The efficacy and safety of terbinafine in children

A K Gupta1, A Adamiak, E A Cooper

  • 1Division of Dermatology, Department of Medicine, Sunnybrook and Women's College Health Sciences Center (Sunnybrook site) and the University of Toronto, Toronto, Canada. agupta@execulink.com

Insights

Terbinafine is an effective and safe antifungal treatment for pediatric superficial fungal infections like tinea capitis. Short-duration terbinafine therapy improves compliance and offers a cost-effective solution for children.

Area of Science:

  • Dermatology
  • Mycology
  • Pediatrics

Background:

  • Terbinafine, an allylamine antifungal, is established for adult superficial and deep mycotic infections.
  • Growing evidence supports terbinafine use in pediatric superficial fungal infections, especially tinea capitis.

Purpose of the Study:

  • To evaluate the efficacy and safety of terbinafine in treating pediatric superficial fungal infections.
  • To assess terbinafine's suitability for pediatric tinea capitis treatment compared to existing standards.

Main Methods:

  • Review of available data on terbinafine use in pediatric populations.
  • Analysis of treatment regimens, efficacy rates, and adverse event profiles.

Main Results:

  • Terbinafine demonstrates effectiveness and safety in children with superficial fungal infections.
  • Short-duration terbinafine regimens enhance compliance and cost-effectiveness for tinea capitis.
  • Efficacy rates for Trichophyton tinea capitis are favorable with shorter terbinafine courses than griseofulvin.

Conclusions:

  • Terbinafine is a preferred treatment for pediatric superficial fungal infections, including tinea capitis.
  • The safety profile in children mirrors that in adults, with minimal adverse effects.
  • Evidence supports terbinafine's role in improving pediatric antifungal treatment outcomes.

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