ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ
خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد

Tolnaftate: Pediatric drug information

Tolnaftate: Pediatric drug information
2025© UpToDate, Inc. and its affiliates and/or licensors. All Rights Reserved.
For additional information see "Tolnaftate: Drug information" and "Tolnaftate: Patient drug information"

For abbreviations, symbols, and age group definitions show table
Brand Names: US
  • Anti-Fungal [OTC] [DSC];
  • Antifungal (Tolnaftate) [OTC];
  • Dr Gs Clear Nail [OTC];
  • Formula 3 The Treatment [OTC];
  • Formula 7 The Solution [OTC];
  • FT Antifungal [OTC];
  • Fungi-Guard [OTC];
  • Fungicure [OTC];
  • Micomitin [OTC];
  • Micotrin AL [OTC];
  • Mycocide Clinical NS [OTC];
  • Mycozyl AL;
  • Mycozyl AL [OTC];
  • Tinactin Deodorant [OTC] [DSC];
  • Tinactin [OTC] [DSC];
  • Tinaspore [OTC];
  • TM-Tolnaftate LR [OTC] [DSC];
  • TM-Tolnaftate [OTC] [DSC];
  • Tolnafi-AL [OTC];
  • TriTolnacide C [OTC];
  • TriTolnacide S [OTC]
Therapeutic Category
  • Antifungal Agent, Topical
Dosing: Pediatric
Tinea corporis

Tinea corporis (ringworm): Children and Adolescents: Limited data available in ages <2 years: Topical: Apply to affected and surrounding area(s) twice daily until clinical resolution, typically 2 to 4 weeks (Ref).

Tinea cruris

Tinea cruris (jock itch): Children and Adolescents: Limited data available in ages <2 years: Topical: Apply to affected and surrounding area(s) twice daily until clinical resolution, typically 2 to 4 weeks (Ref).

Tinea pedis

Tinea pedis (athlete's foot):

Treatment: Children and Adolescents: Limited data available in ages <2 years: Topical: Apply to affected and surrounding area(s) twice daily until clinical resolution, typically 4 weeks (Ref).

Prevention: Children ≥2 years and Adolescents: Topical: Apply once or twice daily (Ref).

Dosing: Kidney Impairment: Pediatric

There are no dosage adjustments provided in the manufacturer's labeling. However, dosage adjustment unlikely due to low systemic absorption.

Dosing: Liver Impairment: Pediatric

There are no dosage adjustments provided in the manufacturer's labeling. However, dosage adjustment unlikely due to low systemic absorption.

Dosing: Adult

(For additional information see "Tolnaftate: Drug information")

Tinea infection

Tinea infection:

Tinea corporis/tinea cruris: Topical: Apply to affected and surrounding area(s) twice daily until clinical resolution, typically 1 to 4 weeks (Ref).

Tinea pedis (labeled use)/tinea manuum (off-label use):

Treatment: Topical: Apply to affected and surrounding area(s) twice daily until 1 week after clinical resolution, typically for 4 weeks total (Ref).

Prevention (tinea pedis only): Topical: Apply once or twice daily.

Dosing: Kidney Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling. However, dosage adjustment unlikely due to low systemic absorption.

Dosing: Liver Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling. However, dosage adjustment unlikely due to low systemic absorption.

Adverse Reactions

The following adverse drug reactions and incidences are derived from product labeling unless otherwise specified. Frequency not defined.

Dermatologic: Contact dermatitis, pruritus, stinging of the skin

Local: Irritation

Contraindications

OTC labeling: When used for self-medication, do not use on children <2 years of age.

Warnings/Precautions

Concerns related to adverse effects:

• Irritation: Discontinue if sensitivity or irritation occurs.

Other warnings/precautions:

• Self-medication (OTC use): When used for self-medication (OTC use), contact health care provider if condition does not improve within 4 weeks. Avoid contact with eyes. Not effective on the scalp.

Warnings: Additional Pediatric Considerations

Some dosage forms may contain propylene glycol; in neonates large amounts of propylene glycol delivered orally, intravenously (eg, >3,000 mg/day), or topically have been associated with potentially fatal toxicities which can include metabolic acidosis, seizures, renal failure, and CNS depression; toxicities have also been reported in children and adults including hyperosmolality, lactic acidosis, seizures and respiratory depression; use caution (AAP 1997; Shehab 2009).

Dosage Forms: US

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product

Aerosol, External:

Tinactin: 1% (150 g [DSC])

Aerosol Powder, External:

Tinactin: 1% (133 g [DSC])

Tinactin Deodorant: 1% (133 g [DSC])

Cream, External:

Antifungal (Tolnaftate): 1% (14.18 g) [odorless]

FT Antifungal: 1% (15 g)

Fungi-Guard: 1% (15 g)

Tinactin: 1% (15 g [DSC], 30 g [DSC])

TriTolnacide C: 1% (37 mL) [contains butylparaben, cetyl alcohol, ethylparaben, isobutylparaben, methylparaben, propylene glycol, propylparaben]

Generic: 1% (14 g, 14.18 g, 15 g, 20 g, 28 g, 28.3 g, 30 g)

Powder, External:

Anti-Fungal: 1% (45 g [DSC])

Generic: 1% (45 g)

Solution, External:

Dr Gs Clear Nail: 1% (18 mL) [contains propylene glycol]

Formula 3 The Treatment: 1% (15 mL) [contains butylparaben, methylparaben, propylparaben, sesame oil]

Formula 7 The Solution: 1% (15 g) [contains disodium edta]

Fungicure: 1% (30 mL) [contains isopropyl alcohol]

Micomitin: 1% (30 mL) [contains benzyl alcohol]

Micotrin AL: 1% (30 mL) [contains benzyl alcohol]

Mycocide Clinical NS: 1% (30 mL) [contains propylene glycol]

Mycozyl AL: 1% (10 mL, 30 mL) [contains benzyl alcohol]

Tinaspore: 1% (10 mL)

TM-Tolnaftate: 1% (30 mL [DSC], 45 mL [DSC])

TM-Tolnaftate LR: 1% (45 mL [DSC]) [contains cetearyl alcohol, isopropyl alcohol]

Tolnafi-AL: 1% (30 mL)

TriTolnacide S: 1% (15 mL) [contains butylparaben, ethylparaben, isobutylparaben, methylparaben, propylparaben]

Generic Equivalent Available: US

May be product dependent

Pricing: US

Cream (Tolnaftate External)

1% (per gram): $0.15 - $0.29

Cream (TriTolnacide C External)

1% (per mL): $26.89

Powder (Tolnaftate External)

1% (per gram): $0.06 - $0.08

Solution (Formula 3 The Treatment External)

1% (per mL): $1.08

Solution (Formula 7 The Solution External)

1% (per gram): $1.36

Solution (Micomitin External)

1% (per mL): $56.50

Solution (Micotrin AL External)

1% (per mL): $75.00

Solution (Mycozyl AL External)

1% (per mL): $110.00

Solution (TriTolnacide S External)

1% (per mL): $63.68

Disclaimer: A representative AWP (Average Wholesale Price) price or price range is provided as reference price only. A range is provided when more than one manufacturer's AWP price is available and uses the low and high price reported by the manufacturers to determine the range. The pricing data should be used for benchmarking purposes only, and as such should not be used alone to set or adjudicate any prices for reimbursement or purchasing functions or considered to be an exact price for a single product and/or manufacturer. Medi-Span expressly disclaims all warranties of any kind or nature, whether express or implied, and assumes no liability with respect to accuracy of price or price range data published in its solutions. In no event shall Medi-Span be liable for special, indirect, incidental, or consequential damages arising from use of price or price range data. Pricing data is updated monthly.

Administration: Pediatric

Topical: For external use only; avoid contact with eyes. Wash and dry affected area before drug application. For tinea infections, apply to surrounding areas (~1 to 2 cm beyond lesion border) in addition to affected area (Ref). For tinea pedis, pay special attention to spaces between the toes.

Aerosol, aerosol powder, solution: Shake well prior to use.

Administration: Adult

Topical: For external use only; avoid contact with eyes. Wash and dry affected area before drug application. Ensure coverage of nail edges, cuticles, and skin around the nails. For tinea pedis, also apply to spaces between the toes.

Aerosol, aerosol powder: Shake well prior to use.

Storage/Stability

Aerosol, aerosol powder, cream, liquid, powder: Store at 20°C to 25°C (68°F to 77°F). Store away from excessive heat, direct light, and cold. Do not puncture, break, or burn the aerosol powder or aerosol solution container. Do not store at temperatures above 48.9°C (120°F).

Solution: Store at 15°C to 30°C (59°F to 86°F). Store away from excessive heat, direct light, and cold. The solution solidifies at low temperatures and liquifies readily when warmed, retaining its potency. Protect from freezing.

Use

Treatment of tinea pedis, tinea cruris, and tinea corporis (OTC products: FDA approved in ages ≥2 years and adults). Note: Topical therapy is not effective for infection of the scalp or nails. Indications vary by product; consult product-specific labeling for indications.

Medication Safety Issues
Sound-alike/look-alike issues:

Tinactin may be confused with Talacen

Metabolism/Transport Effects

None known.

Drug Interactions

Note: Interacting drugs may not be individually listed below if they are part of a group interaction (eg, individual drugs within “CYP3A4 Inducers [Strong]” are NOT listed). For a complete list of drug interactions by individual drug name and detailed management recommendations, use the drug interactions program

There are no known significant interactions.

Monitoring Parameters

New skin irritation.

Mechanism of Action

Distorts the hyphae and stunts mycelial growth in susceptible fungi

Pharmacokinetics (Adult Data Unless Noted)

Onset of action: 24 to 72 hours

Brand Names: International
International Brand Names by Country
For country code abbreviations (show table)

  • (AE) United Arab Emirates: Tinea Cure;
  • (AR) Argentina: Tinaderm;
  • (AU) Australia: Scholls tinea | Tinaderm | Tineafax;
  • (CL) Chile: Tinactin | Tinaderm;
  • (DE) Germany: Sorgoa | Tinatox | Tolnaftat | Tonoftal;
  • (DO) Dominican Republic: Hongo killer | Secalia | Tinaderm | Ting | Tolnaftin;
  • (EC) Ecuador: Tinaderm | Zinoderm;
  • (EG) Egypt: Tineacure;
  • (ES) Spain: Micoisdin | Tinaderm;
  • (FR) France: Sporiline;
  • (GB) United Kingdom: Mycil | Mycil athlete's foot | Scholl Advance Athlete's Foot | Scholl athlet foot | Tinaderm | Tinaderm plus;
  • (HK) Hong Kong: Aftate;
  • (HU) Hungary: Athlete'S Foot | Chinofungin | Disifungin;
  • (IE) Ireland: Mycil | Tinaderm | Tinaderm plus;
  • (IL) Israel: Athlete'S Foot | Pitrex;
  • (IN) India: Tinaderm | Tolnaderm sterkem;
  • (IT) Italy: Tinaderm;
  • (LT) Lithuania: Fungal Nail;
  • (LU) Luxembourg: Sorgoa;
  • (LV) Latvia: Antifungal | Scholl athlete's foot;
  • (MX) Mexico: Excelsior mic | Tinaderm | Tinoxal;
  • (MY) Malaysia: Creobic | Myco-Aid | Scholl athlete's foot | Tinaderm | Tinalite | Tolnaderm;
  • (NZ) New Zealand: Savlon footcare | Tinaderm;
  • (PE) Peru: Tinaderm;
  • (PH) Philippines: Tinactin | Tolnaderm;
  • (PR) Puerto Rico: Breezee | Lamisil AF Defense | Q-Naftate | Tinactin | Tinactin Chill | Tinactin Foot & Sneaker Deodorant | Tineacide | Ting;
  • (PT) Portugal: Tinaderme;
  • (SA) Saudi Arabia: Tinea Cure;
  • (SG) Singapore: Hi vetic | Scholl athlete's foot | Tinaderm | Tolnaderm;
  • (SR) Suriname: Tolnate;
  • (TH) Thailand: Fugicid | Misone | Tolnaderm | Tonaf;
  • (TR) Turkey: Tinactin;
  • (TW) Taiwan: Naff | Tollfe | Tolnaf;
  • (VE) Venezuela, Bolivarian Republic of: Tinaderm | Tolnaftan;
  • (ZA) South Africa: Tinaderm
  1. American Academy of Pediatrics Committee on Drugs. "Inactive" ingredients in pharmaceutical products: update (subject review). Pediatrics. 1997;99(2):268-278. [PubMed 9024461]
  2. Bradley JS, Nelson JD, Barnett ED, et al, eds. Nelson's Pediatric Antimicrobial Therapy. 30th ed. American Academy of Pediatrics; 2024.
  3. Durdu M, Ilkit M, Tamadon Y, Tolooe A, Rafati H, Seyedmousavi S. Topical and systemic antifungals in dermatology practice. Expert Rev Clin Pharmacol. 2017;10(2):225-237. doi:10.1080/17512433.2017.1263564 [PubMed 27868472]
  4. Goldstein AO, Goldstein BG. Dermatophyte (tinea) infections. Post TW, ed. UpToDate. Waltham, MA: UpToDate Inc. http://www.uptodate.com. Accessed August 24, 2021.
  5. Gupta AK, MacLeod MA, Foley KA, Gupta G, Friedlander SF. Fungal skin infections. Pediatr Rev. 2017;38(1):8-22. doi:10.1542/pir.2015-0140 [PubMed 28044030]
  6. Hill RC, Caplan AS, Elewski B, et al. Expert panel review of skin and hair dermatophytoses in an era of antifungal resistance. Am J Clin Dermatol. 2024;25(3):359-389. doi:10.1007/s40257-024-00848-1 [PubMed 38494575]
  7. Micotrin AL (tolnaftate spray) [prescribing information]. Panorama City, CA: Pure Tek Corporation LLC; October 2021.
  8. Proclearz Max Strength Fungal Shield Brush-On Antifungal (tolnaftate solution liquid) [prescribing information]. Brooklyn, NY: PROFOOT, Inc.; March 2017.
  9. Refer to manufacturer's labeling.
  10. Shehab N, Lewis CL, Streetman DD, Donn SM. Exposure to the pharmaceutical excipients benzyl alcohol and propylene glycol among critically ill neonates. Pediatr Crit Care Med. 2009;10(2):256-259. [PubMed 19188870]
  11. Shy R. Tinea corporis and tinea capitis. Pediatr Rev. 2007;28(5):164-174. doi:10.1542/pir.28-5-164 [PubMed 17473121]
  12. Tinactin Jock Itch (tolnaftate powder spray) [prescribing information]. Whippany, NJ: Bayer HealthCare LLC.
  13. Tinactin (tolnaftate deodorant powder spray) [prescribing information]. Whippany, NJ: Bayer HealthCare LLC.
  14. Tinactin (tolnaftate powder spray) [prescribing information]. Whippany, NJ: Bayer HealthCare LLC; received October 2019.
  15. Tinactin (tolnaftate spray) [prescribing information]. Whippany, NJ: Bayer HealthCare LLC.
  16. Tolnaftate 1% topical solution [prescribing information]. Allegan, MI: Perrigo Pharmaceuticals.
  17. Tolnaftate cream USP 1% [prescribing information]. Allegan, MI: Perrigo Pharmaceuticals.
  18. Weinstein A, Berman B. Topical treatment of common superficial tinea infections. Am Fam Physician. 2002;65(10):2095-2102. [PubMed 12046779]
Topic 12849 Version 334.0