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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.
Abstract:
Terbinafine is an allylamine antifungal agent that has been effective and safe in the treatment of superficial and some deep mycotic infections in adults. An increasing amount of data is available where terbinafine has been used in the paediatric population to treat superficial fungal infections, in particular tinea capitis. The data suggest that terbinafine is effective and safe using treatment regimens that involve short duration therapy, leading to an increased compliance and providing a cost-effective means of treating paediatric superficial fungal infections such as tinea capitis. Terbinafine has been approved for the treatment of tinea capitis in many countries worldwide, and provides good efficacy rates for Trichophyton tinea capitis using shorter regimens than the gold standard griseofulvin. The adverse events profile for children is similar to that in adults with few adverse effects associated with its use. The evidence favours the use of terbinafine in the treatment of superficial infections in children.
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