Tinea Scalp Treatment
Treatment approach for tinea capitis will be influenced by the species of fungus and the severity of the infection. Other factors include the patients nutritional status and if they have a normally functioning immune system. Treatment may include an antifungal shampoo, but topical therapy alone is usually not effective. Selenium sulfide shampoo may reduce the risk of spreading the infection early in the course of therapy. Oral antifungal medications such as griseofulvin, ketoconazole, itraconazole, terbinafine, and fluconazole are met with much higher success rates. Additional treatment may include oral antihistamine medications to control itching.
Treatment for tinea capitis may include:
- Selenium sulfide shampoo:
- Helps keep the infection from spreading
- Oral antifungal medication for tinea capitis:
- Griseofulvin (Fulvicin)
- Ketoconazole (Nizoral)
- Itraconazole (Sporanox)
- Fluconazole (Diflucan)
- Terbinafine (Lamisil)
- Nonprescription anti-itch medications:
- Calamine lotion
- Prescription medications to reduce itching:
- Hydroxyzine hydrochloride (Atarax)
- Diphenhydramine hydrochloride (Benadryl)
- Cyproheptadine hydrochloride (Periactin)
- Daily skin cleansing:
- Gentle skin cleansing helps limit the spread of the infection
Tinea Scalp Drugs
Oral antifungal medications used for the treatment of tinea capitis include:
Tinea Scalp Questions For Doctor
The following are some important questions to ask before and after the treatment of tinea capitis.
Questions to ask before treatment:
- What are my treatment options?
- What are the risks associated with treatment?
- Am I contagious?
- For how long?
- What are the complications I should watch for?
- How do I avoid passing the infection to others?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
Questions to ask after treatment:
- Do I need to change my diet?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- What else can I do to reduce my risk for having tinea capitis again?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Tinea Scalp Specialist
Continue to Tinea Scalp Home Care
- Chan YC, Friedlander SF. New treatments for tinea capitis. Curr Opin Infect Dis. 2004 Apr;17(2):97-103. 
- Roberts BJ, Friedlander SF. Tinea capitis: a treatment update. Pediatr Ann. 2005 Mar;34(3):191-200. 
- Schauder S. Itraconazole in the treatment of tinea capitis in children. Case reports with long-term follow-up evaluation. Review of the literature. Mycoses. 2002 Feb;45(1-2):1-9.