Key points

• Athlete's foot is common and can be hard to cure.

• Long-standing case of athlete's foot should be confirmed using microscopy and culture laboratory tests.

• All fungal creams are effective in treating athlete's foot. There is evidence that different antifungal creams are associated with different cure rates; creams containing allylamines are the most effective in producting a cure followed by the azoles and undecenoic acid and tolnaftate.

• There is some evidence to suggest that oral drugs (tablets) are no more effective than creams in producing a cure for athlete's foot.

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