With our climate, that is, this heat and humidity, fungal infections of the skin are a common problem for many people. Maybe you have also got 'thrush'. Or you may have been uncomfortable with itching and redness between the toes, in the groin area. So, a very popular medicine used for such fungal infections is Tolnaftate. Today, let's talk about what exactly this medicine is, how exactly it should be used, and what things we should be careful about.
What exactly is Tolnaftate?
Simply put, Tolnaftate is an antifungal medication. This means that it can kill certain types of fungi that grow on our skin. It usually comes in the form of a cream, gel, solution, or spray. You can find it in pharmacies under various brand names. For example, it is available under names like Tinactin, Aftate, and Lamisil AF.
This is mainly used for:
- Athlete's Foot: A fungal infection of the feet, especially between the toes.
- Jock Itch: A fungal infection that occurs in the groin, buttocks, and inner thighs.
- Ringworm: A fungal infection that we call 'ringworm', with red patches around it and clear skin in the middle.
Things you need to tell your doctor before using the medicine
Even though this is a topical medication, it is very important to inform your doctor of certain information, as it will ensure your safety.
Before you use this medicine, be sure to discuss these issues with your doctor.
- If you have diabetes (Diabetes Mellitus) .
- If you have a weakened immune system (e.g., a condition like HIV).
- If you have a problem with the veins that carry blood to your limbs (peripheral vascular disease) .
- If you have previously had an allergic reaction to Tolnaftate or any other medicine, food, or dye .
- If you are pregnant or expecting a baby .
- If you are a nursing mother .
Based on this information, your doctor will be able to decide whether this medication is right for you or not.
How exactly do you use this medicine?
To get the most out of a medication, it is essential to use it properly.
1. For topical use only: This is a topical medication only. Do not take it by mouth or get it in your eyes or nose for any reason.
2. Clean: Before applying the medicine, wash the infected area thoroughly with soap and water and dry it completely. Do not apply the medicine when it is wet.
3. Wash your hands: Wash your hands thoroughly before and after applying the medicine. However, if you are applying the medicine to your hands, wash your hands only before applying it.
4. Apply a thin layer: Apply a thin layer of the medicine to the infected skin area and a small amount of the surrounding healthy skin. You don't need to apply a lot.
5. Bandage: If necessary, you can cover the treated area with a sterile gauze dressing. But never use an airtight bandage, such as plastic. This can increase the risk of infection.
6. Use for the prescribed period: Use twice a day (morning and evening) or as directed by your doctor. Use the medicine for the full prescribed period, even if your symptoms improve. Otherwise, the infection may return. Generally, do not use for more than 4 weeks without medical advice.
Use by children
Although this medicine can be prescribed for children over 2 years of age for some conditions, you should definitely consult your pediatrician about it.
What if I take too much medicine?
If you think you have taken more medicine than you think, immediately call the National Poisons Information Centre at the Colombo National Hospital . Or go to the Emergency Department (ETU) of the nearest hospital.
Special things to be careful of when using
While using this medicine, see if your condition improves. If your symptoms do not improve, or if they get worse (e.g., redness, itching, or pain), tell your doctor right away. You may have another infection that this medicine will not treat.
For Jock Itch (groin infection)...
Imagine you are a sportsperson. When you sweat, your groin area gets wet. So when treating this condition, it is very important to dry your groin area thoroughly after bathing. Let it dry well like a towel. Also, don't wear tight underwear. Instead of underwear made of synthetic fibers like nylon and rayon, wear loose-fitting underwear made of cotton .
Athlete's Foot (foot infection)...
This is similar to Jock Itch. Dry your feet thoroughly after bathing, especially between your toes. Avoid wearing socks made of synthetic materials like wool or nylon. Wear clean cotton socks. Change your socks at least once a day. If your feet sweat a lot, change them several times a day. If possible, wear sandals or shoes that allow for good ventilation.
Are there any side effects?
Like any medicine, this can cause side effects in some people, but most of the time these are not serious.
| Type of side effect | Description |
|---|---|
| Things to report to the doctor immediately |
|
| Usually not serious, but tell your doctor if it persists. |
How to store the medicine?
- Keep away from children.
- Store at room temperature (between 15-30 degrees Celsius). Protect from freezing or extreme heat.
- Throw away expired medicine.
- Some gels, liquids, or sprays may contain alcohol. They are flammable. So do not use them while smoking or near open flames or high heat.
Take-Home Message
- Tolnaftate is a topical medication for fungal infections of the skin. It is not meant to be taken by mouth.
- Before using the medicine, you should tell your doctor about your other medical conditions (especially diabetes).
- Even if your symptoms subside, take the medicine for the full prescribed period. Otherwise, the disease may return.
- When treating conditions like Jock Itch and Athlete's Foot, it is very important to keep the affected areas clean and dry, and to wear appropriate (cotton) clothing.
- If you develop an allergic reaction to the medication or if your symptoms worsen, stop taking the medication immediately and see your doctor.
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