{
  "schema_version": 1,
  "kind": "condition",
  "id": "tinea-infection",
  "name": "Tinea infections",
  "category": "infectious",
  "sources": "BAD Guidelines Tinea 2014 · DailyMed Clotrimazole 1% Cream Package Insert (DailyMed, NLM) · DailyMed Ketoconazole Cream 2% Package Insert, SetID ea56cddf-94c9-46b6-8791-995b741cfbd7 · DailyMed Miconazole Nitrate 2% Cream Package Insert (DailyMed, NLM) · UK eMC Terbinafine 250mg Tablet SmPC (Aurobindo Pharma - Milpharm Ltd.), product id 7133 · Tinea Corporis - StatPearls - NCBI Bookshelf (NBK544360) - disease-level clinical article · Egyptian National Drug Formulary - Antimicrobial 2023 (ketoconazole monograph, US Boxed Warnings)",
  "review_status": "reviewed",
  "verified_against": "DailyMed Clotrimazole 1% Cream Package Insert (DailyMed, NLM) · DailyMed Ketoconazole Cream 2% Package Insert, SetID ea56cddf-94c9-46b6-8791-995b741cfbd7 · DailyMed Miconazole Nitrate 2% Cream Package Insert (DailyMed, NLM) · UK eMC Terbinafine 250mg Tablet SmPC (Aurobindo Pharma - Milpharm Ltd.), product id 7133 · Tinea Corporis - StatPearls - NCBI Bookshelf (NBK544360) - disease-level clinical article · Egyptian National Drug Formulary - Antimicrobial 2023 (ketoconazole monograph, US Boxed Warnings)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1794,
      "generic": "Clotrimazole",
      "line": 1,
      "is_adjunct": false,
      "form": "topical",
      "strength_mg": null,
      "adult_dose": "Apply 1% cream thin layer to affected area twice daily",
      "adult_duration": "2-4 weeks",
      "dose_source": "DailyMed Clotrimazole 1% Cream Package Insert (DailyMed, NLM)",
      "rationale": "Topical azole antifungal that disrupts fungal cell membrane synthesis; a first-line topical treatment for localised tinea infection of the skin.",
      "cautions": [
        "Continue for 14 days after lesion clearance to prevent recurrence.",
        "Local skin irritation, burning, or redness may occur.",
        "Avoid contact with eyes."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Apply BID in children; safe from infancy",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "CANEMAZOLE 1% CREAM 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "UP PHARMA",
          "price_egp": 5.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CANDISTAN 1% TOPICAL CREAM 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "KAHIRA > ARAB DRUG COMPANY (ADCO)",
          "price_egp": 7.25,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "DERMATIN 1% TOP. CREAM 14 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHARCO",
          "price_egp": 15.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 14000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CANESTEN 1% CREAM 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MEMPHIS > BAYER HEALTHCARE",
          "price_egp": 29.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "LOCASTEN 1% CREAM 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ALEXANDRIA",
          "price_egp": 29.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CANDISTAN 1% TOPICAL CREAM 40 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "KAHIRA > ARAB DRUG COMPANY (ADCO)",
          "price_egp": 36.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 40000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "tinea-infection"
    },
    {
      "id": 1795,
      "generic": "Miconazole",
      "line": 1,
      "is_adjunct": false,
      "form": "topical",
      "strength_mg": null,
      "adult_dose": "Apply 2% cream to the affected area twice daily",
      "adult_duration": "2-3 weeks",
      "dose_source": "Tinea Corporis - StatPearls - NCBI Bookshelf (NBK544360) - disease-level clinical article",
      "rationale": "Topical azole antifungal that disrupts fungal cell membrane ergosterol synthesis; the cited article lists miconazole 2% twice daily among the recommended topical regimens for localised tinea corporis.",
      "cautions": [
        "Topical miconazole can enhance warfarin effect via skin absorption.",
        "The endpoint of therapy is the clinical resolution of symptoms.",
        "Avoid eyes and mucous membranes."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Apply twice daily in children",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "MICONOL 2% CREAM 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MEMPHIS",
          "price_egp": 5.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "DERMOZOL 2% GEL 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHARCO",
          "price_egp": 6.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MICOBAN  2% CREAM 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "AMRIYA",
          "price_egp": 9.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MICONAZ 2% CREAM 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MUP",
          "price_egp": 15.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MICONAZ 2% ORAL GEL 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MUP",
          "price_egp": 23.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "DAKTARIN 2% CREAM 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MINA PHARM > JANSSEN CILAG",
          "price_egp": 28.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "DAKTARIN 2% ORAL GEL 40 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "JANSSEN CILAG > SOFICOPHARM",
          "price_egp": 53.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 40000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ADCOZOLE 2% TOPICAL CR. 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ARAB DRUG COMPANY (ADCO)",
          "price_egp": 7.25,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "tinea-infection"
    },
    {
      "id": 1796,
      "generic": "Terbinafine",
      "line": 2,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 250.0,
      "adult_dose": "250 mg once daily for 2-4 weeks (tinea corporis/cruris) or 2-6 weeks (tinea pedis)",
      "adult_duration": "2-4 weeks for tinea corporis or cruris, 2-6 weeks for tinea pedis",
      "dose_source": "UK eMC Terbinafine 250mg Tablet SmPC (Aurobindo Pharma - Milpharm Ltd.), product id 7133",
      "rationale": "Oral allylamine antifungal that inhibits fungal squalene epoxidase; reserved for extensive or recalcitrant tinea infection not responding to topical therapy.",
      "cautions": [
        "Indicated for extensive or recalcitrant tinea infections.",
        "Taste disturbance (ageusia) can occur and persist after stopping.",
        "Rare hepatotoxicity can occur - check baseline LFTs."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Specialist use only in children; weight-based dosing for tinea capitis under specialist supervision",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "TRERBI 250 MG 10 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MASH PREMIERE",
          "price_egp": 26.4,
          "pack_count": 10,
          "unit_price": 2.64,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MYCOMIC 250 MG 10 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "FUTURE PHARMACEUTICAL INDUSTRIES (FPI) > TABUK PHARMA",
          "price_egp": 26.5,
          "pack_count": 10,
          "unit_price": 2.65,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MYCOMIC 250 MG 20 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "FUTURE PHARMACEUTICAL INDUSTRIES (FPI) > TABUK PHARMA",
          "price_egp": 53.0,
          "pack_count": 20,
          "unit_price": 2.65,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "UNITOPFIN 250 MG 7 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "UNIPHARMA CO. > UNIPHARMA",
          "price_egp": 25.2,
          "pack_count": 7,
          "unit_price": 3.6,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "FUNGISAFE 250MG 7 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "AMOUN",
          "price_egp": 32.0,
          "pack_count": 7,
          "unit_price": 4.57,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "TERBIN 250 MG 14 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "GLOBAL NAPI PHARMACEUTICALS",
          "price_egp": 120.0,
          "pack_count": 14,
          "unit_price": 8.57,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "TERBINASIL 250 MG 7 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "JAMJOOM PHARMACEUTICALS-K.S.A",
          "price_egp": 68.0,
          "pack_count": 7,
          "unit_price": 9.71,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "LAMISIL 250MG 14 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "NOVARTIS",
          "price_egp": 146.5,
          "pack_count": 14,
          "unit_price": 10.46,
          "strength_mg": 250.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "LAMISIL ONCE 4G FILM FORMING SOLUTION.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "NOVARTIS",
          "price_egp": 50.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 4000.0,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "tinea-infection"
    },
    {
      "id": 1797,
      "generic": "Ketoconazole",
      "line": 2,
      "is_adjunct": false,
      "form": "topical",
      "strength_mg": null,
      "adult_dose": "Apply 2% cream once daily to cover the affected and immediate surrounding area",
      "adult_duration": "2-4 weeks (tinea corporis/cruris); 6 weeks for tinea pedis",
      "dose_source": "DailyMed Ketoconazole Cream 2% Package Insert, SetID ea56cddf-94c9-46b6-8791-995b741cfbd7",
      "rationale": "Topical azole antifungal alternative for tinea, used as a cream only: the ENDF's own ketoconazole monograph carries a US Boxed Warning that ketoconazole tablets are \"not indicated for the treatment of onychomycosis, cutaneous dermatophyte infections, or Candida infections\", and a second for hepatotoxicity \"including fatal cases and cases requiring liver transplantation\".",
      "cautions": [
        "Topical use only. The ENDF's own ketoconazole monograph carries a US Boxed Warning, verbatim: \"Ketoconazole tablets are not indicated for the treatment of onychomycosis, cutaneous dermatophyte infections, or Candida infections.\" and a second one: \"Ketoconazole has been associated with hepatotoxicity, including fatal cases and cases requiring liver transplantation; some patients had no apparent risk factors for hepatic disease.\"",
        "Continue for a few days after clearance.",
        "Local irritation may occur."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Apply once daily in children",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "KONAZOLE 2% CREAM 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ALFACURE PHARMACEUTICALS",
          "price_egp": 6.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CURAZOLE 2% TOPICAL CREAM 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EVA PHARMA",
          "price_egp": 7.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "KETODERM 2% TOP. CREAM 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SEDICO",
          "price_egp": 7.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "NIZODERM 2% CREAM 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "UNIPHARMA",
          "price_egp": 15.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "WELLOFUNG 2% TOPICAL CREAM 40 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGPI > HEALTH WELL",
          "price_egp": 48.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 40000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "KENZO 2% SHAMPOO 60 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "BORG",
          "price_egp": 27.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ZAKAN 2GM/100ML SHAMPOO 60 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SIGMA",
          "price_egp": 18.3,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 2000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "NIZAPEX 20MG/GM SHAMPOO 80 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "APEX PHARMA",
          "price_egp": 68.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "tinea-infection"
    }
  ]
}