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Questions and Answers
What is the most common type of athlete's foot?
What is the primary symptom of athlete's foot?
What can result in corns and calluses?
When should a child affected by athlete's foot be excluded from school or nursery?
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What is the mechanism of action of the 'Wartner®' verruca treatment?
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Why is the medical cryotherapy with liquid nitrogen more effective than the 'Wartner®' treatment?
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Why is it important not to throw away medicines via wastewater or household waste?
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When should diabetics be referred for verruca treatment?
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What do Podophyllum resin and formaldehyde have in common as verruca treatments?
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Where can one find detailed guidelines on verrucae treatment?
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Why should all creams, particularly certain ones, not be thrown away via wastewater or household waste?
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What is a reason to refer a patient for verruca treatment?
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What is the recommended treatment for athlete's foot in children above 16 years?
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Which antifungal may be more effective than others in preventing reinfection of athlete's foot?
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What can be used to treat corns and calluses?
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What causes verruca, or plantar warts?
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Which substance is used in verruca treatment to reduce viral numbers and stimulate antibody production?
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How can athlete's foot and corns/calluses be prevented?
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In individuals with diabetes or weakened immune systems, athlete's foot may be:
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Which antifungal is described as less effective with fewer trials supporting its efficacy for athlete's foot?
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What is a characteristic feature of verruca, or plantar warts?
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Which substance is used in verruca treatment to corrode the skin and increase penetration of salicylic acid?
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Study Notes
- Athlete's foot treatment options include antifungals such as undecenoates, imidazoles (Clotrimazole, Miconazole, Econazole), terbinafine, and benzoic acid.
- Imidazoles may be more effective than other antifungals in preventing reinfection.
- Terbinafine 1% cream is recommended for children above 16 years, apply once or twice a day for up to 7 days.
- Clotrimazole, Miconazole, Ketoconazole are available as creams or ointments for different lengths of treatment.
- Tolnaftate (Mycil®, Tinaderm®) is less effective than other antifungals with fewer trials supporting its efficacy.
- Athlete's foot can result in discomfort, spreading to other parts of the body, and may be more severe in individuals with diabetes or weakened immune systems.
- Corns and calluses are caused by friction and intermittent pressure against the feet, often worsened by inappropriate footwear.
- Corns and calluses can be treated with thick, cushioned socks, wide shoes, soft insoles, soaking, and regular filing with a pumice stone or foot file.
- Verruca, or plantar warts, are caused by human papilloma virus and are characterized by a small black dot, often found in weight-bearing areas.
- Verruca treatment includes salicylic acid, which reduces viral numbers and stimulates antibody production, lactic acid, which corrodes the skin and increases penetration of salicylic acid, and gluteraldehyde and silver nitrate, which are caustic agents used for short-term treatment.
- Verruca can spread through direct contact and shed skin and may take up to 12 weeks to resolve spontaneously.
- Prevention measures for both athlete's foot and corns/calluses include wearing thick socks, comfortable shoes, and soft insoles, as well as avoiding long periods of standing and walking.
- Corns and calluses can be differentiated from verruca by the presence or absence of a small black dot.
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Description
Learn how to respond to patients presenting with athlete’s foot, verrucae, corns, and calluses in a community pharmacy. Gain knowledge on using the mnemonic WWHAM to assess different patient groups, recognizing when to refer patients to the doctor, and providing practical advice and OTC product recommendations.
