Antifungal for children 3 years. Antifungal drugs for children - an overview of the funds. Observe what "Antifungal agents" are in other dictionaries

Pathogenic fungus, as a disease, is especially dangerous for children. Itching, peeling and exfoliation of the skin, a violation of the structure of the nails, hair loss - an experienced dermatologist immediately determines the signs of the disease, parents should also know about them.

Measures must be taken immediately, because, while developing, the fungus releases toxins that the fragile children's body endures especially hard.

Today, therapeutic therapy for this disease is carried out by various effective means. Antifungal ointments for children are among such drugs.

Fungal diseases in childhood

There are unexpectedly many of them:

• candidiasis - occurs in the oral cavity, on the skin, in the gastrointestinal tract;
• dermatophytosis - with a local appearance of crusts of a dirty yellow color, mainly on the head and in the inguinal folds;
• keratitis - fungal infection of the eye membrane;
• trichophytosis - manifests itself on the face and neck;
• cryptococcosis - a fungus of yeast origin with pronounced skin rashes;
• aspergillosis - caused by mold species, affects the respiratory system;
• histoplasmosis - penetrates through microtrauma and is a small acne-like rash.

Depending on the nature of the disease and the age of the child, medications are selected, including ointments.

Application features

Any antifungal drug is distinguished by the activity of the action, which can cause side effects. Ointments in this regard are no exception, they try to appoint after the child reaches 1 year.

However, the patient can become infected with the fungus already during childbirth or while breastfeeding directly from the mother.

Some babies develop skin candidiasis in early infancy.. At this age, it excels among all fungal pathologies. It occurs as a result of reproduction in the folds of the skin of the fungus of the genus Candida.

Most often, it is activated in children for whom parents buy diapers.. Skin breathing under diapers is difficult, the baby's skin is excessively moistened. Such an environment for harmful microorganisms is very nutritious.

From a very early age, some ointments can be prescribed with great care, for example, Candid-B or Terbuzil. Apply them 1 time per day. In acute situations, when the fungus affects most body and internal organs, doctors prescribe Amphotericin B, but systemic treatment is excluded.

The most effective potent drugs begin to act from the age of 2, but some of them are recommended to be prescribed only after reaching 12 years.

Ointments can be used earlier than oral preparations, because they do not penetrate the body and practically do not get into circulatory system(in rare cases, 0.6% penetration has been recorded).

Classification and principle of operation

These drugs are referred to as topical agents.. They are convenient in that they can be applied to local areas of the body without affecting intact ones.

However, the principle of action of these drugs - destroy the consequence of the disease, its external manifestations.

Treatment is carried out in interaction with drugs of internal action - tablets or injections.

In medicine, it is customary to distinguish 3 groups of antifungal ointments:

Body products

• Exoderil: active drug - naftifine;
• Zalain: the active ingredient is sertaconazole.

For the head

The most effective ointments:

• Terbinox;
• Atifin.

Treatment is carried out in parallel using a special antifungal shampoo.

For legs

At the initial stage of mycosis of the feet, an ordinary antiseptic ointment, for example, salicylic, sometimes seriously helps. But at a more serious stage, Terbizil is indispensable.

The combination of Terbizil with antibiotics practically neutralizes its action, causing the opposite effect and the return of the disease.

For hands

Similar drugs are used to treat the skin of the hands. With the difference that hand skin is often affected by candidiasis which can be very acute.

Appointed:

• Mycozolon- a drug of combined action, has both an antifungal and anti-inflammatory effect, the result is achieved in 2-4 weeks;
• Sertaconazole- we can still manage and deprive.

For nails

They are usually used to soften the nail and then remove the infected area.

Shown:

• Mycospor;
• Kanispor.

During treatment, it is desirable to avoid exposure to the nails of the hands and feet of sunlight.

Description of drugs

Nystatin

The most common ointment against candidiasis. 1 g of ointment contains 100,000 active units of nystatin.

Can be used as a prophylactic. Sometimes available in combination with petroleum jelly.
Contraindicated in gastric ulcer, pancreatitis, liver disease.

The average retail price is 95 rubles.

Terbizil

For children, this fungus ointment is prescribed with caution., but in acute forms of damage, it is quite effective. Applied 2 times a day. Not bad manifests itself in the complex treatment of nail lesions. Also available as a cream.

The drug is contraindicated during pregnancy and intolerance to the components.

Nizoral

It is used in the treatment of fungus of the skin of the hands or feet, lesions of the nails and scalp. Mycosis of the skin is cured in 3-4 days, lichen - in 2-3, seborrhea - in 3-4.

Can be used in conjunction with the shampoo of the same name. Contraindication - hypersensitivity to ketoconazole.

Price in pharmacies - from 480 rubles.

Lamisil

Not recommended for children under 12 years of age. Available in the form of a gel or cream. It is applied once a day, with candidiasis the frequency doubles. Differs in fast action. Some types of fungi stop their development and even vital activity within 1 week.

Contraindications

Antifungal ointments belong to the group of polyenes that can cause an allergic reaction. If they occur, the drug should be immediately discontinued.

With caution, many of them are used for diabetes mellitus and impaired functioning of the liver and kidneys.

Ointments of this action are not prescribed for lactase deficiency and difficult absorption of galactose in the intestine.

How to apply

When using ointments, you need to follow simple rules:

• avoid getting the components on the mucous membrane and areas of the skin damaged by cuts or bruises;
• the place of application of the ointment must be clean;
• the drug is applied not only to infected areas, but also to a small area around them;
• if the ointment was applied by hand, after the procedure they must be thoroughly washed.

On the pages of our site you will also learn detailed instructions on the use of the following ointments for children:

What parents need to know

The child is not always to blame his fungal disease. Yes, it can occur from contact with a stray animal on the street or after playing in the sandbox. But more often it can be an unnoticed accidental contact or even the result of antibiotic treatment.

You cannot self-medicate. The dosage of the medicine can only be determined by a doctor. Under no circumstances should it be overused. This can backfire.

You should immediately prepare yourself for the fact that the apparent disappearance of the lesion does not mean the end of treatment. Most likely, you will have to go through the procedure with your child for some more time.

Today's medicine successfully treats fungal infections in children. You just need to follow the doctor's recommendations and be patient. The disease will surely recede.

In contact with

Antimycotic drugs are a group of drugs that are used to treat fungal diseases. Most of them are highly toxic, so only some of the known drugs are used in pediatric practice and strictly according to the doctor's prescription.

Table of contents: Childhood and fungal diseases Types of antifungal agents Antifungal agents for topical use in pediatrics Antifungals of a systemic type Contraindications to prescribing antimycotic drugs for children

Childhood and fungal diseases

In general, several hundred fungal diseases are known to medicine, but only a few of them are found specifically in pediatric practice. Doctors have identified the most commonly diagnosed fungal diseases in childhood:

• candidiasis (thrush);
• microsporia;
• histoplasmosis;
• dermatophytosis;
• cryptococcosis;
• pityriasis versicolor;
• onychomycosis;
• blastomycosis;
• fungal keratitis;
• aspergillosis;
• visceral leishmaniasis;
• trichophytosis.

Types of antifungal agents

In medicine, a strict classification of antimycotic drugs has been adopted. First, they may differ in their origin:

• synthetic - allylamines and azoles;
• natural - polyenes;
• others are cycloprix, potassium iodide.

Secondly, antimycotic drugs are also classified according to the method of application:

• local - for example, miconazole;
• systemic - for example, itraconazole.

The choice of specific antifungal drugs in the treatment of a child is carried out only by a doctor - he will take into account not only the age and weight of the child, but also the existing somatic diseases, the general state of the immune system, the neglect of the diagnosed fungal disease and its type.

This group of preparations includes ointments, creams, gels, aerosols, vaginal tablets, shampoos, lotions, nail polishes, powders and emulsions. All local antifungal agents are derivatives of imidazole, triazole and allylamine. These substances destroy the cytoplasmic membrane of the fungal cell, which automatically leads to a violation of its structure and functionality.

Topical antifungal drugs are most effective in the treatment of multi-colored lichen, dermatophytosis of the skin and candidiasis. With a fungal disease of the esophagus or oral cavity(candidiasis stomatitis), clotrimazole can be used in the form of marshmallows or tablets - in this case, there will also be a local effect on fungal cells.

If treatment is to be given to eye fungus or candidiasis (of various localizations), then the doctor may prescribe a nystatin suspension.

When the fungus affects the nail plates, the drugs in question are used extremely rarely - this is due to the fact that the active substances penetrate very poorly into the thickness of the nail. The only effective topical remedy is nail polishes, which not only have a detrimental effect on fungal colonies, but also cover the nail plate with a protective film that prevents oxygen from entering fungal cells and they die.

Antimycotic nail polishes include demicten, mycosan, belvedere, batrafen and others. You should know that to obtain the effect before applying this drug, the nail plate must be thoroughly cleaned and polished.

Recommended reading: Fungus nail polishes: a review of drugs

Systemic antifungals

Most often, systemic antimycotic drugs are used in pediatric practice if the fungal disease is running and is widespread. Since systemic antifungal drugs are taken orally (by mouth), there is always a chance of developing severe side effects - these drugs are very toxic.

We recommend reading: Treatment of nail mycosis: the most effective pharmacy products

Note:the attending physician should select specific remedies and prescribe the dosage for a child with a diagnosed fungal disease.

If a doctor prescribes a systemic antimycotic drug, and the child uses drugs that reduce the secretory activity of the stomach, then the absorption of such a drug will worsen, which means that the effect of the treatment will appear more slowly.

The most commonly prescribed systemic antimycotic drugs in childhood are ketoconazole, flucytosine, griseofulvin and ampholip - each of these drugs can be used in monotherapy or combined with other antifungal drugs.

Doctors are well aware that drugs from the group of polyenes can cause a powerful allergic reaction. Therefore, if a child had a similar side effect on any one drug from this group, the other is no longer prescribed. Yes, there are exceptions, but specialists take such a risk only if other drugs do not give the desired effect.

Amphotericin B is also used extremely rarely in pediatric practice, many doctors prefer to do without it at all - the level of toxicity of the drug is very high. The only moment when the appointment of amphotericin B is justified is the real danger to the life of the child.

It is impossible to prescribe antifungal drugs of systemic action to patients with diagnosed diseases of the kidneys and liver of the chronic form of the course, violations of the absorption of lactase by the intestines.

Certain antifungal drugs have age restrictions. For example, allylamine drugs are contraindicated in children under 12 years of age, terbizil in tablet form cannot be prescribed to children under 2 years of age, but the same drug for local therapy is quite acceptable for use in younger children.

The use of antimycotic drugs in pediatric practice should be carried out only under the supervision of a specialist. In no case should you independently select fungus remedies for your children - this can lead to the accumulation of toxic substances in the body, which will result in problems in the functioning of the liver, kidneys, pancreas and other systems.

Tsygankova Yana Alexandrovna, medical observer, therapist of the highest qualification category

okeydoc.ru

What fungal infections can our children face?



Most often, fungal spores enter the skin, or into the body of a child through microcontusions (microtrauma). The danger and form of mycosis will depend on the type of fungus and the site of infection.

In medicine, the following types of fungal diseases are distinguished:

• Candidiasis - infection of the internal organs, mouth and skin with fungi of the genus Candida.
• Keratomycosis is a lesion of the baby's skin, which manifests itself in peeling of the skin, as well as in the form of lichen.
• Deep mycosis - infection of all areas of the skin, as well as the internal organs of the child.
• Dermatomycosis - with this variety, the skin, hairline and nails are affected.

Symptoms of infection are: a rash in the mouth that looks like small, white grains. If diarrhea is added to the symptoms, intestinal dysbacteriosis may have developed due to the increased growth of this type of fungus in the baby's body.

As for fungal infections, they come with more noticeable symptoms that are sure to get your attention.




At an early age, trichophytosis is more often manifested, which is accompanied by breaking off of the hairs at the level of the skin, dullness of the color, non-viability of the hairs, and the formation of round or oval bald spots on the head. Scars on bald spots do not remain and, with proper treatment, quickly disappear, only in protracted cases can scars form.

If you notice outlined oval or round spots on the scalp of the baby's skin, then these are the main signs of microsporia. In this case, the hair at the point of the lesion breaks off at a height of 3.5 - 6 mm above the level of the scalp and becomes pinkish-red in color. The disease can be caught through contact with infected animals, or through everyday life.

Also, in children 7-14 years old, one can observe the manifestation of scaly pinkish, brownish asymmetrical spots on the back and on the chest.

Consider the signs of the manifestation of rubromycosis in children (from 6 to 15 years):

• the presence of cracks in the skin, and then peeling of this part of the skin develops
• itchy patches
• the appearance of spots of a grayish or reddish-pink color on the head
• the formation of irritations in the folds between the fingers
• exfoliation on the feet of affected areas of the skin (swelling of the skin), after exfoliation
• manifestation of the brightness of the spots.

Treatment must begin without delay. See your doctor for an accurate diagnosis and further treatment.

Stratification of topical antifungals

Antimycotics are a variety of chemical compounds that have the specifics of actively fighting fungal diseases.



In our century, the need for the use of antimycotic agents, such as tablets, gels, creams, has increased significantly. The reason for this is the use of powerful antibiotics, violations of the instructions for their use, as well as an increase in the number of sick children with disorders and decreases in the body's immune system.

The grouping of antifungal drugs depends on the multispectral antimycotic activity of the agent, their nature of composition and use in different types mycoses.

First, drugs are divided depending on their nature of occurrence:

• organic - polyenes (natamycin, levorin);
• inorganic - allylamines (terbinafine);
• imidazole derivatives - isoconazole;
• triazole derivatives - voriconazole;
• other groups of drugs (cycloprix, griseofulvin).

Depending on the method of application, antifungal medicines are:

• general (systemic) - mycoheptin (antibiotic), diflucan, nizoral, ketoconazol;
• local (local) - Econazole.

Antimyocotic (antifungal) medicines for topical use

AT modern medicine antimycotics represent one of the largest groups of dermatological preparations.

For local use, various dosage forms of the drug have been developed:

• powders,
• lotions,
• ointments,
• lozenges,
• cream,
• shampoo, etc.

These forms of drugs are derivatives of imidazole, triazole (Cyclopricox (Ciclopirox), Haloprogin (Haloprogin), undecylenic acid), allylamine (Exoderil, Lamisil, Termikon, Terbizil).

The claimed medicines work as destroyers: they break through the membrane of the cell wall of the fungus, disrupt its structure and stop the activity of the cell.

This group of drugs works well with skin candidiasis, dermatophytosis of the skin and versicolor.

In the practice of ophthalmologists, there is the use of natamycin aerosuspension, which is defined in the class of polyene antibiotics of the macrolide group.

Nystatin suspension and Amphotericin (Amphotericin B) can be used for children in the treatment of candidiasis with varying degrees of localization.

With the appearance of dermatophytosis in children, pediatricians recommend Tolnaftat, Undecylenic acid.

If the nail plate is infected, then the use of varnish is added to the treatment process. The drug is available in the form of nail polish. You cover the nail plate with this remedy, thus blocking the access of air to the fungus, which leads to the death of the infection.




Before you start using varnish, you need to cut off the infected part of the nail. To do this, it is better to use a disposable nail file or treat an ordinary nail file with a disinfectant so as not to overinfect and / or infect your loved ones.

Representatives of this group of drugs: Demicten, Mikozan, Belvedere, Batrafen, etc.

With a fungal disease of the nail, it is possible to use gels, creams, ointments, sprays, and even droplets based on azoles, for example: Candida, Zalain, Mifungar, Nizoral, etc. or alliamins Lamisil, Exoderil, Atifin, Thermicon, etc. Be careful with independent application!

For more information about antifungal drugs for local use - look at the video:

Systemic antifungal medicines

If your child has been diagnosed with an extensive infection of the body with a fungus, then systemic medications will be used for treatment.

Parents and caring people! Do not self-prescribe strong (as well as all other) drugs to treat your children. Always seek medical help.

Drugs in this group are administered intravenously and / or taken orally. If you break the fragile dosage, it can lead to side effects. This should only be done under supervision. medical worker and only after the hospital has tested the sensitivity to the drug.

The most common drugs that can be prescribed to children are Flucytosine, Griseofulvin, Amphotericin B, Ketoconazole.

Note that these drugs can be prescribed both independently and in combination with other medicines. Remember that each medicine has its own site of action and a doctor's consultation is needed to determine exactly what will help defeat the disease.

Restrictions on the use of antimycotic agents

Make sure that a sick child taking antifungal drugs strictly follows the instructions for using the drug and the treatment regimen prescribed by the doctor.

Important! Do not stop the treatment course on your own, if you forgot to give the child the drug, then let him take the next dose as soon as possible, but in no case double the dose.

Medications that are not regularly taken, medications are missed, or treatment is not completed increase the risk of an increase in relapse.

All drug groups of polyenes can cause an allergy in a baby, so prescribing and drinking similar drugs is unacceptable, as this can cause an allergic reaction.



Studies do not suggest that there is a risk of toxic effects on the fetus during pregnancy, but it is worth taking it if the benefits of treating the mother outweigh possible risk for the fetus. If you are taking a drug in this group, stop breastfeeding for a while.

Also note that drugs are limited age groups: for children from two years old, some drugs are contraindicated (Terbizil, Griseofulvin, etc.), and the allylamine series is prohibited for children under 12-13 years old.

Do not use Amphotericin B unless absolutely necessary, as this medicine is very toxic. It is used only in cases where the child is in mortal danger.

If your baby has been prescribed this medication, ask what the reason for such a prescription is: it may be a really urgent need, if not, then ask to replace Amphotericin B with a less toxic drug.

It is used very carefully for small patients with impaired functioning of the liver and / or kidneys, diabetes mellitus.

Remember that all drugs of the antimycotin group are very toxic, so you should contact a specialist who will prescribe the right treatment and select the right drug to treat your baby's disease.

www.vekzhivu.com

What are antifungal drugs

This is the name of all drugs that exhibit specific activity against pathogenic fungi, suppressing their activity and destroying them. Antifungal agents are divided into different groups according to the structure of the chemical compound and the spectrum of activity. May contain as natural ingredients, as well as chemical. Available in the form of tablets, ointments, creams, suppositories, sprays. The action of drugs is aimed at destroying pathogens without causing harm to the patient.

The use of antifungal drugs

There are a huge number of types of mycoses. They can affect the skin, nails, mucous membranes. Antifungal drugs are designed specifically to destroy the pathogens of the fungus, to stop its negative impact on the human body. List of the most common mycotic diseases:

• candidiasis;
• pityriasis versicolor;
• cryptococcal meningitis;
• pseudoallescheriosis;
• ringworm;
• dermatomycosis;
• lesions of the nail plates, skin;
• aspergillosis;
• candidal and trichomonas vulvovaginitis;
• sporotrichosis;
• fusarium.



Kinds

There are many types of antifungal drugs. They are divided into groups according to:

• origin (synthetic, natural);
• method of application (internal, external, parenteral);
• mechanism and spectrum of action;
• indications for use (systemic or local infections);
• effect of exposure (fungistatic, fungicidal);
• activity level (broad and narrow spectrum).

Ointments

Local preparations of this type are prescribed, as a rule, in the initial stages of mycotic diseases. Antifungal ointments fight the infection caused by the pathogen, relieve unpleasant symptoms. The advantages of their use:

• wide range of antifungal agents affordable prices, and more expensive;
• ease of use;
• the possibility of acquiring without a doctor's prescription (in most cases).

There are certain groups of ointments according to the area of ​​​​application. General medicines:

1. Zalain. Ointment with sertaconazole. Prevents the spread of pathogens. The course of treatment is a month.
2. Exoderil. Effective ointment, the substances of which do not penetrate into the blood. Cure the fungus in one to two months, but may cause side effects: allergic reactions, headache, bloating, diarrhea, urticaria, nausea, vomiting.
3. Candide. Suitable for any area of ​​the skin. Can be used during pregnancy, lactation. Treatment course, lasts up to six months. Contraindicated in case of individual intolerance to the components.
4. Salicylic ointment. Suitable for treating affected skin areas and applying compresses.
5. Ketoconazole. The drug is effective against many fungi, but dangerous because of its toxicity.
6. Mycosan. Contains ketoconazole. Very quickly relieves itching, and the rest of the symptom in about a month.
7. Zinc ointment. The drug has no side effects. It is used until the symptoms of the fungus are completely eliminated.
8. Lamisil. Contains terbinafine. Eliminates the symptoms of the fungus in a month.

There are a number of drugs in the form of ointments that are designed to treat mycosis in the intimate area:

1. Clotrimazole. This ointment is allowed to be applied not only to the skin, but also to the mucous membranes. The course of treatment is a maximum of 1 month.
2. Nitrofungin. Ointment with chlornitrophenol, which inhibits the growth of the fungus and has an antiseptic effect.
3. Ketoconazole. It is applied to skin and mucous membranes. The course of treatment is 2-4 weeks.

Tablets

Mycosis, especially in advanced stages, will not go away without systemic treatment. Pills for fungal diseases can destroy the pathogen or block its action, so they are more effective than any local drugs. Such funds are allowed to be taken only as directed by a doctor and at the same time strictly follow his instructions, because they have many contraindications and side effects. The list of drugs in tablets is very wide, so it is most convenient to divide them into groups according to the active substance.

1. with ketoconazole. Prevents the growth of fungi. Antimycotic drugs with this active substance in the composition: Nizoral, Ketozol, Dermazol, Ketozoral, Ketoconazole, Mycozoral.
2. with itraconazole. This substance is especially effective against dermatophytes, molds and yeasts. It contains such tablets: Itraconazole, Itrungar, Orungal, Sporagal, Itracon, Eszol, Isol.
3. with terbinafine. A substance that disrupts the viability of a fungus. Taking drugs with it is effective for dermatomycosis of any part of the body. It is a part of such tablets: Lamisil, Binafin, Terbinafine, Lamikon.
4. with fluconazole. The substance is a derivative of triazole with a pronounced antifungal effect. Fluconazole tablets are especially effective against yeast fungi. Suitable for the treatment of onychomycosis, candidiasis of the mucous membranes. The list of tablets with this substance: Fluzon, Fluconazole, Medoflucon, Futsis, Mikosist, Difluzol, Diflucan.
5. Griseofulvin. Tablets have the same name as the main active ingredient in their composition. The systemic drug is effective against trichophytons, microsporums, epidermophytons. Suppresses the process of cell division of the fungus. Contraindicated in pathologies of the heart, renal failure, disorders of the nervous system.

Creams

Preparations in this form of release have a local effect. Creams differ from ointments in that they contain less fat in the composition. They are quickly absorbed and soften the skin. List of effective antifungal creams:

1. Nizoral.
2. Tinedol. Contains climbazole and many excipients. Restores skin cells, heals, disinfects. Suitable for the treatment of fungus and prevention.
3. Microspore.
4. Terbinafine. Helps with fungal infections of the feet, skin, mucous membranes, nails. Apply a thin layer to the infected area. The duration of treatment, depending on the severity of the lesion, can range from several weeks to six months.
5. Lamisil.
6. Naftifin. Effective for inguinal epidermophytosis, onychomycosis, candidiasis.
7. Clotrimazole. Helps against mold, yeast fungi, dermatophytes. It is not recommended for use during pregnancy and in case of hypersensitivity to the components. Cream treatment is a month and a half.
8. Lotseril.

Capsules

Preparations released in this form practically do not differ in the principle of action from tablets. What antifungal capsules exist:

• Fluconazole;
• Orungal;
• Rumikoz;
• Itrazol;
• Irunin;
• Diflazon;
• Diflucan;
• Mycomax;
• Mycosist;
• Flucostat;
• Forkan.

Candles

Preparations in this form are prescribed to women from thrush. The disease is caused by yeast-like fungi. Its symptoms appear in the intimate area. Vaginal (in rare cases, rectal) suppositories help to get rid of them as quickly as possible. They are made from medicinal and additional components that allow suppositories to remain solid when room temperature. Suppositories are convenient to use. They act locally and do not harm the kidneys, liver, organs of the digestive system.

List of the most effective candles:

• Pimafucin;
• Zalain;
• Livarol;
• Ginezol 7;
• Guino-Pevaril;
• Hexicon;
• Betadine;
• Metronidazole;
• Osarbon;
• Gino-Dactanol;
• Viferon;
• Klion-D;
• Terzhinan;
• Polygynax;
• Lomeksin.

Classification

There are many features by which antimycotic drugs are categorized. It is more common to combine them by chemical group and pharmacological activity. This classification helps the specialist to choose and recommend to the patient the drug that will be most effective in treating the diagnosed type of fungus. Allocate antifungal agents of a wide and narrow spectrum of action.

Azole group

Synthetic antifungal agents that have fungicidal and fungistatic effects. They help in the treatment of mycoses of the skin, nails, mucous membranes, scalp. Group representatives:

1. Ketoconazole (analogues of Fungavis, Oronazole, Nizoral, Mycozoral). Effective against yeast-like, dimorphic, higher fungi, dermatophytes.
2. Voriconazole (Vfend, Biflurin, Vikand). Drugs effective for candidiasis, versicolor, aspergillosis, deep subcutaneous mycoses.
3. Itraconazole (Irunin, Orunit, Itrazol, Rumikoz, Itrazol, Orungal, Kanditral). They are prescribed for severe lesions of mold, candida fungi.
4. Fluconazole (Diflucan, Mikoflucan, Medoflucon, Mikosist, Diflazon, Mikoflucan, Mykosist, Mikomax). Drugs that inhibit the growth and reproduction of fungi.

Polyene antibiotics

This group of drugs has the widest spectrum of action. They are prescribed to patients who have a weakened immune system. Representatives:

1. Nystatin. Effective against candidiasis of the skin, oral cavity and pharynx, intestines.
2. Levorin. A drug with a wide range of indications, especially effective against candidiasis and protozoan fungi.
3. Pimafucin. A drug that has a fungicidal effect on molds and pathogenic yeast fungi.
4. Amphotericin B (Ambizom, Fungizone, Amphoglucamine, Ampholip, Amphocil). It is used for progressive fungal infections, representing serious threat for life.

Allylamine group

Synthetic antifungal agents effective against dermatomycosis affecting nails, hair, skin. Allylamine group drugs:

1. Terbinafine (Lamisil, Terbinox, Bramisil, Terbizil, Exitern). It is effective in dermatomycoses that have affected areas of the body that are significant in size.
2. Naftifin (Exoderil). Effective in fungal diseases of nails and skin caused by sensitive pathogens.

Antifungals for children

The child's body is at increased risk of mycotic lesions because they the immune system still works flawlessly. However, not all drugs are suitable for the treatment of pediatric patients. If the child has become infected, then the doctor should select the antifungal medicine for him, determining the type of pathogen and conducting additional diagnostics. What drugs can be prescribed to children:

1. Local. Mycosan, Nystatin, Amorolfine, Lamisil.
2. Systemic. Griseofulfin, Mikoseptin, Flucytosine, Terbinafine, Flucytosine, Fluconazole.

Broad Spectrum Antifungals

Such drugs have both fungicidal and fungistatic effects. They prevent the reproduction of the fungus and destroy existing pathogens. Depending on the active substance, each drug works in its own way:

1. Ketoconazole (Oronazol, Fungavis, Mycozoral). Interferes with synthesis of components of a cellular membrane of a fungus.
2. Griseofulvin. Prevents the division of fungal cells.
3. Itraconazole (Irunin, Orunit, Orungal). Prevents the formation of ergosterol (a component of a fungal cell).
4. Terbinafine. Prevents the synthesis of ergosterol at the initial stage.
5. Fluconazole (Diflucan, Fluxstat, Mycomax). Prevents the formation of new spores and eliminates existing ones.

How to choose

If you find a fungus, then the most reasonable thing to do is to consult a dermatologist. The specialist will determine the type of pathogen, assess the degree of damage and the general condition of the body. After analyzing the data, he will develop a therapy strategy, recommend you the most effective and safe drugs. Self-medication can not only not give a positive effect, but also harm your body.

Price

You can order drugs in an ordinary pharmacy, buy in an online store, choosing the option that suits you in the catalog. The price depends on a wide range of factors. The approximate cost of some drugs can be found in the table below:

Name of the antifungal drug	Approximate price in rubles
Cream Zalain, 2%, 20 g
Cream Exoderil, 1%, 15 g
Diflucan, 1 capsule
Irunin, 14 capsules
Griseofulvin, 20 tablets
Itraconazole, 14 capsules
Livarol, vaginal suppositories, 10 pcs.
Nystatin, 10 vaginal suppositories
Rumikoz, 6 capsules
Terbinafine, ointment, 15 g
Fluconazole, 7 capsules

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Indications for use

At various stages of the treatment of onychomycosis, an ointment may be an option for effective treatment:

• At the initial stage of the disease, when the infection has not penetrated deep into the base of the nail;
• After procedures for removing keratinized areas of the affected nail plate;
• Prevention of fungus during the growth of a new nail;
• Thin and fast-growing nails, for example, in children and adolescents;
• With skin mycoses;
• During treatment with laser therapy, medical pedicure procedures;
• At any stage of the disease in combination with other treatments.

The ointment can complement systemic therapy, as well as treatment with other local remedies - varnish, drops. It is also used to enhance the effectiveness of alternative therapy methods, an alternative method of treating nail fungus.

Complete list of antifungal ointments and creams

On the left - the names of active substances used in the treatment of onychomycosis, on the right - a list of trade names from different manufacturers, corresponding to the composition.

Active substance	Trade name of funds
	Atifin (cream), Binafine (cream), Lamisil (cream, gel), Tebikur (cream), Terbized-Agio, Terbizil, Terbix, Terbinafine-MFF (ointment), Terbinox, Terbifin, Thermicon, Ungusan, Exiter, Exifin, Terbinafine (cream), Fungoterbin-Neo (cream, gel)
	Dermazol (cream), Mycozoral (ointment), Nizoral (cream), Mikoket (ointment), Perchotal (ointment), Sebozol (ointment), Ketoconazole (ointment)
	Amiklon, Candibene, Candide (cream), Candizol, Canison, Clotrimazole-Acri, Clotrimazole (cream, ointment), Akriderm GK (cream, ointment), Triderm (cream, ointment), Candiderm (cream), Candide B (cream), Canison plus (cream)
Naftifin	Exoderil, Mycoderil
Bifonazole	Bifasam, Bifosin, Mycospor (cream)
	Mycosone (cream)
Econazole	Ecodax (cream), Ifenek (cream)
Isoconazole	Travogen (cream), Travocort (cream)
Oxyconazole	Mifungar (cream)
Natamycin	Pimafucin (cream), Pimafucort (cream, ointment)
	Nystatin (ointment)

Separately, a preparation containing undecylenic acid with an active fungistatic effect on dermatophytes is isolated. Zinc, which is additionally included in the composition, has a healing effect, relieves irritation of the skin. Very rarely used in the treatment of onychomycosis, more effective for the treatment of skin mycoses.

Overview of active ingredients used in preparations

Mechanism of action
It inhibits the enzyme ergosterol, which forms a protective membrane of the fungal cell, which explains the fungistatic effect of the substance. The detailed fungicidal mechanism of action has not been precisely elucidated.

Action spectrum
Dermatophytes and moldy fungi. Yeast fungi of the genus Candida albicans are resistant to terbinafine. In relation to other fungi of this species, there can be both fungicidal and fungistatic effects.

Pharmacokinetics
With external use of terbinafine, about 5% of the substance is absorbed, which excludes systemic action.

Dosage forms
Ointment in a tube of 15 g, cream of 15 and 30 g each. The gel has the same properties, but is used less frequently, and is available in 15 g each.

Appointment method
2 times a day. Depending on the purpose, the duration of use can be from 1 to 3-4 months or more until a healthy nail appears.

Drug Interactions
Currently, there are no data on external forms of application.

Side effects
In very rare cases, a local reaction is possible in the form of redness, burning, peeling, itching, dry skin.

Additional Information
The most modern drug synthesized by chemical means and used in dermatology since the early 90s.

Mechanism of action
Destroys the protective shell of the fungus, disrupting the functions of enzymes that are involved in the formation of the membrane.

Action spectrum
Fungicidal and fungistatic. Resistant to ketoconazole is only a group of moldy fungi of non-dermatophytes.

Pharmacokinetics
During clinical studies, no ketoconazole molecules were found in the blood when applied topically. A rapid effect on the symptom of itching was noted in infections caused by dermatophyte and yeast cultures.

Dosage forms
Cream and ointment. Packing - tube 10, 15, 20, 30, 40, 50 g, depends on the manufacturer.

Appointment method
Application to the affected areas of the nail and adjacent areas 1-2 times a day, the duration of treatment with ointment is individual.

Drug Interactions
The lack of absorption into the systemic circulation eliminates multiple contraindications for internal administration of ketoconazole and dangerous interactions.

Side effects
Dermatitis, redness, urticaria, itching, photosensitivity (increased sensitivity to light). If any adverse reactions occur, the drug is canceled.

Additional Information
There are no data on the safety of topical ketoconazole, nor on its harm to pregnant and lactating women.

It has been taking its place in the treatment of dermatological diseases since the late 70s.

Mechanism of action
It has a destructive effect on the building structure of the fungal cell and vital processes.

Action spectrum
It acts on growing and dividing organisms fungicidally in high concentrations, or fungistatically in small concentrations on dermatophyte, yeast-like and moldy fungi.

Pharmacokinetics
When used locally, it penetrates through the horny layers of the skin and keratin of the nail, gradually accumulating. This property is due to the antifungal effect.

Dosage forms
Cream 1% packing 10, 15, 20 g. Ointment 1% 20, 30 g.

Appointment method
Treatment of infected areas 2-3 times a day until the solution is completely absorbed. The duration of treatment for onychomycosis is from 1 to 6 months or more until the nail grows completely.

Drug Interactions
The effectiveness of clotrimazole is reduced when used simultaneously with nystatin, natamycin, amphotericin B.

Side effects
Burning sensation, redness, contact dermatitis at the site of application. With any allergic reaction, clotrimazole is canceled.

Additional Information
When applying the cream to the area of ​​​​the nails, bandages should not be made. This prevents the skin from breathing.

Naftifin

Mechanism of action
It slows down the synthesis of the enzyme ergosterol, which gradually destroys the protective wall of the fungal cell and leads to its complete death.

Action spectrum
Fungicidal effect on dermatophytes, moldy fungi. In relation to yeast fungi, depending on the species, either fungistatic or fungicidal action is observed. The only antimycotic that can relieve inflammation along with an antifungal effect.

Pharmacokinetics
It is able to quickly overcome the skin and nail barrier, and create the necessary effective antifungal concentrations in all layers. Valid for 24 hours.

Dosage forms
1% cream 15 g and 30 g.

Appointment method
Once a day, continue applying every day until the nail is completely renewed. When using the cream, no bandages are required.

Drug Interactions
There were no interactions with other drugs.

Side effects
Very rarely, there may be a local reaction in the form of redness, dry skin, burning. Such reactions do not require discontinuation of the drug.

Additional Information
According to some studies, the substance naftifine is the most effective in the modern treatment of onychomycosis.

Bifonazole

Mechanism of action
Reduces the activity of enzymes that affect protective function fungal membranes.

Action spectrum
A wide spectrum of antifungal action on almost all pathogens of nail fungus.

Pharmacokinetics
Quickly absorbed deep into the skin. 6 hours later, bifonazole reaches a concentration far exceeding the minimum effective for fungicidal action on the infectious agent. Stays on the skin for 36-48 hours.

Dosage forms
1% cream 15 g and 30 g.

Appointment method
1 time per day until a new healthy nail appears.

Drug Interactions
The absorption of external bifonazole is negligible, so there is no systemic effect. Interactions with other drugs are unknown.

Side effects
A local reaction of the skin around the nail is possible: contact dermatitis, peeling, itching, slight redness and a tingling sensation at the site of application.

Additional Information
Permissible appointment for children, but under the supervision of a doctor, especially for the age of up to 1 year.

Do not use if you are allergic to imidazole derivatives (clotrimazole, econazole, miconazole). In case of hypersensitivity to the preparation of bifonazole in the form of a cream, it is possible to switch to dosage forms that do not contain cetostearyl alcohol (for example, bifonazole solution).

Mechanism of action
Changes the properties and composition of the fungal cell membrane, slows down the production of ergosterol (the main structural component shells). All this leads to the death of the fungus.

Action spectrum
The most sensitive to miconazole are dermatomycetes and yeast pathogens.

Pharmacokinetics
When applied topically, a small amount is absorbed into the general circulation, which is destroyed in the liver and 14-22% of the drug dose is excreted by the kidneys.

Dosage forms
2% cream 15 g.

Appointment method
2 times a day on the affected areas. If necessary, you can make an occlusive bandage.

Drug Interactions
Enhances the effect of phenytoin (an antiepileptic drug), oral sugar-lowering agents, indirect anticoagulants (sinkumar, warfarin, phenylin).

Side effects
Burning sensation, tingling at the site of application of the drug, redness of the skin. Very rarely, edema, urticaria, rash, erythema can be observed.

Additional Information
Use beyond 4 weeks is not recommended. If hypersensitivity develops, the drug is discontinued.

Econazole

Mechanism of action
Suppresses the life support of the cell, which leads to the destruction and death of the fungus.

Action spectrum
It has a wide profile of antifungal action against dermatophytes, moldy, yeast, some gram-positive bacteria.

Pharmacokinetics
Penetrates through all layers of the nail plate and skin, creating maximum concentrations in the stratum corneum of the epidermis. When applied externally, a small amount is absorbed. Approximately 1% of the applied dose is excreted by the intestines and kidneys.

Dosage forms
1% cream 10 g, 20 g, 30 g.

Appointment method
Apply a thin layer, then rub until completely absorbed into the affected area 2 times a day in the morning and evening. Treatment of nails with econazole is carried out for no more than one and a half months.

Drug Interactions
No interaction data available.

Side effects
Hypersensitivity in the form of local redness, itching, burning.

Additional Information
The advantage among other antimycotics is the effectiveness on those types of fungi that have developed resistance to other antifungal active substances.

Isoconazole

Mechanism of action
Causes the death of the fungus, violating the integrity and composition of the membrane shell of the fungus.

Action spectrum
Antifungal and fungistatic effect on dermatophytes, yeasts, molds, some gram-positive bacteria.

Pharmacokinetics
The systemic absorption of isoconazole is negligible.

Dosage forms
1% cream 20 g and 50 g.

Appointment method
Adults and children from the 1st month are used 1 time per day, applying a thin layer to the site of fungal infection, rubbing lightly. The duration of treatment with isoconazole is determined individually.

Drug Interactions
Clinical studies have not revealed drug interactions.

Side effects
Local allergic reactions: redness, itching, burning sensation.

Additional Information
Use strictly under medical supervision.

Oxyconazole

Mechanism of action
Weakens the protective cellular mechanisms of fungi.

Action spectrum
Oxiconazole exhibits antifungal activity against certain dermatophytes and yeast fungi.

Pharmacokinetics
With external use, the percentage of absorption of the substance is negligible. Accumulates in the horny layers of the skin.

Dosage forms
1% cream, tube 30 g.

Drug Interactions
There are no such data, but without the consent of the doctor, oxiconazole should not be used in conjunction with other drugs.

Side effects
Rarely, a moderate reaction in the form of itching, redness, local irritation is possible.

Additional Information
The drug is rarely prescribed for the treatment of onychomycosis, but it is possible to prescribe in joint therapy after consulting a doctor.

Natamycin

Mechanism of action
Natamycin is an antifungal polyene antibiotic of the macrolide group with a fungicidal effect. Violates the function and integrity of the membranes of bacteria and fungi.

Action spectrum
Leads to the death of yeast fungi, much less effective against dermatophytes.

Pharmacokinetics
When applied to the skin, there is no systemic absorption.

Dosage forms
2% cream 30 g. Dosage forms are also available with a combination of natamycin, neomycin and hydrocortisone steroid in the form of cream and ointment.

Appointment method
Children and adults are used 2-4 times a day, applying the drug strictly to the infected areas with a thin layer. The duration of treatment with natamycin is individual.

Drug Interactions
There are no data on the description of drug interactions.

Side effects
A local allergic reaction of burning and irritation of the skin is possible.

Additional Information
Natamycin is allowed for pregnant women and during breastfeeding under the supervision of a doctor, in compliance with the indicated dosages.

Mechanism of action
Antifungal, fungistatic. It has the ability to integrate into the structure of the fungal cell, forming many channels through which the uncontrolled transport of water and other molecules occurs. This makes the cell unstable to external pressure forces, and it dissolves.

Action spectrum
Active against yeast-like fungi.

Pharmacokinetics
It is not absorbed into the bloodstream and does not accumulate.

Dosage forms
Ointment 30 g.

Appointment method
Local application 2 times a day, morning and evening. The standard course of treatment with nystatin is 7-10 days in the case of external use. As necessary, the course is repeated.

Drug Interactions
The activity of clotrimazole is reduced when used simultaneously with nystatin.

Side effects
Allergy is expressed in skin itching, fever, chills.

Sometimes it is possible to spread resistant forms of the fungus. In this case, the drug is canceled.

Additional Information
It can be used in children from 1 year old, but under the strict supervision of a pediatrician.

Choosing the best ointment

The main criterion for choosing an effective antifungal ointment or cream is the spectrum of action of the drug, its activity against a specific pathogen.

Additionally, the following are taken into account:

• Individual sensitivity to the composition of the product;
• Compatibility with other drugs already used in the main therapy;
• Patient's age and history of onychomycosis.

It depends on these points which ointment is best suited in your case.

In our opinion, the most effective ointments:

• Lamisil cream - the original formula of terbinafine effectively destroys the fungus, regardless of the pathogen. It also treats diaper rash, keratinization, peeling of the skin. There are very rare cases of allergic reactions. Does not require dosage adjustment for the elderly. Children are allowed from 12 years old. The price of a tube 15 g is 500 rubles.
• Exoderil cream is an effective drug that kills not only the fungus, but also bacteria that can cause a secondary infection. Quickly relieves itching and other inflammatory processes. Works continuously throughout the day. Price 15 g 400 rubles.
• ointment is an inexpensive, but quite effective tool in the fight against most pathogens of fungal infections. The price of Clotrimazole-Akrikhin ointment 20 g 90 rubles.

The main contraindications of ointments

Since an antifungal ointment or cream is used only externally, absorption into the general bloodstream is often negligible and does not affect overall health. Possible only local allergic reactions. Therefore, for all antimycotic ointments and creams, the main contraindication is hypersensitivity to the composition of the drug.

With caution, antifungal drugs are prescribed for pregnant and lactating women, under the supervision of a physician.

How to apply funds correctly

To increase the effectiveness of treatment with external antifungal agents, the following must be observed:

1. Cream or ointment, gel should be applied to a clean, dry surface of the skin and nail.
2. Distribute the drug in a thin layer. This is especially true of multicomponent preparations with corticosteroids. Rub or just apply - depends on the instructions for the specific composition.
3. Application frequency 1 or 2 times a day.
4. For better absorption, to soften the keratinized areas of the skin that prevent the penetration of the ointment composition, you can make a therapeutic bath before applying.
5. After nail removal procedures, it is worth consulting with a specialist about the need and recipe for baths.
6. In some cases, it is permissible to apply a bandage, which will prolong the time of fungicidal action. However, it is worth checking this possibility with the instructions, which may also not be recommended by different formulations.
7. As it grows, trim the nail, thus removing the area affected by the fungus. This will greatly speed up your recovery.

What to replace

The most adequate replacement for ointments are dosage forms - drops and varnish.

Both varnish and drops are meant to heal various forms onychomycosis. Their formulation formula penetrates deep into the keratin of the nail and accumulates in fungicidal concentrations, effectively destroying the fungal infection.

In the presence of moderate hyperkeratosis varnish will bring the greatest result thanks to the property of long action for several days.

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Advantages and disadvantages of antifungal ointments

Ointments against mycosis have obvious advantages, which include:

1. Large selection of funds. You can buy multi-purpose or special medicines, for example, to eliminate the infection only on the nail plates or only between the fingers;
2. Availability and low price;
3. Ease of use and ease of application.

Along with the advantages, ointments have the following disadvantages:

List of general ointments

A number of the most popular and effective are the following ointments.

In addition to the generally recognized pharmaceutical preparations against mycosis, there are cheaper and no less effective remedies.

Among them it is worth noting:

• Salicylic ointment. The infected area is treated 1-3 times a day and the course is 10-20 days. The average cost is ≈ 23 rubles.
• Zinc ointment. Recommended for small children, pregnant women. Use 4-5 times a day. Price ≈ 35 rubles.
• Sulfuric ointment. The drug is applied 2 times a day. Course 7 days. Price ≈ 17 rubles.

For body skin

Mycosis on the skin is often localized on the foot or between the fingers. However, the disease can spread to the whole body. What means can be used to get rid of mycosis on the skin?

For face

• Mycoket- Eliminates fungus on the face. The result shows the ketoconazole component. Application: apply to sore spots and the skin around them. The treatment process consists in stopping the spread of pathogens of mycosis. Duration of treatment - from 2 weeks.
• Orungal- oral preparation (used by swallowing) in the form of capsules. Shows a systemic effect. The improvement process is based on the fact that the substance destroys the synthesis of the cell wall. It is necessary to take 2 times a day.

For legs

Below is a list of effective remedies for the treatment of foot fungus.

For the intimate area

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What are antifungal ointments

If a large area is affected, doctors consider it effective to use creams and ointments that have a high concentration of the active substance, but, unlike solutions, are devoid of an alcohol component, therefore they do not worsen itching and dryness of the skin. Ointments give a long-term effect on the fungus, are easy to use, well absorbed. In medicine, there are only 3 groups of such drugs:

• Antibiotics, of which the antifungal effect is predominantly Nystatin ointment.
• Azoles. Spores pass through the membrane, destroying it, and inhibit the synthesis of fungi. Representatives - Dermazole, Fluconazole, etc.
• Allylamine. In addition to the therapeutic effect, they also give a preventive one. Due to their pharmacokinetic properties, drugs in this group are used primarily for the treatment of the nail plate.

Antifungal ointments for the skin

When choosing a drug, one should rely not only on the type of disease, but also on the type of pathogen - the same antifungal ointment for the legs may not work or give a weak effect if you buy a medicine without knowing who provoked mycosis. The drug should act on:

• yeast mushrooms;
• dermatophytes;
• fungi.

For the intimate area

For thrush, doctors recommend topical ketoconazole or clotrimazole-based agents, which can be combined with metronidazole. Even long-term treatment with such antifungal drugs does not lead to the accumulation of the active substance in the body, therefore it is as safe as possible. Gynecologists recommend:

• Candide is a good antifungal ointment for the intimate area on clotrimazole. It has an anti-yeast and antibacterial effect, acts on mold fungi, the causative agent of erythrasma.
• Clomegel is a combined agent with an antimicrobial effect, used for vaginitis, vaginosis and in the case of urogenital trichomoniasis.

For body skin

Most of the topical medicines used for the hands, feet and face can also be recommended in the treatment of the skin of the body. Often, doctors advise to carry out therapy with such drugs:

• Exoderil. The active ingredient, naftifine hydrochloride, accumulates in the skin. Cases of overdose have not been recorded, but can provoke allergies.
• Zalain. The active substance is sertaconazole, therefore it often causes individual intolerance. Suppresses the growth and activity of fungi, treatment takes more than a month.

For the scalp

Ointment for fungus on the face

In the treatment of mycosis that has affected the skin of the face, doctors often prescribe Orungal to the patient, but this is not an ointment, but capsules for oral administration. You can combine them with the drug Mikoket. It owes its antifungal action to ketoconazole, prevents the reproduction of pathogens of mycosis. The course of treatment is more than 14 days: for lichen 21 days, for ringworm - 28. Skin allergic reactions rarely provokes.

For legs

Treatment of mycosis of the feet involves the removal of inflammation, the elimination of discomfort, the improvement of blood circulation and the destruction of the pathogen. At the initial stage, even a simple antiseptic - salicylic, zinc - can be used as an ointment against fungus. In severe cases, a more serious drug is needed. Additionally, doctors advise not to use antibiotics and corticosteroids during mycosis - this will worsen the course of the disease.

Ointments are used for the legs:

• Terbizil. The active substance is almost not absorbed into the blood, but is transmitted from breast milk. Effective against dermatophytes and yeast-like fungi. The number of contraindications is minimal.
• Futsis - works on fluconazole, is available in the form of a gel, the duration of use should not exceed 3 weeks.

For hands

Antimycotic agents indicated for the treatment of fungus on the legs can similarly be used for lesions of the hands, since one pathogen is often to blame. However, a predominantly antifungal cream for the skin of the hands should fight candidiasis, the most common disease in this area. If the stage is severe, the medicine may contain an antibiotic. Especially recommended by doctors:

• Mycozolon is a combination drug that has an antifungal and anti-inflammatory effect, the result can be seen in 2-4 weeks.
• Sertaconazole - on imidazole, helps fight candidiasis, lichen, dermatophytosis. The active substance does not penetrate into the blood.

Antifungal drugs for nails

Medicines used for onychomycosis should have several forms: in addition to antifungal ointments, varnishes are used that work better with the nail plate. The preparations must have a keratolic effect, since the infected nail must be removed. They contain the following substances:

• Bifonazole - helps to fight the fungus not only on the plate, but also on the periungual roller. Affects the growth of the pathogen and kills it.
• Fluconazole is a broad-spectrum substance that is among the safest for the body.
• Terbinafine - also affects a large number of fungi, inhibits the synthesis of sterols and destroys the cells of the infectious agent.

On foot

Due to the density of the toenail plate, doctors advise choosing an antifungal ointment that will soften it to make it easier to remove the infected area. Among such drugs, experts distinguish Mycospor. A combined agent on bifonazole and urea (makes the antifungal component more effective), has an antimycotic effect. Treatment is carried out by suppressing the biosynthesis of ergosterol at 2 levels. Kanespor works the same way.

On hands

Experts do not distinguish obvious differences between antifungal agents for nails of hands and feet, excluding the thickness of the affected plate. Mostly for the treatment of hands, a cream from the Lamiderm fungus is used, which shows fungicidal activity. The medicine can also be used for the purpose of prevention. During treatment should not be exposed to sunlight on the nails. It is desirable to combine with a solution of chlornitrophenol.

Due to the high toxicity, drugs with antifungal activity are rarely used in pediatrics, so the doctor should select them based on data on the state of the body and the severity of the disease. There are several points in choosing antifungal agents:

• Terbizil can be used even in the smallest children (considered safe), but only as a topical. Oral intake is allowed only from 2 years.
• Antifungal drugs of the allylamine series (Exoderil, Lamisil) cannot be used in children under 12 years of age.
• In acute situations of candidiasis, Amphotericin B can be used, but not systemically.
• With onychomycosis in a child, doctors advise using azole-based ointments (Nizoral, Mifungar).
• With dermatophytosis, Tolnaftat is allowed.

Antifungal ointments during pregnancy

Due to the same high degree of toxicity, antimycotic agents for pregnant women should be from a new generation, since only they have a reduced degree of negative effect on the body. Doctors allocate ointments based on:

• triazole;
• nitrophenol;
• imidazole.

However, even these antifungal drugs should be used under the supervision of a doctor, strictly observing the dosage. If we consider specific names, during pregnancy are allowed:

• Clotrisal;
• Lamisil;
• Mycospor;
• Mycosan;

Ointments for skin diseases of a wide spectrum of action

If you are not ready to try to choose between several items, purchasing all the drugs from the list is too expensive, or they are not on sale, you can resort to universal topical antifungal agents:

• Lamisil. The ointment is positioned as a multifunctional, used for any fungal diseases. The course of treatment is short - up to 4 weeks. The disadvantage is the high price, so if you want the same result, but cheap, buy Terbinafine.
• Exoderil. Like other antifungal drugs for the skin of the body, it works well on the legs and arms, and can be used in the treatment of nail fungus. Among the advantages - a quick therapeutic effect.

Antifungal ointments are inexpensive but effective

If you are looking for cheap topical preparations with an antifungal effect, you can look at antiseptic ointments: they do not affect the fungus in the same way as antimycotic ones, but they also have less toxicity. Doctors advise to look at:

• Salicylic ointment - works well at the initial stage of fungal skin lesions (mainly lichen), later it may not be effective.
• Zinc ointment - suitable for long-term treatment of the fungus, prevents further infection, relieves itching, stimulates skin regeneration.

The price of antifungal ointments

The cost of drugs of this type in Moscow and St. Petersburg is at the same level: the cheapest ointment for a fungus on the skin of the body or hands will require 100-150 rubles. Buying more expensive drugs, especially the new generation, will cost 300-700 rubles. Prices in Moscow pharmacies, excluding delivery (if you plan to order an ointment in the region, it will be more expensive than in Moscow) look like this:

Video

Despite the ever-growing standard of living, the fungus is found in almost every second inhabitant of the earth. Treatment of any fungal infection is impossible without the use of medicines, but for successful healing it is necessary to use only high-quality and effective antifungal drugs from the list of the best medicines.

The combination of quality and efficiency does not always mean the purchase of super-expensive medicines. There are quite inexpensive drugs against the fungus, which are highly effective and fast acting. In addition, in the treatment of fungus, you can use analogues of expensive drugs that give the same result as the original drug.

Differences and features of antifungal drugs

Drugs against the fungus are selected depending on the duration of the course of mycosis, on the volume of the affected surface, the presence of concomitant diseases, the nature of the manifestations of the fungus.

The forms of release of antifungal agents are diverse - they are available in the form of tablets, ointments, gels, solutions, suppositories. A variety of release forms allows you to treat not only the external forms of mycosis (feet, genitals, toenails and hands), but also the internal manifestations of the fungus. Antifungal drugs in tablets have a systemic effect; gels, ointments, sprays, and creams are used for local treatment.

Modern pharmacology allows you to successfully treat fungal diseases of any nature.

Note! Therapy with a single drug usually does not bring the desired effect, because. often several types of pathogens settle on the body at once. Therefore, the doctor must prescribe a comprehensive treatment of the fungus.

Fungal infection easily adapts to any conditions, quickly developing resistance to various active substances. Therefore, you should not choose the drug for the fungus on your own, because. this can lead to the mutation of the fungus and the development of more resistant forms.

When to use antifungals:

• Mycosis of the foot;
• yeast infection of the skin;
• Cryptococcosis;
• Fungal infections of the respiratory tract, eyes;
• Vaginal;
• Paracoccidioidomycosis;
• Histoplasmosis;
• Epidermophytosis of the inguinal region;
• yeast infection of the skin;
• candidemia;
• esophagus and oral cavity;
• Sporotrichosis;
• Fungus of the scalp;
• diaper rash;
• Body skin fungus.

Medicines against the fungus are aimed at the destruction and destruction of pathogens, and stop the spread of infection. Some of the drugs successfully defeat dermatophytes (mold fungi), others are aimed at destroying yeast fungi directly. Therefore, drugs are selected depending on the type of pathogen, which is determined by the doctor after conducting appropriate tests.

An overview of drugs against fungus

Fungal drugs are classified according to their chemical structure, clinical purpose, and spectrum of action. The most common and effective drug antifungal agents belong to the groups of azoles, polyenes and allylamines.

Polyene group

Polyenes are broad-spectrum antifungal drugs in tablets and ointments that are most popular in the treatment of mycoses. Most often they are used in the treatment of candidiasis of the mucous membranes, skin, gastrointestinal tract.

List of drugs:

• Nystatin - is available in the form of ointments and tablets for the treatment of fungus of the mucous membranes and skin of the body. Used for candidiasis of the skin, intestines, vagina, oral cavity. It has practically no contraindications, side effects in the form of allergic manifestations are possible. The course of treatment lasts from 10 to 14 days (according to the instructions). Price - from 40 rubles.
• Levorin - used for candidiasis of the gastrointestinal tract and skin, has high activity against trichomonas, Candida fungi, leishmania. Not allowed for use during pregnancy, under the age of 2 years, during lactation, with hepatic and, with, ulcers of the intestines and stomach. Price - 100-130 rubles.
• Pimafucin - has an effect on a huge number of pathogenic fungi that affect the body. It is prescribed for candidiasis of the gastrointestinal tract, vagina, to remove the effects of taking antibiotics and corticosteroids. Price - from 250 rubles.

Azole group

Azoles are synthetic drugs used in the treatment of mycoses of the scalp, skin, toenails and hands,. Some drugs in this series are used to treat candidiasis of the mucous membranes and thrush.

List of antifungal drugs:

• Ketoconazole is a drug against dimorphic and yeast-like fungi, folliculitis, dermatophytes, seborrheic dermatitis, chronic candidiasis. Often used for the skin and treatment of head fungus if there is a high degree of damage and resistance to infection. The drug can cause extensive side effects, it is prescribed with caution to children and elderly patients. Price - from 100 rubles.
• Mycozoral - ointment for the treatment of epidermophytosis, pityriasis versicolor, seborrheic dermatitis, ringworm, candidiasis various types. Antifungal drugs for nails, hands, feet, based on the active ingredient ketoconazole, are also available in the form of shampoos and oral tablets. Price - from 200 rubles.
• Sebozol is a drug in the form of an ointment shampoo used against yeast-like fungi, dimorphites, and. Used to treat fungal infections of the feet, nails, scalp, hands. Price - from 130 rubles.
• Fluconazole - has a wide range of effects in the defeat of Cryptococcus fungi, candidiasis of the oral cavity and pharynx, respiratory system, organs of the reproductive system, nail fungus, lichen. Capsules are used with caution during pregnancy, with pathological diseases of the liver and heart. Price - from 20 rubles.

Note! Ointments from the fungus can be used as an independent remedy for mycosis, if the affected area is insignificant and the disease is in its initial stage. In other cases, ointments are used as part of the complex therapy of the fungus.

Allylamine group

Preparations of this series are actively fighting ringworm - fungal infections of hair, skin, nails.

The most common drug in this group is Terbinafine. This is a topical preparation (cream, ointment) used in the treatment of nail and skin fungi, dimorphic and mold pathogenic microorganisms. It is prescribed for severe fungal infections of the nails, feet, head, torso. Price - from 48 rubles.

The active substance terbinafine destroys the fungal membrane cells and provokes the death of the fungal colony. In addition, the substance does not accumulate in the body and is removed entirely through the liver, which allows the use of drugs based on it for the treatment of mycoses in pregnant women and children.

Inexpensive antifungal analogues

There are a lot of drugs against the fungus, but basically these drugs are analogues of each other. This happens because, over time, a patented medicinal formula becomes available to other pharmaceutical companies that produce generics based on it - medicines that are identical in composition and action, but at the same time are not so expensive in price.

Generics have their own name of the drug, but you can calculate whose analogue they are by the active substance of the drug, which is prescribed on the package.

Terbinafine, one of the most effective anti-fungal agents, has the following analogues:

• Terbizol;
• Binofin;
• Fungoterbin;
• Exifin;
• Lamikan.

The active substance fluconazole is contained in preparations:

• Fucis;
• Diflucan;
• Nofung;
• Mycosist;
• Mycoflucan.

Ketocanazole has active analogues - Fungavis, Nizoral, Mycozoral.

The cost of antifungal drugs is not always related to quality. Cheap analogues of expensive antimycotic drugs, as a rule, are in no way inferior in effectiveness.

The price of drugs against fungi ranges from very expensive to very cheap drugs with absolutely identical drug effectiveness. The most inexpensive analogs are found in a series of drugs based on ketoconazole and fluconazole. Terbinafine analogues occupy a middle position, and the most expensive are preparations based on itraconazole (Itramicol, Irunin, Itrazol, Canditral).

Antifungals for children

Antifungal drugs for children are mainly used topically - ointments, creams, sprays, powders for external use, varnishes, drops, shampoos. Means of local application are based on the action of the active substances of triazole, allialamine, imidazole.

Topical preparations are most effective in the treatment of candidiasis, athlete's foot and tinea versicolor.

With a candidal child, drugs are prescribed in the form of tablets or plates for resorption. Treatment of a fungal infection in the organs of vision is based on the use of a suspension with nystatin. in children, it is treated with a special varnish, which not only neutralizes fungal colonies, but also creates a protective film on the nail plate.

The most common topical preparations are:

• Mycosan;
• Nystatin;
• Amorolfine.

Systemic therapy is carried out only under the condition of the occurrence of large lesions and their rapid spread. Systemic drugs include:

• Fluconazole;
• Mycoseptin;
• Terbinafine.

Self-treatment with antifungal drugs in pediatrics is not allowed, because. medicines have a number of side effects and contraindications. The correct treatment plan can only be drawn up by a qualified doctor.

Skin diseases can be caused not only by bacteria, but also by fungi. And with such an infection, local remedies that can destroy fungi are most in demand. One of them is clotrimazole. It comes in many forms, but ointment is most often used for skin diseases. Is it allowed in childhood, for what diseases is it used and how does it work?

Release form and composition

Clotrimazole in the form of an ointment is a white or white-yellow thick homogeneous mass with a peculiar odor. On sale there are packages with different amounts of ointment - 15 g, 20 g, 30 g or others. They all contain an active compound called, like the drug, clotrimazole. The concentration of this substance in 1 gram of ointment is 10 mg (1%).

Auxiliary ingredients differ from manufacturer to manufacturer. Among them, you can see propylene glycol, methylcellulose, propyl parahydroxybenzoate, cetostearyl alcohol, polysorbate 80, monoglycerides, glycerol and other compounds.

In addition to the ointment, Clotrimazole is represented by several more dosage forms:

• Cream, solution or gel. Such preparations contain 1% of the active substance and are also used for topical skin treatment.
• Vaginal tablets or suppositories, prescribed mainly for adults with genital thrush.

Operating principle

The main component of the ointment has an antifungal effect. It disrupts the synthesis of cell membranes, as a result of which the fungal cells become more permeable and destroyed.

If the concentration of clotrimazole is low, then the drug will have a fungistatic effect, that is, it will only slow down the development and growth of pathogenic fungi. A high concentration of the active compound destroys fungi (acts fungicidal) due to the effect on enzymes inside the cells of the pathogen.

The drug is active against yeast-like fungi (including candida), molds and dermatophytes.

In addition, it is able to destroy pathogens of skin diseases such as erythrasma and versicolor. The drug also acts on some bacteria, for example, bacteroids, staphylococci and streptococci.

After application to the skin, the drug acts mainly locally. At the same time, the highest concentration of the active compound is noted in the epidermis, and the drug penetrates worse into the deeper layers of the skin.

Indications

Clotrimazole ointment is used for:

• Fungal diseases of the skin;
• Stop fungal infections;
• Infection with fungi of skin folds;
• Hand fungus;
• Superficial forms of candidiasis;
• Pityriasis versicolor;
• Mycoses, which were complicated by a purulent bacterial infection.

At what age is it allowed to take?

The use of Clotrimazole ointment in children is possible at any age, but before starting treatment, you should consult your doctor to make sure you have a fungal infection. It is not recommended to smear the skin of a child at 1-5 years old or at another age without examination by a pediatrician or dermatologist.

Contraindications

The drug is not prescribed to children who have previously had an allergic reaction to clotrimazole or other ingredients of the ointment. There are no other contraindications for children in the annotation to the drug.

If a child has liver pathologies, then the work of this organ during treatment with Clotrimazole should be regularly checked. In addition, the medication should not be applied to the skin around the eyes, and if after three days of use no effect is observed, you should consult a doctor to confirm the diagnosis.

Side effects

Since clotrimazole is very poorly absorbed when applied externally, the use of the ointment does not provoke systemic side effects. However, the drug can cause local adverse reactions and allergies.

Small patients sometimes complain that the area treated with ointment tingles, bakes or itchs.

Some children experience peeling, redness, irritation or swelling of the skin after applying the medicine.

In rare cases, treatment leads to the appearance of paresthesias and rashes. To avoid such negative consequences therapy, the first application of the ointment should be on a small area of ​​\u200b\u200bthe skin. After waiting a few hours and making sure that there is no redness, rashes and other allergy symptoms, then the medication can be used according to the scheme prescribed by the doctor.

Instructions for use and dosage

The drug is applied to the skin twice or thrice a day with a thin layer. Before treatment, the skin should be cleaned - washed with soap and dried. The applied ointment is gently rubbed into the affected areas. The lubricated skin is left open until the product is completely absorbed.

The duration of use of the drug in each case should be determined by the doctor, taking into account the severity of the infection, the localization of the process and the skin's response to treatment. For example, with foot fungus, the ointment is used for 2-3 weeks, and for ringworm - at least 4 weeks. As a rule, after the complete disappearance of symptoms, it is recommended to lubricate the skin for another week or longer.

Overdose

In the annotation to the ointment, the manufacturer notes that the use of the drug in high doses does not lead to any negative reactions, since the drug acts mainly at the site of application to the skin.

Interaction with other drugs

If Clotrimazole is used simultaneously with drugs that contain nystatin, amphotericin B or natamycin, this will reduce the therapeutic effect of the ointment. Skin treatment with Clotrimazole does not affect treatment by other means, because it is practically not absorbed and does not enter the bloodstream.

Terms of sale and storage

Clotrimazole in the form of an ointment can be easily purchased at almost any pharmacy, since it is an over-the-counter remedy. The average price of a tube containing 20 g of ointment is 35-40 rubles. It is necessary to store the medicine at home at a temperature of 5 to 20 degrees Celsius in a dry place where the medicine will be inaccessible to babies. The shelf life of this form of Clotrimazole is 2 years.

To eliminate the microorganisms that caused the fungus of the foot, skin or other organs, antifungal drugs for children are used in the form of solutions, tablets, suppositories and capsules. In pediatric practice, medicines with low toxicity are used. A wide group of antimycotic drugs destroy pathogens in the body without harming it.

Fungal diseases in children

The defeat of children's skin and its derivatives by pathogenic forms of the fungus is manifested by itching, peeling, destruction of nails, hair loss and cracking of the skin. An experienced look of a dermatologist immediately determines the fungal infection. If there is any doubt, diagnosis is carried out by fluorescent examination, scraping for microflora and microscopy. Therapeutic therapy for the fungus is carried out using antifungal agents of external and systemic action. Treatment is carried out with immunostimulants, corticosteroid and desensitizing agents.

The need for timely diagnosis and subsequent treatment is due to the fact that the fungus in the process of life releases toxins that the child's body tolerates especially hard. The weakening of immunity begins, the symptoms of chronic pathologies become aggravated. Infection of the child occurs when interacting with the external environment. It can be both a sick animal, and a person or objects of common use. The most common and contagious diseases in children are microsporia and ringworm, which affect the scalp.

Types of children's drugs

Choosing an effective antifungal drug for children is a difficult task, because it must have low toxicity, effectively cope with fungal pathogens, and act on fungal membranes. Classification of medicines:

1. By origin: natural polyenes, synthetic azoles and allylamines, other groups.
2. According to the method of application: systemic (used inside), local (used externally or rectally).
3. By type of dosage form: creams, ointments, lotions, suspensions, powders, tablets, shampoos, lozenges, suppositories, aerosols, nail polishes.
4. By type of active substance: derivatives of triazole or imidazole (Haloprogin, Cyclopirox), allylamine (Exoderil, Terbizil, Lamisil).

Antifungal drugs for internal use

Systemic antifungal drugs are otherwise called "for internal use." They are used in severe cases of fungal infection of the body, are available in the form of solutions, powders for dilution with water, tablets and capsules. Medications can be used as monotherapy or combined with other groups of drugs in addition to antacids, which reduce their absorption.

Antifungal drugs in tablets

The tablet format of children's medicines is one of the most popular. The following drugs are taken during or after a meal, washed down with water:

1. Terbizil - is prescribed from two years old and to children weighing over 12 kg. The average dose is 125 mg / day once a day for up to 14 days. A medication is used to treat mycoses of the scalp, it is also available in the form of a cream.
2. Nystatin - from the group of polyenes, is active against fungi of the genus Candida. The medicine treats candidiasis of the mucous membranes, skin, intestines, oral cavity and pharynx. Nystatin is prescribed for the prevention of candidiasis of the gastrointestinal tract (GIT).
3. Pimafucin - contains natamycin, a polyene antifungal antibiotic with a fungicidal effect. Tablets act in the intestinal lumen without systemic effects.

Capsules

Antifungal drugs in capsules are also popular, differing from tablets in the protected content that is absorbed in the stomach, but is not used for kidney disease. Known medicines are:

1. Itraconazole - effectively eliminates the symptoms of dermatophytosis, reduces the activity of yeast and mold fungi. The tool is used for 2-4 weeks, is prescribed to children with caution.
2. Fluconazole - used as prescribed by a doctor, treats fungal infections of the skin, nails and other infections.
3. Diflazon, Diflucan - analogues of Fluconazole, but cheaper in price, can be used to treat systemic mycoses of nails and skin.

Local preparations

Antifungals for the throat, skin, and intestines are used topically. This means that they have a minimal effect on the systemic circulation, without getting into the tissues of the body, without accumulating and without affecting the liver. Forms of release of such funds are ointments, creams, lotions, aerosols and rectal suppositories. They are more efficient to use early stages treatment of fungus or skin lesions.

Antifungal ointments for children

Ointments are used to treat dry areas of the skin with peeling. They have a dense, oily texture, are absorbed for a long time. Popular means are:

1. Nystatin ointment - it can treat the skin with candidiasis, mucous membranes twice a day for a course of 14-30 days. The exact duration of therapy is determined by the dermatologist.
2. Clotrimazole - 2% ointment with the same active ingredient is applied 2-3 times / day and rubbed thoroughly. Symptoms of the fungus disappear quickly, but treatment should be continued for some time to avoid recurrence of the fungal infection.

Antifungal creams

Compared to ointments, creams with an antimycotic effect are used more often for children, because they are distinguished by a light, quickly absorbed structure and comfort when applied. Known medicines are:

1. Pimafucin - 2% cream is applied several times a day, improves the patient's condition for 2-3 days after the start of therapy.
2. Mycospor - 1% cream is applied in a thin layer to the affected skin and rubbed thoroughly. Processing is carried out once / day at night, the course lasts 2-4 weeks. It is not recommended to use the cream for the treatment of infants.
3. Travogen - 1% cream is applied to the skin once a day, the effectiveness begins to appear on the 2nd-4th day of application. The average course of treatment for newborns will be 6-10 days, older - up to 2-4 weeks.

Candles

Antifungal suppositories are used in children for rectal administration. This helps to get rid of intestinal candidiasis, raise local immunity to fight fungi. Popular drugs are:

1. Viferon is a complex agent with antiviral, antiproliferative and immunomodulatory effects. It treats candidiasis and viral lesions. Children are prescribed one suppository twice / day for a course of 5-14 days.
2. Nystatin - effective against pathogenic fungi of the genus Candida, active in the treatment and prevention of candidiasis of the skin and mucous membranes. Apply the remedy twice / day in a course of 10-14 days.
3. Pimafucin - contains the macrolide antibiotic natamycin, which eliminates fungi of the gastrointestinal tract and genital tract. The tool is used in complex therapy, inserted at night one by one. The course lasts 3-6 days, after which it can be extended for another 3-4 days.

Application area

Antifungal drugs are used mainly in the defeat of the folds of the skin of the feet and hands in children. The most common fungal pathologies include:

• blastomycosis;
• visceral leishmaniasis;
• aspergillosis;
• trichophytosis;
• pityriasis versicolor;
• microsporia;
• histoplasmosis;
• dermatophytosis (skin folds of the body; feet; groin);
• fungal keratitis;
• cryptococcosis;
• skin candidiasis;
• onychomycosis.

Antifungal drugs for the skin

Medicines can be produced in the form of a paste, cream, ointment or emulsion containing naftifine, terbinafine, miconazole, clotrimazole or ketoconazole. Have the use of Naftalan, Salicylic and Sulfur-tar ointment. In severe cases of dermatophytosis, with infection of nails and hair, systemic antimycotic therapy is prescribed. In some cases, it is permissible to destroy the fungus of nails and skin with a laser.

Throat antifungals

If the symptoms of a fungal infection of the throat are confirmed, then specific drug therapy is prescribed using antifungal agents. Preparations can be represented by tablets, ointments, creams. In advanced forms, antibiotics are used. There are a lot of remedies against the fungus that has settled in the throat, but highest efficiency the following drugs have been proven:

1. Hepilor. It is a rinse solution. It has pronounced antibacterial, antifungal and anti-inflammatory effects. Rinsing should be carried out regularly, 4 times / day. The course is five days.
2. Levorin. It is an antibiotic drug that suppresses Candida yeast fungi. Tablets dissolve in 10-15 minutes. The daily norm for children is 1-2 pieces.
3. Fluconazole. Antifungal agent in tablet form. Excellent absorption and good effect. Dosage - one tablet / day.

In gynecology

There is a wide range of effective drugs that are prescribed for fungal diseases in gynecology. The choice of drug is individual depending on the stage of the disease. In chronic neglected form, antifungal creams, suppositories, vaginal tablets, ointments are used. The use of both local and systemic means is practiced. Local resources include:

• Zalain: the active substance is sertaconazole, an effective drug in the form of suppositories;
• Candizol, Yenamazol 100, Kanesten, Candibene, Antifugol, Candide B6, Clotrimazole: vaginal suppositories with clotrimazole (active ingredient);
• Ifenek, Gynopevaril: econazole;
• Ovulum, Ginotravagen: isoconazole;
• Klion D 100, Gino-Daktarin, Mikogal, Ginezol 7: miconazole;
• Pimafucin: natamycin;
• Terzhinan, Polygynax, Nystatin: nystatitis;
• Brizoral, Ketoconazole, Oronazole, Livarol, Vetorozal: ketocanozol.

Antifungal antibiotic

The use of antibiotics for children should be resorted to as a last resort or in special cases. So, ophthalmologists allow the use of Natamycin suspension, which is included in the category of polyenol antibiotics from the macrolide group, which disrupt the permeability of the fungus cell, which leads to its death. To rid the child of candidiasis, Nystatin suspension or Amphotericin B is used. These drugs are used strictly under the supervision of a physician.

Antifungal drugs for children under one year old

Fungal infections in infants are extremely important to diagnose in the early stages. Only a doctor who has a limited choice of drugs that are acceptable for use in children under one year old should be responsible for the diagnosis. Characteristics and features of the use of drugs:

1. Candide: used for thrush in children. Produced in the form of a solution. The affected area is wiped with a moistened cotton swab 2-3 times / day for 7-10 days.
2. Miramistin: a broad-spectrum antifungal drug. The ointment is distributed in a thin layer in the affected area. Duration and frequency are determined by the attending physician.
3. Nystatin: Available in the form of tablets, ointments and vaginal suppositories. Highly effective against Candida. The ointment should be applied to the affected area in a thin layer, twice a day. Therapy with tablets and suppositories is carried out according to the instructions and under the supervision of a doctor.

The price of preparations for the fungus

You can buy antifungal children's drugs in Moscow at the following approximate prices indicated in the table:

Name of the drug	Format variation	Volume/weight	Price, in rubles
Fluconazole
clotrimazole
Pimafucin
Griseofulvin	Tablets
Terbinafine
Nystatin	Suppositories rectal
Pimafucin
Mycospor
Mikoseptin

Attention! The information presented in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can make a diagnosis and give recommendations for treatment based on the individual characteristics of a particular patient.

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