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Two pulses are recommended for fingernails and three pulses for toenails It is optimally absorbed with food and an acidic pH Monitoring hepatic function tests is recommended in patients with pre-existing deranged results, in those receiving continuous therapy for more than a month, and with concomitant use of hepatotoxic drugs. Terbinafine: first line of treatment for dermatophyte onychomycosis, and generally preferred over itraconazole. Fluconazole: may be a useful alternative in patients unable to tolerate terbinafine or itraconazole.
Monitor liver function tests in high-dose or prolonged therapy and in those at risk because of concomitant hepatotoxic drug use. Griseofulvin: lower efficacy and higher relapse rates compared with terbinafine and itraconazole. It should be taken with fatty food to increase absorption. Combination treatment: recommended if response to topical monotherapy is likely to be poor. Amorolfine: useful for superficial and distal onychomycosis.
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Ciclopirox: useful for superficial and distal onychomycosis and for patients in whom systemic therapy is contraindicated. Tioconazole: useful for superficial and distal onychomycosis. Two pulses are recommended for fingernails and three pulses for toenails. It is optimally absorbed with food and an acidic pH Monitoring hepatic function tests is recommended in patients with pre-existing deranged results, in those receiving continuous therapy for more than a month, and with concomitant use of hepatotoxic drugs.
Fluconazole: consider as second line if itraconazole and terbinafine contraindicated or not tolerated. Griseofulvin: consider as second line if itraconazole and terbinafine contraindicated or not tolerated.
British Association of Dermatologists - Clinical Guidelines
Effective treatment is what your patients really want. Developed by a consensus approach, then fully peer reviewed, these guidelines provide gold-standard, best-practice guidance to the best possible approach to treatment. In collecting these guidelines into one handy anthology, the basic guidelines have been expanded with extra material including a web address for the guideline, editorial comment, links to additional guidelines from other international organizations, links to the BAD's patient-information leaflets, and other patient-oriented information.
The guidelines themselves are grouped for ease of use into:.
The guidelines provide a thoroughly rounded and grounded approach to best-practice dermatologic management using evidence-based principles with additional access to patient-oriented information. Convert currency. Add to Basket. Compare all 10 new copies.
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