What is tx of tinea pedis?

• For all types of tinea pedis, hygiene and topical antifungals are effective therapies • Hygiene: Dry the area after bathing • Change socks daily and alternate shoes worn • Consider wearing open shoes such as sandals • Use antifungal foot powder to keep feet dry • First-line therapy: imidazoles (fungistatic), clotrimazole or miconazole cream apply to affected areas twice daily for 4- 6 weeks • Second-line therapy: allylamines (fungicidal), terbinafine, naftifine, or butenafine cream or gel once or twice daily (product dependent) for 4-6 weeks • Allylamines have better sustained cure rates than imidazoles but are often more expensive • Prescribe 30-45 g to cover both soles twice daily for a month