Treatment aims to reduce the signs and symptoms such as itching and flaking of the skin, and ultimately to eradicate the infection.
The many creams available for the treatment of athlete's foot differ in cost and availability. The azoles (for example miconazole, clotrimazole) and allylamines (terbinafine, naftifine) are sold over the counter in pharmacies. Other creams (for example tolnaftate, undecenoic acid) are available in supermarkets. This last group is the cheapest of the topical preparations and the allylamine creams are the most expensive.
Oral drugs are sometimes used in the management of chronic manifestations of athlete's foot. Griseofulvin is the oldest and cheapest of the oral antifungal drugs but it must be taken for a long time. Newer azoles such as itraconazole, ketoconazole and fluconazole are effective in a much shorter time. The newest oral antifungal drugs are allylamines (terbinafine, naftifine). The allylamines (both topical and oral) are fungicidal whereas all other antifungal agents are fungistatic.
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