Combination of systemic terbinafine (250 mg) twice daily and itraconazole (100 mg) twice in a pulse dose in resistant tinea infection

Farhana R. Shumi; Sarker M. A. Shamim; Rabeya Afroz; Shumana Sharmin; Sharmin Kabir; Fahima Mumtaz

doi:10.18203/issn.2455-4529.IntJResDermatol20220150

Authors

Farhana R. Shumi Department of Dermatology and Venereology, Dhaka Dermatology Institute, Dhaka, Bangladesh http://orcid.org/0000-0001-6092-6946
Sarker M. A. Shamim Department of Dermatology and Venereology, M. H. Samorita Hospital and Medical College, Dhaka, Bangladesh Dhaka Dermatology Institute, Dhaka, Bangladesh
Rabeya Afroz Department of Dermatology and Venereology, Dhaka Dermatology Institute, Dhaka, Bangladesh
Shumana Sharmin Department of Dermatology and Venereology, Dhaka Dermatology Institute, Dhaka, Bangladesh
Sharmin Kabir Department of Dermatology and Venereology, Dhaka Dermatology Institute, Dhaka, Bangladesh
Fahima Mumtaz Department of Dermatology and Venereology, Dhaka Dermatology Institute, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20220150

Keywords:

Terbinafine, Itraconazole, Antifungal, Resistant, Tinea

Abstract

Background: The management of tinea is challenging in Bangladesh and there are reports of using systemic antifungals at higher doses. The aim of the study was to find out the effectiveness of systemic terbinafine (250 mg) twice daily and itraconazole (100 mg) twice in a pulse dose in resistant tinea infection.

Methods: It was a prospective, observational study conducted in the department of dermatology and venereology, Dhaka Dermatology Institute, Dhaka, Bangladesh from November 2020 to October 2021. Clinically confirmed cases of tinea corporis et cruris were recruited by random sampling techniques for the study and followed up for 12 weeks, till the completion of their treatment. Patients who were pregnant, lactating, non-consensual, as well as those who had a history of anti-mycotic treatment within 2 weeks prior to baseline visit were excluded from the study.

Results: A total of 30 patients were randomly assigned treatment and included in the study. According to within 4 weeks 11 (36.33%) patients were significantly improved and 19 (63.33%) patients were non-significantly improved, >4 week to till 8 weeks 16 (84.21%) patients were improved significantly and 3 (15.79%) patients were improved non-significantly and >8 week to till 12 weeks 3 (100%) patients were improved properly. Mycological cure was achieved in 25 (82.89%) patients, clinical cure rate was achieved same in 24 (79%) patients and complete cure rate was achieved 30 (100%) patients.

Conclusions: The combination of systemic terbinafine (250 mg) twice daily and itraconazole (100 mg) twice in a pulse dose therapy may be an effective and safe therapeutic strategy in the management of registrant tinea infection.

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Author Biography

Farhana R. Shumi, Department of Dermatology and Venereology, Dhaka Dermatology Institute, Dhaka, Bangladesh

Department of Dermatology and Venereology, Dhaka Dermatology Institute, Dhaka, Bangladesh.

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