Tom is 50-year-old male who presents with distal lateral subungual onychomycosis of his left great toe. He has had symptoms for four months. On exam, he also appears to have interdigital tinea pedis. Referring to clinical guidelines, what is the first-line treatment for both tinea pedis and onychomycosis in adults? What medication precautions does the patient need to be educated on? What kind of follow-up does the patient require?
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Advanced Pharmacology
The first line of treatment for both tinea pedis and onychomycosis in adults is oral | PLACE YOUR ORDER NOW AT writtask.com | treatment is preferred due to its low cost, high cure rate, and tolerability, which is necessary for individuals who are immunocompromised or have a severe case of moccasin type tines pedis.
Oral antifungal medications tend to have minimal side effects, some of which include nausea, diarrhea, taste disturbance, stomach aches, headaches, muscle or | PLACE YOUR ORDER NOW AT writtask.com | this medication Tom should ensure that he is not allergic to the drug. Additionally, the medical professional needs to ensure that the patient does not have liver problems or a weak immune | PLACE YOUR ORDER NOW AT writtask.com | also be made aware of possible drug | PLACE YOUR ORDER NOW AT writtask.com | inform his nurse of any vitamins, herbal products, and over-the-counter medication that he may be taking so that he can receive further instruction on which medications he | PLACE YOUR ORDER NOW AT writtask.com | should not mix the medication with acidic or fruit-based foods, and he should be encouraged to stick to the prescription if the treatment is to be effective and yield the expected results.
The patient requires constant follow up to ensure that the medication prescribed is working | PLACE YOUR ORDER NOW AT writtask.com | include regularly scheduled visits with the nurse, who will ensure that Tom is taking the | PLACE YOUR ORDER NOW AT writtask.com | visits will help the medical team in deciding if the prescription given in the first visit is working and whether it requires adjustment, to increase its | PLACE YOUR ORDER NOW AT writtask.com | the effectiveness of the treatment, the follow up should also focus on helping the client deal with all the side effects that accompany the prescribed medication.
References
Hossain, A. S. M., Sil, B. C., Iliopoulos, F., Lever, R., Hadgraft, J., & Lane, M. E. (2019). Preparation, characterisation, and topical delivery of Terbinafine. Pharmaceutics, 11(10), 548. https://doi.org/10.3390/pharmaceutics11100548
Sprenger, A. B., Purim, K. S. M., Sprenger, F., & Queiroz-Telles, F. (2019). A week of Oral Terbinafine pulse regimen every three months to treat all Dermatophyte Onychomycosis. Journal of Fungi, 5(3), 82. https://doi.org/10.3390/jof5030082
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