Antifungal Creams

Antifungal Creams

Antifungal Creams are commonly used to treat:

  • Thrush
  • Athlete’s foot
  • Nappy rash
  • Ringworm
  • Other infections caused by mold, yeast, and other fungi

Choosing Antifungal Creams

Two factors that need to be taken into consideration when deciding on treatment with antifungal cream are:

  • Patient’s age
  • The fungal infection being treated

Most antifungal creams have the same accredited use, for instance, the treatment of sweat rashes or athlete’s foot. On the other hand, over-the-counter Clotrimazole Creams 1% and 2% are the only products approved for the treatment of thrush.

Antifungal creams might have age restrictions. Always check the product information leaflet or ask the pharmacist if not sure about the suitability. Combination creams that have hydrocortisone and an antifungal agent must not be used in children under ten years of age. Once prescribed, products having hydrocortisone can be used by children under ten years of age.

Verbal recommendation by a doctor or any other healthcare professional is not enough to purchase antifungal creams having hydrocortisone outside of its licensed age.

Over-the-counter Antifungal Creams

1. Clotrimazole 1% Antifungal Cream

Clotrimazole is available as a pharmacy-only medication. There is no specific age restriction for this cream. Clotrimazole 1% Antifungal Cream is recommended for use in young children and the elderly.

This cream is usually applied 2 to 3 times a day. The duration of the treatment depends on the type of infection treated. Clotrimazole is typically be used for at least two weeks to treat nappy rash.

2. Clotrimazole 2% Antifungal Cream

This is double the strength as compared to Clotrimazole 1% Antifungal Cream. This is licensed for the treatment of thrush. This can also be used by a sexual partner to prevent re-infection. Patients from 16 years and over 60 years must seek medical advice before using this cream.

Clotrimazole 2% Antifungal Cream must be applied 2-3 times a day until patients are free of symptoms. In this case, it is suggested to see a doctor if symptoms do not improve within seven days of the treatment.

3. Clotrimazole and Hydrocortisone Cream (Canesten Hydrocortisone)

This is a combined medication used for the treatment of:

  • Athlete’s foot
  • Candidal intertrigo (fungal infection found in between folds of connecting skin)

This is not recommended in children 10years of age below unless prescribed by a doctor.

4. Daktarin 2% Cream 

Daktarin 2% Creamis licensed for the management of fungal infections of nails and skin, and super-infections caused by Gram-positive bacteria.

This is usually used twice a day with the suggested length of treatment at least one week. Check the product information leaflet for more details, as the recommended dose may differ between different treatments.

5. Terbinafine

Terbinafine is available as a general sale item in the following brands:

  • Scholl Advance Athlete’s Foot Cream
  • Lamisil AT 1% Foot Cream
  • Boots Athlete’s Foot 1% Cream

This cream is used for the treatment of:

  • Dhobie itch
  • Athlete’s foot

All brands of over-the-counter Terbinafine are licensed for adults and children 16 years of age and over. Terbinafine is typically applied once a day to be used for one week.

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