Treatment of tinea corporis, tinea cruris, and tinea pedis caused by Epidermophyton floccosum, Trichophyton mentagrophytes, or T. rubrum.
A drug of first choice for topical treatment of tinea corporis or tinea cruris. Oral antifungals preferred when tinea corporis or tinea cruris is extensive, dermatophyte folliculitis is present, infection is chronic or does not respond to topical therapy, or patient is immunocompromised or has coexisting disease.
Treatment of tinea manuum† caused by Trichophyton and tinea corporis caused by Microsporum†.
Cutaneous Candidiasis
Treatment of cutaneous candidiasis caused by Candida albicans.
Pityriasis (Tinea) Versicolor
Treatment of pityriasis (tinea) versicolor caused by or presumed to be caused by Malassezia furfur (Pityrosporum orbiculare or P. ovale).
Self-medication (OTC use) for reduction of flaking, scaling, and itching associated with dandruff.
Dosage and Administration
Administration
Topical Administration
Apply topically to skin as a 2% cream, foam, gel, or shampoo.
Apply topically to hair and scalp as a 1% shampoo. Also has been applied topically to hair† and scalp† as a 2% shampoo.
Cream, foam, gel, and shampoo are for external use only. Do not apply to eyes and do not administer orally or intravaginally.
If contact with eyes, mouth, or vagina occurs, rinse thoroughly with water.
When using the 2% foam, hold the can containing the foam upright and spray a small amount into the cap of the can or other cool surface. Do not dispense foam directly onto affected areas or onto hands since the foam will begin to melt immediately on contact with warm skin. If fingers are warm, rinse them in cold water and dry before handling the foam. Using the fingertips, gently massage small amounts of foam onto affected areas until the foam disappears and entire affected area has been treated.
When using the 2% gel, do not apply sunscreen or cosmetics to the affected area until at least 20 minutes after application of the gel. Do not wash the affected area for at least 3 hours after application of the gel.
Avoid fire, flame, and/or smoking during and immediately after application of 2% foam or gel. (See Flammability under Cautions.)
Dosage
Pediatric Patients
Topical Seborrheic Dermatitis in Children ≥12 Years of Age
2% gel: Apply to affected areas once daily for 2 weeks.
2% foam: Apply to affected areas twice daily for 4 weeks.
Dandruff in Children ≥12 Years of Age
Topical
1% shampoo: For self-medication, apply to wet hair, lather, and rinse thoroughly; then repeat application, lathering, and rinsing. Use every 3 or 4 days for up to 8 weeks as needed or as directed by a clinician. Thereafter, use as needed to control dandruff.
Adults
Dermatophytoses
Tinea Corporis or Tinea Cruris
Topical
2% cream: Apply and rub gently into affected and surrounding area of skin once or twice daily for 2 weeks. There is some evidence that twice-daily regimen may occasionally be more effective than once-daily regimen. If clinical improvement does not occur after treatment, reevaluate diagnosis.
Tinea Pedis
Topical
2% cream: Apply and rub gently into affected and surrounding area of skin once or twice daily for 6 weeks. If clinical improvement does not occur after treatment, reevaluate diagnosis.
Moccasin-type (dry-type) tinea pedis may require more prolonged therapy.
Cutaneous Candidiasis
Topical
2% cream: Apply and rub gently into affected and surrounding area of skin once or twice daily for 2 weeks. If clinical improvement does not occur after treatment, reevaluate diagnosis.
Pityriasis (Tinea) Versicolor
Topical
2% cream: Apply and rub gently into affected and surrounding area of skin once daily for 2 weeks. If clinical improvement does not occur after treatment, reevaluate diagnosis.
2% shampoo: Apply to damp skin of the affected area and a wide margin surrounding this area and lather; after 5 minutes, rinse with water. A single application should be sufficient, although once-daily application for 3 days also has been used.
Seborrheic Dermatitis
Topical
2% cream: Apply and rub gently into affected areas twice daily for 4 weeks or until clinical clearing.
2% foam: Apply and gently massage into affected areas twice daily for 4 weeks.
2% gel: Apply to affected areas once daily for 2 weeks.
2% shampoo: For seborrheic dermatitis of the scalp†, has been used to wash the hair and scalp 2 or 3 times weekly for 2–4 weeks. After a response was obtained, has been used once weekly every other week to prevent relapse.
Dandruff
Topical
1% shampoo: For self-medication to control flaking, scaling, and itching associated with dandruff, apply to thoroughly wet hair, lather and rinse thoroughly; then repeat application, lathering, and rinsing. Use every 3 or 4 days for up to 8 weeks as needed or as directed by a clinician. Thereafter, use as needed to control dandruff.
2% shampoo: For treatment of dandruff†, has been used to wash the hair and scalp 2 or 3 times weekly for 2–4 weeks. After a response was obtained, has been used once weekly every other week to prevent relapse.
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