Implications for practice

There is no good evidence to recommend a dosage regimen with fluconazole for tinea capitis in children. Observational studies suggest that continuous 6 mg/kg/day for 3 weeks or intermittent 6-8 mg/kg/week for 4-8 weeks may be effective. Fluconazole is not licensed for this indication in children in some countries.

What are the effects of topical treatment of tinea capitis in adults and children?

Adjunctive topical therapy has been used together with oral antifungal treatment to eradicate the fungi from the infected site, decrease spread to other people and to speed the cure. Various topical agents are available for adjunctive therapy.53

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