Apply three to five times per week for 2-4 weeks […] Wash off after 5-10 minutes

• #20 Tinea Versicolor

  https://fpnotebook.com/Derm/Fungus/TnVrsclr.htm

  Hypopigmentation resolves slowly after treatment […] Recurrent infections (recurrence rate is high) […] Consider repeat treatment prior to summer […] Frequently worn clothing may harbor Fungus […] Consider discarding suspected clothing […] Consider boiling suspected clothing […] First Line: Topical Antifungal […] Both Selenium sulfide 1% (Selsun Blue) and Ketoconazole 1% (Nizoral A-D) are available OTC […] Best studied efficacy is with the higher concentration prescription items […] Efficacy of lower concentrations is unknown […] Selenium sulfide (Selsun, Exsel) 2.5% lotion […] Apply lather neck to knees […] Course […] Apply once daily for 7 days […] Wash off after 5-10 minutes […] Alternative regimen 1 […] Apply three to five times per week for 2-4 weeks […] Wash off after 5-10 minutes

• #21 Tinea Versicolor

  https://fpnotebook.com/Derm/Fungus/TnVrsclr.htm

  Alternative regimen 2 […] Apply once weekly for 4 weeks […] Wash off after 24 hours […] Zinc pyrithione […] Ketoconazole 2% cream […] Apply once daily for 14 days […] Terbinafine (Lamasil) topically […] May result in longer, sustained resolution […] Second line: Systemic Antifungal […] Avoid oral Terbinafine due to low efficacy (possibly due to low skin concentrations) […] Fluconazole (preferred) […] 400 mg orally for one single dose OR […] 300 mg orally now and again in 2 weeks […] Itraconazole […] 400 mg orally daily for 3-7 days OR […] 200 mg twice daily for one day per month (to prevent recurrence) […] Ketoconazole […] Avoid due to hepatotoxicity risk (requires baseline and weekly Liver Function Test monitoring) […] Previously used at 400 mg orally for one single dose or 200 mg PO qd for 7 days.

• #22 Tinea versicolor – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tinea-versicolor/diagnosis-treatment/drc-20378390

  If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. Some of these medications are topical preparations that you rub on your skin. Others are drugs that you swallow. Examples include: […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. Most fungal infections respond well to these topical agents, which include: […] When using creams, ointments or lotions, wash and dry the affected area. Then apply a thin layer of the product once or twice a day for at least two weeks. If you’re using shampoo, rinse it off after waiting five to 10 minutes. If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] In persistent cases, you may need to take a medication once or twice a month to prevent the infection from recurring.

• #23 Tinea Versicolor: Symptoms, Causes & Treatments

  https://my.clevelandclinic.org/health/diseases/17719-tinea-versicolor

  Healthcare providers treat the condition with topical or oral antifungal medications. Some treatments are available over-the-counter. With treatment, most people recover fully from tinea versicolor. […] Tinea versicolor is treated with topical creams, lotions or shampoos applied to the skin. For more severe or widespread cases of tinea versicolor, your healthcare provider may prescribe oral medications. These medicines all contain antifungals to kill the fungus or stop its growth. Proper treatment with antifungal medication is necessary to ensure a complete recovery and prevent recurrences. […] Mild cases of tinea versicolor respond well to antifungal creams, lotions or shampoos you can purchase at the drugstore. […] Your doctor may recommend a topical antifungal medication such as: Ketoconazole (Nizoral or Extina), Ciclopirox (Loprox or Penlac).

• #24 Tinea versicolor // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/tinea-versicolor

  Antifungal creams, lotions or shampoos can help treat tinea versicolor. […] If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. […] Examples include: Ketoconazole (Ketoconazole, Nizoral, others) cream, gel or shampoo, Ciclopirox (Loprox, Penlac) cream, gel or shampoo, Fluconazole (Diflucan) tablets or oral solution, Itraconazole (Onmel, Sporanox) tablets, capsules or oral solution, Selenium sulfide (Selsun) 2.5 percent lotion or shampoo. […] Even after successful treatment, your skin color may remain uneven for several weeks, or even months. […] In persistent cases, you may need to take a medication once or twice a month to prevent the infection from recurring. […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. […] If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] To help prevent tinea versicolor from returning, your doctor can prescribe a skin or oral treatment that you use once or twice a month.

• #25 Tinea Versicolor: Symptoms, Causes & Treatments

  https://my.clevelandclinic.org/health/diseases/17719-tinea-versicolor

  Healthcare providers treat the condition with topical or oral antifungal medications. Some treatments are available over-the-counter. With treatment, most people recover fully from tinea versicolor. […] Tinea versicolor is treated with topical creams, lotions or shampoos applied to the skin. For more severe or widespread cases of tinea versicolor, your healthcare provider may prescribe oral medications. These medicines all contain antifungals to kill the fungus or stop its growth. Proper treatment with antifungal medication is necessary to ensure a complete recovery and prevent recurrences. […] Mild cases of tinea versicolor respond well to antifungal creams, lotions or shampoos you can purchase at the drugstore. […] Your doctor may recommend a topical antifungal medication such as: Ketoconazole (Nizoral or Extina), Ciclopirox (Loprox or Penlac).

• #26 Tinea versicolor // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/tinea-versicolor

  Antifungal creams, lotions or shampoos can help treat tinea versicolor. […] If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. […] Examples include: Ketoconazole (Ketoconazole, Nizoral, others) cream, gel or shampoo, Ciclopirox (Loprox, Penlac) cream, gel or shampoo, Fluconazole (Diflucan) tablets or oral solution, Itraconazole (Onmel, Sporanox) tablets, capsules or oral solution, Selenium sulfide (Selsun) 2.5 percent lotion or shampoo. […] Even after successful treatment, your skin color may remain uneven for several weeks, or even months. […] In persistent cases, you may need to take a medication once or twice a month to prevent the infection from recurring. […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. […] If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] To help prevent tinea versicolor from returning, your doctor can prescribe a skin or oral treatment that you use once or twice a month.

• #27 Tinea versicolor // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/tinea-versicolor

  Antifungal creams, lotions or shampoos can help treat tinea versicolor. […] If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. […] Examples include: Ketoconazole (Ketoconazole, Nizoral, others) cream, gel or shampoo, Ciclopirox (Loprox, Penlac) cream, gel or shampoo, Fluconazole (Diflucan) tablets or oral solution, Itraconazole (Onmel, Sporanox) tablets, capsules or oral solution, Selenium sulfide (Selsun) 2.5 percent lotion or shampoo. […] Even after successful treatment, your skin color may remain uneven for several weeks, or even months. […] In persistent cases, you may need to take a medication once or twice a month to prevent the infection from recurring. […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. […] If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] To help prevent tinea versicolor from returning, your doctor can prescribe a skin or oral treatment that you use once or twice a month.

• #28 Tinea Versicolor (pityriasis versicolor) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/tinea-versicolor-pityriasis-versicolor/

  Treatment options include: Selenium sulfide shampoo 2.5%, ketoconazole shampoo 2%, or zinc pyrithione shampoo. Apply to the entire skin surface on neck, trunk, and proximal extremities for 5 to 10 minutes daily for 1 to 4 weeks. […] Imidazole antifungal creams or lotions (oxiconazole, econazole, miconazole, clotrimazole, ciclopirox). Oxiconazole cream is the only FDA-approved treatment for tinea versicolor. Apply once or twice daily for 1 to 4 weeks. Allylamines are ineffective. […] Sodium thiosulfate 25% (Tinver), apply twice a day for 2 to 4 weeks. Use is limited by its odor and irritant potential. […] Sulfur-salicylic shampoo (Sebulex), apply overnight for 1 week. […] Ketoconazole 200mg/day for 10 days or 400mg single dose. […] Itraconazole 200mg/day for 1 week. […] Fluconazole 300mg/week for 2 to 4 consecutive weeks.

• #29 Tinea Versicolor (pityriasis versicolor) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/tinea-versicolor-pityriasis-versicolor/

  3%-6% salicylic acid preparations, apply overnight for 1 to 2 weeks; usually effective but may be irritating. […] Typically, treatment is initiated with one of the topical modalities. The antifungal creams or the shampoos are roughly equally effective and the choice may be based on patient preference. Longer durations of treatment correlate with higher cure rates. […] Treatments are generally well tolerated but may cause skin irritation or contact dermatitis. Response to treatment should be within weeks. The eruption may recur and may be retreated in the same fashion. […] Any of the oral antifungal agents noted above are usually effective, but are used as second- or third-line treatment options because of the potential for hepatotoxicity (low) and concern regarding interactions with other drugs.

• #30 Tinea Versicolor (pityriasis versicolor) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/tinea-versicolor-pityriasis-versicolor/

  3%-6% salicylic acid preparations, apply overnight for 1 to 2 weeks; usually effective but may be irritating. […] Typically, treatment is initiated with one of the topical modalities. The antifungal creams or the shampoos are roughly equally effective and the choice may be based on patient preference. Longer durations of treatment correlate with higher cure rates. […] Treatments are generally well tolerated but may cause skin irritation or contact dermatitis. Response to treatment should be within weeks. The eruption may recur and may be retreated in the same fashion. […] Any of the oral antifungal agents noted above are usually effective, but are used as second- or third-line treatment options because of the potential for hepatotoxicity (low) and concern regarding interactions with other drugs.

• #31 Tinea versicolor (pityriasis versicolor) – UpToDate

  https://www.uptodate.com/contents/tinea-versicolor-pityriasis-versicolor

  Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] For most patients with tinea versicolor, we suggest treatment with a topical azole antifungal drug, topical terbinafine, or topical selenium sulfide, rather than other therapies. […] Topical azole antifungal drugs have direct antifungal activity and are considered effective for tinea versicolor. […] Topical azole antifungal drugs are available in a variety of formulations, including shampoos, creams, foams, gels, and solutions. […] Topical terbinafine is an allylamine antifungal drug. […] Topical selenium sulfide exerts antifungal activity primarily through the promotion of shedding of the infected stratum corneum. […] Oral antifungal therapy is typically reserved for tinea versicolor that is refractory to topical therapy, recurs frequently, or is associated with a scenario in which adequate application of topical therapy is not feasible. […] Oral fluconazole and oral itraconazole are the preferred antifungal therapies for patients who require oral treatment. […] Prophylactic therapy is an option for patients who experience frequent recurrences of tinea versicolor, particularly during warm seasons.

• #32 Tinea versicolor (pityriasis versicolor) – UpToDate

  https://www.uptodate.com/contents/tinea-versicolor-pityriasis-versicolor/print

  Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] High-quality comparative studies of treatments for tinea versicolor are limited, making the optimal approach to treatment unclear. […] For most patients with tinea versicolor, we suggest treatment with a topical azole antifungal drug, topical terbinafine, or topical selenium sulfide, rather than other therapies. […] We frequently treat with ketoconazole 2% shampoo because of ease of application and the short course of treatment. […] For patients in whom topical therapy is ineffective or not feasible, we suggest oral fluconazole rather than other treatments. Oral itraconazole is a reasonable alternative. […] Prophylactic therapy is an option for patients who experience frequent recurrences of tinea versicolor, particularly during warm seasons.

• #33 Tinea Versicolor – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482500/

  Oral therapy is reserved for patients with tinea versicolor resistant to topical treatment or with widespread disease that makes topical drug application problematic. […] The preferred oral agents are itraconazole 200 mg daily for seven days and fluconazole 300 mg weekly for 2 weeks. […] Patients with recurrent tinea versicolor, particularly immunocompromised individuals, can prevent recurrences with topical or oral preventive therapy, especially during warm temperatures. […] A limited number of studies have demonstrated the efficacy of the 308-nm excimer laser, narrow-band ultraviolet UV-B phototherapy, 5-5-aminolevulinic acid- and methylene blue photodynamic therapy in treating tinea versicolor. […] Oral and topical antifungal agents are effective; however, disease recurrence is common and may impact a patient’s quality of life.

• #34 Tinea Versicolor: Symptoms, Causes & Treatments

  https://my.clevelandclinic.org/health/diseases/17719-tinea-versicolor

  Healthcare providers treat the condition with topical or oral antifungal medications. Some treatments are available over-the-counter. With treatment, most people recover fully from tinea versicolor. […] Tinea versicolor is treated with topical creams, lotions or shampoos applied to the skin. For more severe or widespread cases of tinea versicolor, your healthcare provider may prescribe oral medications. These medicines all contain antifungals to kill the fungus or stop its growth. Proper treatment with antifungal medication is necessary to ensure a complete recovery and prevent recurrences. […] Mild cases of tinea versicolor respond well to antifungal creams, lotions or shampoos you can purchase at the drugstore. […] Your doctor may recommend a topical antifungal medication such as: Ketoconazole (Nizoral or Extina), Ciclopirox (Loprox or Penlac).

• #35 Tinea Versicolor – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/tinea-versicolor-a-to-z

  Topical treatment should be tried first in most cases. Therapies include lotions or anti-dandruff shampoos containing selenium sulfide (Selsun), zinc pyrithione, ketoconazole shampoo (Nizoral), terbinafine spray (Lamisil) and antifungal creams. Topical treatments are used one or two times each day. Treatment can last days or weeks, depending on how the rash responds. […] Short courses of oral medications, such as itraconazole [Sporanox] or fluconazole [Diflucan]), are also effective. The oral medications are usually reserved for people with a widespread rash and those who have failed topical therapy. […] For six months after your original treatment, you may be advised to apply topical treatments occasionally or take one or more doses per month of oral antifungal medicine to help prevent the rash from returning.

• #36 Tinea Versicolor – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482500/

  Oral therapy is reserved for patients with tinea versicolor resistant to topical treatment or with widespread disease that makes topical drug application problematic. […] The preferred oral agents are itraconazole 200 mg daily for seven days and fluconazole 300 mg weekly for 2 weeks. […] Patients with recurrent tinea versicolor, particularly immunocompromised individuals, can prevent recurrences with topical or oral preventive therapy, especially during warm temperatures. […] A limited number of studies have demonstrated the efficacy of the 308-nm excimer laser, narrow-band ultraviolet UV-B phototherapy, 5-5-aminolevulinic acid- and methylene blue photodynamic therapy in treating tinea versicolor. […] Oral and topical antifungal agents are effective; however, disease recurrence is common and may impact a patient’s quality of life.

• #37 Diagnosis and Management of Tinea Infections | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/1115/p702.html

  Tinea corporis, tinea cruris, and tinea pedis generally respond to inexpensive topical agents such as terbinafine cream or butenafine cream, but oral antifungal agents may be indicated for extensive disease, failed topical treatment, immunocompromised patients, or severe moccasin-type tinea pedis. […] Oral terbinafine is first-line therapy for tinea capitis and onychomycosis because of its tolerability, high cure rate, and low cost. […] Tinea corporis, tinea cruris, and tinea pedis are generally responsive to topical creams such as terbinafine (Lamisil) and butenafine (Lotrimin Ultra), but oral antifungal agents may be indicated for extensive disease, failed topical treatment, immunocompromised patients, or severe moccasin-type tinea pedis. […] The diagnosis of onychomycosis should usually be confirmed with a KOH preparation, culture, or PAS stain because the treatment is long and potentially expensive, and the nonfungal mimics are common. […] Treatment courses for onychomycosis are long (three to six months), failure rates are high, and recurrences are common (up to 50%). […] For most patients oral terbinafine is the treatment of choice because of its superior effectiveness, tolerability, and low cost.

• #38 Tinea versicolor (pityriasis versicolor) – UpToDate

  https://www.uptodate.com/contents/tinea-versicolor-pityriasis-versicolor/print

  Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] High-quality comparative studies of treatments for tinea versicolor are limited, making the optimal approach to treatment unclear. […] For most patients with tinea versicolor, we suggest treatment with a topical azole antifungal drug, topical terbinafine, or topical selenium sulfide, rather than other therapies. […] We frequently treat with ketoconazole 2% shampoo because of ease of application and the short course of treatment. […] For patients in whom topical therapy is ineffective or not feasible, we suggest oral fluconazole rather than other treatments. Oral itraconazole is a reasonable alternative. […] Prophylactic therapy is an option for patients who experience frequent recurrences of tinea versicolor, particularly during warm seasons.

• #39 Tinea Versicolor – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482500/

  Oral therapy is reserved for patients with tinea versicolor resistant to topical treatment or with widespread disease that makes topical drug application problematic. […] The preferred oral agents are itraconazole 200 mg daily for seven days and fluconazole 300 mg weekly for 2 weeks. […] Patients with recurrent tinea versicolor, particularly immunocompromised individuals, can prevent recurrences with topical or oral preventive therapy, especially during warm temperatures. […] A limited number of studies have demonstrated the efficacy of the 308-nm excimer laser, narrow-band ultraviolet UV-B phototherapy, 5-5-aminolevulinic acid- and methylene blue photodynamic therapy in treating tinea versicolor. […] Oral and topical antifungal agents are effective; however, disease recurrence is common and may impact a patient’s quality of life.

• #40 Tinea Versicolor (pityriasis versicolor) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/tinea-versicolor-pityriasis-versicolor/

  Treatment options include: Selenium sulfide shampoo 2.5%, ketoconazole shampoo 2%, or zinc pyrithione shampoo. Apply to the entire skin surface on neck, trunk, and proximal extremities for 5 to 10 minutes daily for 1 to 4 weeks. […] Imidazole antifungal creams or lotions (oxiconazole, econazole, miconazole, clotrimazole, ciclopirox). Oxiconazole cream is the only FDA-approved treatment for tinea versicolor. Apply once or twice daily for 1 to 4 weeks. Allylamines are ineffective. […] Sodium thiosulfate 25% (Tinver), apply twice a day for 2 to 4 weeks. Use is limited by its odor and irritant potential. […] Sulfur-salicylic shampoo (Sebulex), apply overnight for 1 week. […] Ketoconazole 200mg/day for 10 days or 400mg single dose. […] Itraconazole 200mg/day for 1 week. […] Fluconazole 300mg/week for 2 to 4 consecutive weeks.

• #41 What Is Tinea Versicolor? Symptoms, Causes, Diagnosis, Treatment, and Prevention

  https://www.everydayhealth.com/tinea-versicolor/

  Tinea versicolor is a common skin disorder caused by the fungus Malassezia furfur. […] Most people clear the infection with antifungal treatment. […] Many treatments for tinea versicolor are available. […] Your doctor may suggest one of these over-the-counter antifungal creams, lotions, ointment, or shampoos as a first-line therapy: clotrimazole (Lotrimin AF, Mycelex) cream or lotion, miconazole (Monistat, M-Zole) cream, selenium sulfide (Selsun Blue) 1 percent shampoo, terbinafine (Lamisil) gel or cream, Zinc pyrithione soap. […] If they dont work, you may need one of these prescription-strength topical remedies: ciclopirox (Loprox, Penlac) gel, lotion, or cream, ketoconazole (Nizoral) foam, cream, gel, or shampoo, Selenium sulfide in 2.5 percent lotion or shampoo. […] Some people with tinea versicolor might prefer oral medicines, as they arent as messy and can be more convenient.

• #42 Tinea Versicolor – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482500/

  Oral therapy is reserved for patients with tinea versicolor resistant to topical treatment or with widespread disease that makes topical drug application problematic. […] The preferred oral agents are itraconazole 200 mg daily for seven days and fluconazole 300 mg weekly for 2 weeks. […] Patients with recurrent tinea versicolor, particularly immunocompromised individuals, can prevent recurrences with topical or oral preventive therapy, especially during warm temperatures. […] A limited number of studies have demonstrated the efficacy of the 308-nm excimer laser, narrow-band ultraviolet UV-B phototherapy, 5-5-aminolevulinic acid- and methylene blue photodynamic therapy in treating tinea versicolor. […] Oral and topical antifungal agents are effective; however, disease recurrence is common and may impact a patient’s quality of life.

• #43 Pityriasis Versicolor—A Narrative Review on the Diagnosis and Management

  https://www.mdpi.com/2075-1729/13/10/2097

  Three main drug classes are topically used in PV: imidazoles, allylamines and ciclopirox olamine. […] Non-specific antifungal topicals (e.g., selenium sulphide 2.5%, zinc pyrithione, propylene glycol, sulphur combined with salicylic acid) can be used to eliminate dead corneocytes and thwart further infection in the stratum corneum. […] Managing PV during pregnancy requires topical treatments. Ciclopirox and 1% clotrimazole have been found to be safe and efficacious during pregnancy. […] Considering the oral medications, only azolic drugs play a role. Itraconazole and fluconazole are preferred, whereas oral ketoconazole is no longer recommended, due to its unfavourable safety profile. […] In cases of resistant or persistent infection, a combination of oral and topical therapy might be considered. After completing the treatment, repigmentation may require several months.

• #44 Tinea Versicolor

  https://fpnotebook.com/Derm/Fungus/TnVrsclr.htm

  Alternative regimen 2 […] Apply once weekly for 4 weeks […] Wash off after 24 hours […] Zinc pyrithione […] Ketoconazole 2% cream […] Apply once daily for 14 days […] Terbinafine (Lamasil) topically […] May result in longer, sustained resolution […] Second line: Systemic Antifungal […] Avoid oral Terbinafine due to low efficacy (possibly due to low skin concentrations) […] Fluconazole (preferred) […] 400 mg orally for one single dose OR […] 300 mg orally now and again in 2 weeks […] Itraconazole […] 400 mg orally daily for 3-7 days OR […] 200 mg twice daily for one day per month (to prevent recurrence) […] Ketoconazole […] Avoid due to hepatotoxicity risk (requires baseline and weekly Liver Function Test monitoring) […] Previously used at 400 mg orally for one single dose or 200 mg PO qd for 7 days.

• #45 Tinea versicolor: an updated review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/36452877/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. This review aims to familiarize physicians with the clinical features, diagnosis and management of tinea versicolor. […] Most patients with tinea versicolor respond to topical antifungal therapy, which has a better safety profile (fewer adverse events, fewer drug interactions) and lower cost compared to systemic treatment and is therefore the treatment of choice. Oral antifungal therapy is typically reserved for patients with extensive disease, frequent recurrences or disease that is refractory to topical therapy. Advantages of oral antifungal therapy include increased patient compliance, shorter duration of treatment, increased convenience, less time involved with therapy and reduced recurrence rates. On the other hand, oral antifungal therapy is associated with higher cost, greater adverse events and potential drug-drug interactions and is therefore not the first-line treatment for tinea versicolor. Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease. […] Selection of antifungal agents depends on several factors, including efficacy, safety, local availability, ease of administration, likelihood of compliance and potential drug interactions of the antifungal agent.

• #46 Tinea versicolor: an updated review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/36452877/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. This review aims to familiarize physicians with the clinical features, diagnosis and management of tinea versicolor. […] Most patients with tinea versicolor respond to topical antifungal therapy, which has a better safety profile (fewer adverse events, fewer drug interactions) and lower cost compared to systemic treatment and is therefore the treatment of choice. Oral antifungal therapy is typically reserved for patients with extensive disease, frequent recurrences or disease that is refractory to topical therapy. Advantages of oral antifungal therapy include increased patient compliance, shorter duration of treatment, increased convenience, less time involved with therapy and reduced recurrence rates. On the other hand, oral antifungal therapy is associated with higher cost, greater adverse events and potential drug-drug interactions and is therefore not the first-line treatment for tinea versicolor. Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease. […] Selection of antifungal agents depends on several factors, including efficacy, safety, local availability, ease of administration, likelihood of compliance and potential drug interactions of the antifungal agent.

• #47 Tinea versicolor: an updated review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/36452877/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. This review aims to familiarize physicians with the clinical features, diagnosis and management of tinea versicolor. […] Most patients with tinea versicolor respond to topical antifungal therapy, which has a better safety profile (fewer adverse events, fewer drug interactions) and lower cost compared to systemic treatment and is therefore the treatment of choice. Oral antifungal therapy is typically reserved for patients with extensive disease, frequent recurrences or disease that is refractory to topical therapy. Advantages of oral antifungal therapy include increased patient compliance, shorter duration of treatment, increased convenience, less time involved with therapy and reduced recurrence rates. On the other hand, oral antifungal therapy is associated with higher cost, greater adverse events and potential drug-drug interactions and is therefore not the first-line treatment for tinea versicolor. Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease. […] Selection of antifungal agents depends on several factors, including efficacy, safety, local availability, ease of administration, likelihood of compliance and potential drug interactions of the antifungal agent.

• #48 Tinea versicolor: an updated review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/36452877/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. This review aims to familiarize physicians with the clinical features, diagnosis and management of tinea versicolor. […] Most patients with tinea versicolor respond to topical antifungal therapy, which has a better safety profile (fewer adverse events, fewer drug interactions) and lower cost compared to systemic treatment and is therefore the treatment of choice. Oral antifungal therapy is typically reserved for patients with extensive disease, frequent recurrences or disease that is refractory to topical therapy. Advantages of oral antifungal therapy include increased patient compliance, shorter duration of treatment, increased convenience, less time involved with therapy and reduced recurrence rates. On the other hand, oral antifungal therapy is associated with higher cost, greater adverse events and potential drug-drug interactions and is therefore not the first-line treatment for tinea versicolor. Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease. […] Selection of antifungal agents depends on several factors, including efficacy, safety, local availability, ease of administration, likelihood of compliance and potential drug interactions of the antifungal agent.

• #49 Tinea versicolor: an updated review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/36452877/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. This review aims to familiarize physicians with the clinical features, diagnosis and management of tinea versicolor. […] Most patients with tinea versicolor respond to topical antifungal therapy, which has a better safety profile (fewer adverse events, fewer drug interactions) and lower cost compared to systemic treatment and is therefore the treatment of choice. Oral antifungal therapy is typically reserved for patients with extensive disease, frequent recurrences or disease that is refractory to topical therapy. Advantages of oral antifungal therapy include increased patient compliance, shorter duration of treatment, increased convenience, less time involved with therapy and reduced recurrence rates. On the other hand, oral antifungal therapy is associated with higher cost, greater adverse events and potential drug-drug interactions and is therefore not the first-line treatment for tinea versicolor. Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease. […] Selection of antifungal agents depends on several factors, including efficacy, safety, local availability, ease of administration, likelihood of compliance and potential drug interactions of the antifungal agent.

• #50 Tinea versicolor: an updated review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/36452877/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. This review aims to familiarize physicians with the clinical features, diagnosis and management of tinea versicolor. […] Most patients with tinea versicolor respond to topical antifungal therapy, which has a better safety profile (fewer adverse events, fewer drug interactions) and lower cost compared to systemic treatment and is therefore the treatment of choice. Oral antifungal therapy is typically reserved for patients with extensive disease, frequent recurrences or disease that is refractory to topical therapy. Advantages of oral antifungal therapy include increased patient compliance, shorter duration of treatment, increased convenience, less time involved with therapy and reduced recurrence rates. On the other hand, oral antifungal therapy is associated with higher cost, greater adverse events and potential drug-drug interactions and is therefore not the first-line treatment for tinea versicolor. Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease. […] Selection of antifungal agents depends on several factors, including efficacy, safety, local availability, ease of administration, likelihood of compliance and potential drug interactions of the antifungal agent.

• #51 Tinea versicolor: an updated review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/36452877/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. This review aims to familiarize physicians with the clinical features, diagnosis and management of tinea versicolor. […] Most patients with tinea versicolor respond to topical antifungal therapy, which has a better safety profile (fewer adverse events, fewer drug interactions) and lower cost compared to systemic treatment and is therefore the treatment of choice. Oral antifungal therapy is typically reserved for patients with extensive disease, frequent recurrences or disease that is refractory to topical therapy. Advantages of oral antifungal therapy include increased patient compliance, shorter duration of treatment, increased convenience, less time involved with therapy and reduced recurrence rates. On the other hand, oral antifungal therapy is associated with higher cost, greater adverse events and potential drug-drug interactions and is therefore not the first-line treatment for tinea versicolor. Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease. […] Selection of antifungal agents depends on several factors, including efficacy, safety, local availability, ease of administration, likelihood of compliance and potential drug interactions of the antifungal agent.

• #52 Pityriasis Versicolor: Symptoms and Treatment | Doctor

  https://patient.info/doctor/pityriasis-versicolor-pro

  In widespread or resistant cases, prescribe itraconazole 200 mg daily for seven days (although terbinafine is active against dermatophytes (eg, tinea), it actually has little effect on yeast infections). Alternatively, fluconazole may be used – 50 mg daily for two to four weeks, or 300-400 mg weekly for one to three weeks. […] Oral treatments should be avoided with a history of heart failure or liver failure. There is a risk of acute liver failure with use of oral antifungal treatments. Oral treatments should not be used if pregnant or breastfeeding. […] Patients should be advised that it can take several months for the skin colour to return to normal. […] Antifungal treatment should be repeated when the scaly component of pityriasis versicolor recurs. […] Recurrences of pityriasis versicolor are common.

• #53 Tinea versicolor: an updated review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/36452877/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. This review aims to familiarize physicians with the clinical features, diagnosis and management of tinea versicolor. […] Most patients with tinea versicolor respond to topical antifungal therapy, which has a better safety profile (fewer adverse events, fewer drug interactions) and lower cost compared to systemic treatment and is therefore the treatment of choice. Oral antifungal therapy is typically reserved for patients with extensive disease, frequent recurrences or disease that is refractory to topical therapy. Advantages of oral antifungal therapy include increased patient compliance, shorter duration of treatment, increased convenience, less time involved with therapy and reduced recurrence rates. On the other hand, oral antifungal therapy is associated with higher cost, greater adverse events and potential drug-drug interactions and is therefore not the first-line treatment for tinea versicolor. Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease. […] Selection of antifungal agents depends on several factors, including efficacy, safety, local availability, ease of administration, likelihood of compliance and potential drug interactions of the antifungal agent.

• #54 Treatment for tinea versicolor | informedhealth.org

  https://www.informedhealth.org/treatment-for-tinea-versicolor.html

  If a very large area of skin is affected or topical treatment isn’t working, treatment with tablets may be considered. Tablets containing itraconazole are typically used here, and are usually taken for seven days at a dose of 200 mg per day. The tablets have to be prescribed by a doctor. […] Tinea versicolor goes away in an estimated 75 out of 100 people who take itraconazole tablets. Because the tablets cause more side effects than topical treatments do, they are normally only used if creams, solutions or shampoo haven’t worked. The side effects of itraconazole include nausea, stomach ache and headache. It can also affect your liver. But because it’s not used for long when treating tinea versicolor, the risk of liver problems is very low: Fewer than 1 out of 10,000 people who take itraconazole end up having this side effect. […] Fluconazole is sometimes taken as an alternative to itraconazole. It is used for two to four weeks. The possible side effects of oral fluconazole include headaches, nausea, diarrhea and a skin rash.

• #55 Treatment for tinea versicolor | informedhealth.org

  https://www.informedhealth.org/treatment-for-tinea-versicolor.html

  If a very large area of skin is affected or topical treatment isn’t working, treatment with tablets may be considered. Tablets containing itraconazole are typically used here, and are usually taken for seven days at a dose of 200 mg per day. The tablets have to be prescribed by a doctor. […] Tinea versicolor goes away in an estimated 75 out of 100 people who take itraconazole tablets. Because the tablets cause more side effects than topical treatments do, they are normally only used if creams, solutions or shampoo haven’t worked. The side effects of itraconazole include nausea, stomach ache and headache. It can also affect your liver. But because it’s not used for long when treating tinea versicolor, the risk of liver problems is very low: Fewer than 1 out of 10,000 people who take itraconazole end up having this side effect. […] Fluconazole is sometimes taken as an alternative to itraconazole. It is used for two to four weeks. The possible side effects of oral fluconazole include headaches, nausea, diarrhea and a skin rash.

• #56 Pityriasis Versicolor: Symptoms and Treatment | Doctor

  https://patient.info/doctor/pityriasis-versicolor-pro

  In widespread or resistant cases, prescribe itraconazole 200 mg daily for seven days (although terbinafine is active against dermatophytes (eg, tinea), it actually has little effect on yeast infections). Alternatively, fluconazole may be used – 50 mg daily for two to four weeks, or 300-400 mg weekly for one to three weeks. […] Oral treatments should be avoided with a history of heart failure or liver failure. There is a risk of acute liver failure with use of oral antifungal treatments. Oral treatments should not be used if pregnant or breastfeeding. […] Patients should be advised that it can take several months for the skin colour to return to normal. […] Antifungal treatment should be repeated when the scaly component of pityriasis versicolor recurs. […] Recurrences of pityriasis versicolor are common.

• #57 Pityriasis Versicolor: Symptoms and Treatment | Doctor

  https://patient.info/doctor/pityriasis-versicolor-pro

  In widespread or resistant cases, prescribe itraconazole 200 mg daily for seven days (although terbinafine is active against dermatophytes (eg, tinea), it actually has little effect on yeast infections). Alternatively, fluconazole may be used – 50 mg daily for two to four weeks, or 300-400 mg weekly for one to three weeks. […] Oral treatments should be avoided with a history of heart failure or liver failure. There is a risk of acute liver failure with use of oral antifungal treatments. Oral treatments should not be used if pregnant or breastfeeding. […] Patients should be advised that it can take several months for the skin colour to return to normal. […] Antifungal treatment should be repeated when the scaly component of pityriasis versicolor recurs. […] Recurrences of pityriasis versicolor are common.

• #58 Pityriasis Versicolor—A Narrative Review on the Diagnosis and Management

  https://www.mdpi.com/2075-1729/13/10/2097

  Three main drug classes are topically used in PV: imidazoles, allylamines and ciclopirox olamine. […] Non-specific antifungal topicals (e.g., selenium sulphide 2.5%, zinc pyrithione, propylene glycol, sulphur combined with salicylic acid) can be used to eliminate dead corneocytes and thwart further infection in the stratum corneum. […] Managing PV during pregnancy requires topical treatments. Ciclopirox and 1% clotrimazole have been found to be safe and efficacious during pregnancy. […] Considering the oral medications, only azolic drugs play a role. Itraconazole and fluconazole are preferred, whereas oral ketoconazole is no longer recommended, due to its unfavourable safety profile. […] In cases of resistant or persistent infection, a combination of oral and topical therapy might be considered. After completing the treatment, repigmentation may require several months.

• #59 Pityriasis versicolor / Tinea versicolor

  https://www.hse.ie/eng/services/list/2/gp/antibiotic-prescribing/conditions-and-treatments/skin-soft-tissue/pityriasis-versicolor-tinea-versicolor/

  For smaller areas. Not licensed for use in children. […] Pityriasis versicolor: 2nd choice options (Adults) […] Oral therapy is reserved for patients with disease refractory to topical therapy or widespread disease that makes the application of topical therapy difficult. […] Fluconazole* (for extensive disease) […] 300mg once weekly […] 1-3 weeks […] Use with caution in patients with hepatic dysfunction. […] Avoid fluconazole (and all oral azoles) in pregnancy. […] Itraconazole** (for resistant disease or second line treatment) […] 200mg every 24 hours […] 7 days […] Capsules should be taken immediately after a meal for maximal absorption. […] Not recommended in patients with active or chronic liver disease. […] Avoid itraconazole (and all oral azoles) in pregnancy**.

• #60 Tinea Versicolor in Children – Stanford Medicine Children’s Health

  https://www.stanfordchildrens.org/en/topic/default?id=tinea-versicolor-in-children-90-P01932

  Your childs healthcare provider may recommend a shampoo that contains selenium sulfide. This shampoo is available over the counter. If this treatment doesnt work, your childs healthcare provider may prescribe an antifungal or dandruff shampoo. Your child will apply the shampoo to his or her affected skin. Your child’s healthcare provider may also prescribe topical antifungal creams or oral antifungal medicines. […] Your childs skin may only get better for a short time. Then the condition may happen again. Your childs healthcare provider may tell your child to use the shampoo each month to keep tinea versicolor from combing back. […] Also, the treatment will not make your childs skin return to its normal color right away. This may take several months.

• #61 Tinea Versicolor in Children – Stanford Medicine Children’s Health

  https://www.stanfordchildrens.org/en/topic/default?id=tinea-versicolor-in-children-90-P01932

  Your childs healthcare provider may recommend a shampoo that contains selenium sulfide. This shampoo is available over the counter. If this treatment doesnt work, your childs healthcare provider may prescribe an antifungal or dandruff shampoo. Your child will apply the shampoo to his or her affected skin. Your child’s healthcare provider may also prescribe topical antifungal creams or oral antifungal medicines. […] Your childs skin may only get better for a short time. Then the condition may happen again. Your childs healthcare provider may tell your child to use the shampoo each month to keep tinea versicolor from combing back. […] Also, the treatment will not make your childs skin return to its normal color right away. This may take several months.

• #62 Pityriasis Versicolor—A Narrative Review on the Diagnosis and Management

  https://www.mdpi.com/2075-1729/13/10/2097

  Three main drug classes are topically used in PV: imidazoles, allylamines and ciclopirox olamine. […] Non-specific antifungal topicals (e.g., selenium sulphide 2.5%, zinc pyrithione, propylene glycol, sulphur combined with salicylic acid) can be used to eliminate dead corneocytes and thwart further infection in the stratum corneum. […] Managing PV during pregnancy requires topical treatments. Ciclopirox and 1% clotrimazole have been found to be safe and efficacious during pregnancy. […] Considering the oral medications, only azolic drugs play a role. Itraconazole and fluconazole are preferred, whereas oral ketoconazole is no longer recommended, due to its unfavourable safety profile. […] In cases of resistant or persistent infection, a combination of oral and topical therapy might be considered. After completing the treatment, repigmentation may require several months.

• #63 Tinea Versicolor Treatment & Management: Medical Care, Diet, Long-Term Monitoring

  https://emedicine.medscape.com/article/1091575-treatment

  Second-line oral therapy with systemic antifungals is effective for tinea versicolor. Oral therapy can be used with topical regimens. Off-label use of fluconazole or itraconazole are the preferred oral agents. […] Oral therapy does not prevent the high rate of recurrence, and treatment with an oral or topical agent may need to be repeated intermittently throughout the year. […] Reports describe successful treatment of tinea versicolor with photodynamic therapy. A single study presented narrowband ultraviolet B phototherapy as an effective treatment method for recurrent tinea versicolor and suggests it for use in patients with inadequate response to topical and/or oral antifungals. […] Dietary alterations have not proved successful in the treatment of tinea versicolor. […] Tinea versicolor has a high rate of recurrence, and prophylactic treatment with topical or oral therapy on an intermittent basis is necessary to prevent recurrences in most cases.

• #64 Pityriasis Versicolor—A Narrative Review on the Diagnosis and Management

  https://www.mdpi.com/2075-1729/13/10/2097

  Narrow-band ultraviolet phototherapy appears to be a promising alternative as a second- or third-line therapy in PV. […] The recurrence rate is high (up to 80%), with a higher morbidity noted among the individuals with a positive family history of PV. […] Prolonged prophylaxis with topical agents should be considered in recurrent cases, especially during warmer and more humid months.

• #65 Tinea Versicolor – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482500/

  Oral therapy is reserved for patients with tinea versicolor resistant to topical treatment or with widespread disease that makes topical drug application problematic. […] The preferred oral agents are itraconazole 200 mg daily for seven days and fluconazole 300 mg weekly for 2 weeks. […] Patients with recurrent tinea versicolor, particularly immunocompromised individuals, can prevent recurrences with topical or oral preventive therapy, especially during warm temperatures. […] A limited number of studies have demonstrated the efficacy of the 308-nm excimer laser, narrow-band ultraviolet UV-B phototherapy, 5-5-aminolevulinic acid- and methylene blue photodynamic therapy in treating tinea versicolor. […] Oral and topical antifungal agents are effective; however, disease recurrence is common and may impact a patient’s quality of life.

• #66 Tinea Versicolor – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482500/

  Oral therapy is reserved for patients with tinea versicolor resistant to topical treatment or with widespread disease that makes topical drug application problematic. […] The preferred oral agents are itraconazole 200 mg daily for seven days and fluconazole 300 mg weekly for 2 weeks. […] Patients with recurrent tinea versicolor, particularly immunocompromised individuals, can prevent recurrences with topical or oral preventive therapy, especially during warm temperatures. […] A limited number of studies have demonstrated the efficacy of the 308-nm excimer laser, narrow-band ultraviolet UV-B phototherapy, 5-5-aminolevulinic acid- and methylene blue photodynamic therapy in treating tinea versicolor. […] Oral and topical antifungal agents are effective; however, disease recurrence is common and may impact a patient’s quality of life.

• #67 Tinea Versicolor Treatment & Management: Medical Care, Diet, Long-Term Monitoring

  https://emedicine.medscape.com/article/1091575-treatment

  Second-line oral therapy with systemic antifungals is effective for tinea versicolor. Oral therapy can be used with topical regimens. Off-label use of fluconazole or itraconazole are the preferred oral agents. […] Oral therapy does not prevent the high rate of recurrence, and treatment with an oral or topical agent may need to be repeated intermittently throughout the year. […] Reports describe successful treatment of tinea versicolor with photodynamic therapy. A single study presented narrowband ultraviolet B phototherapy as an effective treatment method for recurrent tinea versicolor and suggests it for use in patients with inadequate response to topical and/or oral antifungals. […] Dietary alterations have not proved successful in the treatment of tinea versicolor. […] Tinea versicolor has a high rate of recurrence, and prophylactic treatment with topical or oral therapy on an intermittent basis is necessary to prevent recurrences in most cases.

• #68 Tinea versicolor: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/tinea-versicolor-treatment

  Anti-fungal pills: A dermatologist may prescribe these pills if the tinea versicolor covers a large area of the body, is thick, or often returns after it is treated. These pills are taken for a short time. During this time, your dermatologist will monitor you. […] With treatment, the yeast is easy to kill. However, the skin may stay lighter (or darker) for weeks or months. The skin will eventually return to its normal color. […] Tinea versicolor can return. When the air outdoors is warm and humid, the yeast can quickly grow out of control. Some people who live in a tropical climate may need to use a medicated cleanser year round to prevent the yeast from overgrowing. People who live in an area that becomes warm and moist each spring may see tinea versicolor return every year.

• #69 Tinea Versicolor Treatment & Management: Medical Care, Diet, Long-Term Monitoring

  https://emedicine.medscape.com/article/1091575-treatment

  Patients should be informed that tinea versicolor is caused by a fungus that is normally present on the skin surface and is therefore not considered contagious. The condition does not leave any permanent scar or pigmentary changes, and any skin color alterations resolve within 1-2 months after treatment has been initiated. Recurrence is common, and prophylactic therapy may help reduce the high rate of recurrence. […] Tinea versicolor can be successfully treated with various agents. First-line treatment includes topical agents include selenium sulfide, zinc-pyrithione, sodium sulfacetamide, ciclopirox olamine, tacrolimus, as well as azole and allylamine antifungals. […] Various regimens can be used. Selenium sulfide lotion is liberally applied to affected areas of the skin daily for 2 weeks; each application is allowed to remain on the skin for at least 10 minutes prior to being washed off. In resistant cases, overnight application can be helpful. Topical azole antifungals can be applied every night for 2 weeks. Weekly application of any of the topical agents for the following few months may help prevent recurrence.

• #70 Tinea versicolor – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tinea-versicolor/diagnosis-treatment/drc-20378390

  If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. Some of these medications are topical preparations that you rub on your skin. Others are drugs that you swallow. Examples include: […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. Most fungal infections respond well to these topical agents, which include: […] When using creams, ointments or lotions, wash and dry the affected area. Then apply a thin layer of the product once or twice a day for at least two weeks. If you’re using shampoo, rinse it off after waiting five to 10 minutes. If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] In persistent cases, you may need to take a medication once or twice a month to prevent the infection from recurring.

• #71 Tinea Versicolor (pityriasis versicolor) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/tinea-versicolor-pityriasis-versicolor/

  To minimize or prevent recurrences, patients should avoid application of topical oils and may apply ketoconazole shampoo 2% or selenium sulfide shampoo or lotion 2.5% to all susceptible areas for 10 minutes prior to bathing once a month. Patients may also use zinc pyrithione (ZNP Bar) soap once or twice a week when bathing. […] Ketoconazole 2% or selenium sulfide shampoo 2.5% for the scalp once or twice a week may lower the yeast load and decrease recurrence rates as well. […] Ketoconazole 400mg once a month may be used prophylactically if topical prophylaxis fails.

• #72 Tinea Versicolor (pityriasis versicolor) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/tinea-versicolor-pityriasis-versicolor/

  To minimize or prevent recurrences, patients should avoid application of topical oils and may apply ketoconazole shampoo 2% or selenium sulfide shampoo or lotion 2.5% to all susceptible areas for 10 minutes prior to bathing once a month. Patients may also use zinc pyrithione (ZNP Bar) soap once or twice a week when bathing. […] Ketoconazole 2% or selenium sulfide shampoo 2.5% for the scalp once or twice a week may lower the yeast load and decrease recurrence rates as well. […] Ketoconazole 400mg once a month may be used prophylactically if topical prophylaxis fails.

• #73 Tinea Versicolor (pityriasis versicolor) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/tinea-versicolor-pityriasis-versicolor/

  To minimize or prevent recurrences, patients should avoid application of topical oils and may apply ketoconazole shampoo 2% or selenium sulfide shampoo or lotion 2.5% to all susceptible areas for 10 minutes prior to bathing once a month. Patients may also use zinc pyrithione (ZNP Bar) soap once or twice a week when bathing. […] Ketoconazole 2% or selenium sulfide shampoo 2.5% for the scalp once or twice a week may lower the yeast load and decrease recurrence rates as well. […] Ketoconazole 400mg once a month may be used prophylactically if topical prophylaxis fails.

• #74 Tinea Versicolor (pityriasis versicolor) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/tinea-versicolor-pityriasis-versicolor/

  To minimize or prevent recurrences, patients should avoid application of topical oils and may apply ketoconazole shampoo 2% or selenium sulfide shampoo or lotion 2.5% to all susceptible areas for 10 minutes prior to bathing once a month. Patients may also use zinc pyrithione (ZNP Bar) soap once or twice a week when bathing. […] Ketoconazole 2% or selenium sulfide shampoo 2.5% for the scalp once or twice a week may lower the yeast load and decrease recurrence rates as well. […] Ketoconazole 400mg once a month may be used prophylactically if topical prophylaxis fails.

• #75 Tinea versicolor – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tinea-versicolor/symptoms-causes/syc-20378385

  Antifungal creams, lotions or shampoos can help treat tinea versicolor. […] To help prevent tinea versicolor from returning, your doctor can prescribe a skin or oral treatment that you use once or twice a month. Preventive treatments include: selenium sulfide (Selsun) 2.5 percent lotion or shampoo, ketoconazole (Ketoconazole, Nizoral, others) cream, gel or shampoo, itraconazole (Onmel, Sporanox) tablets, capsules or oral solution, fluconazole (Diflucan) tablets or oral solution.

• #76 Tinea versicolor: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/tinea-versicolor-treatment

  Anti-fungal pills: A dermatologist may prescribe these pills if the tinea versicolor covers a large area of the body, is thick, or often returns after it is treated. These pills are taken for a short time. During this time, your dermatologist will monitor you. […] With treatment, the yeast is easy to kill. However, the skin may stay lighter (or darker) for weeks or months. The skin will eventually return to its normal color. […] Tinea versicolor can return. When the air outdoors is warm and humid, the yeast can quickly grow out of control. Some people who live in a tropical climate may need to use a medicated cleanser year round to prevent the yeast from overgrowing. People who live in an area that becomes warm and moist each spring may see tinea versicolor return every year.

• #77 Tinea Versicolor (pityriasis versicolor) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/tinea-versicolor-pityriasis-versicolor/

  To minimize or prevent recurrences, patients should avoid application of topical oils and may apply ketoconazole shampoo 2% or selenium sulfide shampoo or lotion 2.5% to all susceptible areas for 10 minutes prior to bathing once a month. Patients may also use zinc pyrithione (ZNP Bar) soap once or twice a week when bathing. […] Ketoconazole 2% or selenium sulfide shampoo 2.5% for the scalp once or twice a week may lower the yeast load and decrease recurrence rates as well. […] Ketoconazole 400mg once a month may be used prophylactically if topical prophylaxis fails.

• #78 Tinea Versicolor – Dermatology | UCLA Health

  https://www.uclahealth.org/medical-services/dermatology/conditions-treated/tinea-versicolor

  Tinea versicolor is treatable but the improvement in the skin may be only temporary. The condition may recur, and you may need additional treatment. […] Your UCLA dermatologist may recommend one or more of the following treatment options: topical (skin-based) or antifungal medications, antifungal or dandruff shampoo. […] Your doctor may also recommend using the shampoo monthly to help prevent recurrences. Treatment will not bring normal color back to the skin immediately. This process will occur naturally and may take several months. People with this condition should try to avoid excessive heat or sweating.

• #79 Tinea versicolor causes, symptoms and treatment – TeleMed2U

  https://www.telemed2u.com/dermatology/tinea-versicolor

  Tinea versicolor can be treated successfully with antifungal medications, but the discoloration can last for months. […] Treatment depends where the tinea versicolor patches are on your body, how much skin is affected, the thickness of the patches and the climate where you live. […] The first treatment for mild cases is with over-the-counter (OTC) antifungal creams, lotions or shampoos. […] Prescription-strength antifungal medications are needed for severe cases or those that aren’t improving with OTC antifungals. […] The infection can return with hot, humid weather and will need retreating. […] To maximize your OTC or prescription medications, you will want to: Stop using skin care products that contain oils; oil-free products are labeled non-comedogenic.

• #80 Tinea Versicolor: Symptoms, Causes & Treatments

  https://my.clevelandclinic.org/health/diseases/17719-tinea-versicolor

  If you have a history of tinea versicolor, your healthcare provider may recommend you use soap containing zinc pyrithione, ketoconazole or selenium sulfide. This type of soap may help prevent future infections and yeast overgrowth. Your healthcare provider may also recommend using prescriptions medications during summer months when tinea versicolor is more likely to return. […] Using medicated soap a couple of times each week or month can reduce recurrences of tinea versicolor. […] You can treat tinea versicolor with antifungal medicine from the drug or grocery store. This can clear up mild cases of tinea versicolor within a few weeks. Topical antifungal creams, shampoos or lotions work best when they soak into your skin for several minutes a day. […] Contact your healthcare provider if you dont see improvement after two to three weeks of daily use. They may want to prescribe a more effective medication.

• #81 Pityriasis versicolor / Tinea versicolor

  https://www.hse.ie/eng/services/list/2/gp/antibiotic-prescribing/conditions-and-treatments/skin-soft-tissue/pityriasis-versicolor-tinea-versicolor/

  Pityriasis versicolor responds well to medical therapy, but recurrence is common and prophylactic therapy sometimes may be necessary. […] After treatment, skin might not go back to its normal colour for several months. This does not mean the treatment didn’t work. It just takes time for the skin to heal. […] Pityriasis versicolor: 1st choice options […] Ketoconazole 2% shampoo […] Once every 24 hours […] 1-5 days […] Leave preparation on for 35 minutes before rinsing. […] Selenium sulphide shampoo (Selsun) […] Once every 24 hours […] 7 days […] Apply to the affected area and leave on for 10 minutes before rinsing off. […] Clotrimazole 1% cream […] Every 8 to 12 hours […] 7-14 days […] For smaller areas. […] Terbinafine 1% cream […] Every 12 to 24 hours […] 14 days

• #82 Tinea Versicolor: Symptoms, Causes & Treatments

  https://my.clevelandclinic.org/health/diseases/17719-tinea-versicolor

  Tinea versicolor can be a nuisance and make you feel insecure. Luckily, the discoloration it creates on your skin is highly treatable with over-the-counter antifungal creams or shampoos. Using them daily for several weeks can help you manage the infection. Your healthcare provider can also prescribe stronger antifungal medications for more severe tinea versicolor or recurring infections.

• #83 Tinea versicolor – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tinea-versicolor/diagnosis-treatment/drc-20378390

  If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. Some of these medications are topical preparations that you rub on your skin. Others are drugs that you swallow. Examples include: […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. Most fungal infections respond well to these topical agents, which include: […] When using creams, ointments or lotions, wash and dry the affected area. Then apply a thin layer of the product once or twice a day for at least two weeks. If you’re using shampoo, rinse it off after waiting five to 10 minutes. If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] In persistent cases, you may need to take a medication once or twice a month to prevent the infection from recurring.

• #84 Tinea Versicolor: Symptoms, Causes & Treatments

  https://my.clevelandclinic.org/health/diseases/17719-tinea-versicolor

  If you have a history of tinea versicolor, your healthcare provider may recommend you use soap containing zinc pyrithione, ketoconazole or selenium sulfide. This type of soap may help prevent future infections and yeast overgrowth. Your healthcare provider may also recommend using prescriptions medications during summer months when tinea versicolor is more likely to return. […] Using medicated soap a couple of times each week or month can reduce recurrences of tinea versicolor. […] You can treat tinea versicolor with antifungal medicine from the drug or grocery store. This can clear up mild cases of tinea versicolor within a few weeks. Topical antifungal creams, shampoos or lotions work best when they soak into your skin for several minutes a day. […] Contact your healthcare provider if you dont see improvement after two to three weeks of daily use. They may want to prescribe a more effective medication.

• #85 Tinea versicolor: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/tinea-versicolor-treatment

  What a dermatologist prescribes depends on several things. These include where the tinea versicolor appears on your body, how much skin has tinea versicolor, how thick the spots have grown, and the climate. […] Treatment for tinea versicolor may include the following. […] Medicine applied to the skin: This is the most common treatment. There are anti-fungal shampoos, soaps, creams, and lotions that can keep the yeast under control. The active ingredient in these medicines is often selenium sulfide, ketoconazole, or pyrithione zinc. […] Medicated cleansers: Tinea versicolor often returns, especially when a person lives in a place that is warm and humid. Using a medicated cleanser once or twice a month, especially during warm and humid periods, can prevent the yeast from overgrowing again.

• #86 Tinea versicolor: an updated review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/36452877/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. This review aims to familiarize physicians with the clinical features, diagnosis and management of tinea versicolor. […] Most patients with tinea versicolor respond to topical antifungal therapy, which has a better safety profile (fewer adverse events, fewer drug interactions) and lower cost compared to systemic treatment and is therefore the treatment of choice. Oral antifungal therapy is typically reserved for patients with extensive disease, frequent recurrences or disease that is refractory to topical therapy. Advantages of oral antifungal therapy include increased patient compliance, shorter duration of treatment, increased convenience, less time involved with therapy and reduced recurrence rates. On the other hand, oral antifungal therapy is associated with higher cost, greater adverse events and potential drug-drug interactions and is therefore not the first-line treatment for tinea versicolor. Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease. […] Selection of antifungal agents depends on several factors, including efficacy, safety, local availability, ease of administration, likelihood of compliance and potential drug interactions of the antifungal agent.

• #87 Tinea versicolor (pityriasis versicolor) – UpToDate

  https://www.uptodate.com/contents/tinea-versicolor-pityriasis-versicolor/print

  Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] High-quality comparative studies of treatments for tinea versicolor are limited, making the optimal approach to treatment unclear. […] For most patients with tinea versicolor, we suggest treatment with a topical azole antifungal drug, topical terbinafine, or topical selenium sulfide, rather than other therapies. […] We frequently treat with ketoconazole 2% shampoo because of ease of application and the short course of treatment. […] For patients in whom topical therapy is ineffective or not feasible, we suggest oral fluconazole rather than other treatments. Oral itraconazole is a reasonable alternative. […] Prophylactic therapy is an option for patients who experience frequent recurrences of tinea versicolor, particularly during warm seasons.

• #88 Pityriasis versicolor – Symptoms, diagnosis and treatment | BMJ Best Practice US

  https://bestpractice.bmj.com/topics/en-us/861

  Pityriasis versicolor is a superficial fungal infection of the stratum corneum, due to dimorphic yeasts of the genus Malassezia, leading to hypo- or hyperpigmented macular lesions on seborrheic areas of the trunk. […] Easily treated with either topical medications, including zinc pyrithione shampoo, selenium sulfide shampoo, or azole-class topical antifungal creams. More extensive disease may require systemic therapy with antifungal drugs. […] Recurrence of the disease is common, and prophylactic treatment with selenium shampoo and, for more extensive disease, systemic therapy with antifungal drugs may be necessary.

• #89 Tinea Versicolor – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482500/

  Tinea versicolor, or pityriasis versicolor, is a common, benign, superficial fungal skin infection. This activity reviews the evaluation and management of pityriasis versicolor and highlights the role of interprofessional team members in collaborating to provide well-coordinated care and enhance patient outcomes. […] Implement evidence-based treatment modalities for tinea versicolor. […] Medical treatment is effective for tinea versicolor; however, the condition often returns, so preventive medicine may be essential over a more extended period. […] Topical medications are the first-line therapy for tinea versicolor. Ketoconazole, 2% shampoo, is highly effective. […] Other acceptable topical alternatives are: selenium sulfide 2.25% to 2.5% shampoo or lotion applied for 10 minutes daily for 1 week, topical 1% terbinafine once or twice daily from 1 to 4 weeks, ciclopirox 1% applied twice daily for 2 weeks, zinc pyrithione 1% daily for 5 minutes for 2 weeks.

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