Tags

Type your tag names separated by a space and hit enter

Efficacy, safety and tolerability of terbinafine for Tinea capitis in children: Brazilian multicentric study with daily oral tablets for 1,2 and 4 weeks.
J Eur Acad Dermatol Venereol. 1998 Sep; 11(2):141-6.JE

Abstract

BACKGROUND

Tinea capitis is a common skin disease seen predominantly in children. The standard therapies for this disease are griseofulvin and ketoconazole. Nevertheless, these drugs have drawbacks in that they are only fungistatic and require treatment for at least 6 weeks. Previous studies with oral terbinafine for the treatment of Tinea capitis have shown that this agent is effective when given for 4 weeks, comparable to an 8-week regimen with griseofulvin. To date there is no data on the use of oral terbinafine in Brazilian children.

OBJECTIVES

To assess the efficacy, safety and tolerability of oral terbinafine in short-term treatments (1-, 2- and 4-week treatment) of Tinea capitis in children.

PATIENTS AND METHODS

One hundred and thirty-two children aged 1-14 years were enrolled in this study, but only 107 were considered for the final efficacy analysis. Diagnosis included clinical assessment and examination by Wood's light. Confirmation was obtained by direct microscopy and culture for fungus. Terbinafine dosage (125 or 250 mg/day) was adjusted according to patient weight. Efficacy was evaluated both by clinical and mycological assessment. Safety and tolerability variables included data on adverse reaction and clinical laboratory evaluations.

RESULTS

Mycological evaluation in the follow-up visit at week 12 showed negative direct microscopy and culture results in 48.6, 60.5 and 69.7% patients in groups 1-, 2- and 4-week, respectively (n.s.). At week 12, 84.8% patients in group 4-week achieved clinical cure with a significant difference compared to groups 1- and 2-week, 54.3 and 60.5%, respectively (P < 0.01). Adverse reactions were present in 4.8, 6.8 and 10.9% of patients in groups 1-, 2- and 4-week, respectively. terbinafine was not associated with clinically relevant increases in liver function tests.

CONCLUSIONS

Terbinafine is an effective, well tolerated and safe antifungal agent for the treatment of Tinea capitis in children. The shorter duration of treatment resulted in lower cure rates. However, it is important to note that depending on the severity of the disease, a 1-week-only treatment can also be effective in this indication.

Authors+Show Affiliations

Departamento de Dermatologia, Universidade Federal de São, R. Botucatu, São Paulo, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9784040

Citation

Filho, S T., et al. "Efficacy, Safety and Tolerability of Terbinafine for Tinea Capitis in Children: Brazilian Multicentric Study With Daily Oral Tablets for 1,2 and 4 Weeks." Journal of the European Academy of Dermatology and Venereology : JEADV, vol. 11, no. 2, 1998, pp. 141-6.
Filho ST, Cucé LC, Foss NT, et al. Efficacy, safety and tolerability of terbinafine for Tinea capitis in children: Brazilian multicentric study with daily oral tablets for 1,2 and 4 weeks. J Eur Acad Dermatol Venereol. 1998;11(2):141-6.
Filho, S. T., Cucé, L. C., Foss, N. T., Marques, S. A., & Santamaria, J. R. (1998). Efficacy, safety and tolerability of terbinafine for Tinea capitis in children: Brazilian multicentric study with daily oral tablets for 1,2 and 4 weeks. Journal of the European Academy of Dermatology and Venereology : JEADV, 11(2), 141-6.
Filho ST, et al. Efficacy, Safety and Tolerability of Terbinafine for Tinea Capitis in Children: Brazilian Multicentric Study With Daily Oral Tablets for 1,2 and 4 Weeks. J Eur Acad Dermatol Venereol. 1998;11(2):141-6. PubMed PMID: 9784040.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy, safety and tolerability of terbinafine for Tinea capitis in children: Brazilian multicentric study with daily oral tablets for 1,2 and 4 weeks. AU - Filho,S T, AU - Cucé,L C, AU - Foss,N T, AU - Marques,S A, AU - Santamaria,J R, PY - 1998/10/23/pubmed PY - 1998/10/23/medline PY - 1998/10/23/entrez SP - 141 EP - 6 JF - Journal of the European Academy of Dermatology and Venereology : JEADV JO - J Eur Acad Dermatol Venereol VL - 11 IS - 2 N2 - BACKGROUND: Tinea capitis is a common skin disease seen predominantly in children. The standard therapies for this disease are griseofulvin and ketoconazole. Nevertheless, these drugs have drawbacks in that they are only fungistatic and require treatment for at least 6 weeks. Previous studies with oral terbinafine for the treatment of Tinea capitis have shown that this agent is effective when given for 4 weeks, comparable to an 8-week regimen with griseofulvin. To date there is no data on the use of oral terbinafine in Brazilian children. OBJECTIVES: To assess the efficacy, safety and tolerability of oral terbinafine in short-term treatments (1-, 2- and 4-week treatment) of Tinea capitis in children. PATIENTS AND METHODS: One hundred and thirty-two children aged 1-14 years were enrolled in this study, but only 107 were considered for the final efficacy analysis. Diagnosis included clinical assessment and examination by Wood's light. Confirmation was obtained by direct microscopy and culture for fungus. Terbinafine dosage (125 or 250 mg/day) was adjusted according to patient weight. Efficacy was evaluated both by clinical and mycological assessment. Safety and tolerability variables included data on adverse reaction and clinical laboratory evaluations. RESULTS: Mycological evaluation in the follow-up visit at week 12 showed negative direct microscopy and culture results in 48.6, 60.5 and 69.7% patients in groups 1-, 2- and 4-week, respectively (n.s.). At week 12, 84.8% patients in group 4-week achieved clinical cure with a significant difference compared to groups 1- and 2-week, 54.3 and 60.5%, respectively (P < 0.01). Adverse reactions were present in 4.8, 6.8 and 10.9% of patients in groups 1-, 2- and 4-week, respectively. terbinafine was not associated with clinically relevant increases in liver function tests. CONCLUSIONS: Terbinafine is an effective, well tolerated and safe antifungal agent for the treatment of Tinea capitis in children. The shorter duration of treatment resulted in lower cure rates. However, it is important to note that depending on the severity of the disease, a 1-week-only treatment can also be effective in this indication. SN - 0926-9959 UR - https://www.unboundmedicine.com/medline/citation/9784040/Efficacy_safety_and_tolerability_of_terbinafine_for_Tinea_capitis_in_children:_Brazilian_multicentric_study_with_daily_oral_tablets_for_12_and_4_weeks_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0926-9959(98)00079-8 DB - PRIME DP - Unbound Medicine ER -