Topical antifungal

From WikiMD.com Medical Encyclopedia

Topical Antifungal[edit | edit source]

Topical antifungals are medications applied directly to the skin, nails, or mucous membranes to treat fungal infections. These infections can affect various parts of the body, including the skin, nails, and mucous membranes, and are caused by fungi such as dermatophytes, yeasts, and molds.

Mechanism of Action[edit | edit source]

Topical antifungals work by disrupting the cell membrane of the fungus, leading to cell death. Many of these medications target ergosterol, a key component of fungal cell membranes. By inhibiting the synthesis of ergosterol, these drugs compromise the integrity of the fungal cell membrane, causing leakage of cellular contents and ultimately cell death.

Structure of ergosterol, a target of many antifungal agents.

Common Types of Topical Antifungals[edit | edit source]

There are several classes of topical antifungal agents, each with different mechanisms of action:

  • Azoles: This class includes drugs such as clotrimazole and miconazole. They inhibit the enzyme lanosterol 14_-demethylase, which is involved in the conversion of lanosterol to ergosterol.
  • Allylamines: Examples include terbinafine and naftifine. These drugs inhibit squalene epoxidase, another enzyme involved in ergosterol synthesis.
  • Polyenes: Nystatin is a common polyene antifungal that binds directly to ergosterol, forming pores in the fungal cell membrane.

Indications[edit | edit source]

Topical antifungals are used to treat a variety of fungal infections, including:

  • Tinea infections: Such as athlete's foot (tinea pedis), jock itch (tinea cruris), and ringworm (tinea corporis).
  • Candidiasis: Infections caused by Candida species, often affecting the skin and mucous membranes.
  • Onychomycosis: Fungal infections of the nails.

Side Effects[edit | edit source]

Topical antifungals are generally well-tolerated, but some individuals may experience side effects such as:

  • Local irritation
  • Redness
  • Itching
  • Burning sensation

Related Pages[edit | edit source]

References[edit | edit source]

  • "Topical Antifungal Drugs." MedlinePlus, U.S. National Library of Medicine. [1]
  • "Antifungal Agents." The Merck Manual Professional Edition. [2]

Topical_antifungal[edit | edit source]

WikiMD
Navigation: Wellness - Encyclopedia - Health topics - Disease Index‏‎ - Drugs - World Directory - Gray's Anatomy - Keto diet - Recipes

Search WikiMD

Ad.Tired of being Overweight? Try W8MD's physician weight loss program.
Semaglutide (Ozempic / Wegovy and Tirzepatide (Mounjaro / Zepbound) available.
Advertise on WikiMD

WikiMD's Wellness Encyclopedia

Let Food Be Thy Medicine
Medicine Thy Food - Hippocrates

Medical Disclaimer: WikiMD is not a substitute for professional medical advice. The information on WikiMD is provided as an information resource only, may be incorrect, outdated or misleading, and is not to be used or relied on for any diagnostic or treatment purposes. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. WikiMD expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site. By visiting this site you agree to the foregoing terms and conditions, which may from time to time be changed or supplemented by WikiMD. If you do not agree to the foregoing terms and conditions, you should not enter or use this site. See full disclaimer.
Credits:Most images are courtesy of Wikimedia commons, and templates, categories Wikipedia, licensed under CC BY SA or similar.

Contributors: Prab R. Tumpati, MD