Treatments Your Provider May Prescribe
To confirm the diagnosis of athlete's foot, your child's doctor might scrape some surface skin material (scales) onto a glass slide and examine them under a microscope. This procedure, called a KOH (potassium hydroxide) preparation, allows the doctor to look for tell-tale signs of fungal infection.
Once the diagnosis of athlete's foot has been confirmed, the physician will probably start treatment with an antifungal medication. Most infections can be treated with topical creams and lotions, including:
- Over-the-counter preparations such as terbinafine, clotrimazole, or miconazole
- Prescription-strength creams such as econazole, oxiconazole, ciclopirox, ketoconazole, sulconazole, naftifine, or butenafine
Other topical medications your child's doctor may consider include:
- Compounds containing urea, lactic acid, or salicylic acid to help dissolve the scale and allow the antifungal cream to penetrate better into the skin
- Solutions containing aluminum chloride, which reduce sweating of the foot
- Antibiotic creams to prevent or treat bacterial infections, if present
Rarely, more extensive infections or those not improving with topical antifungal medications may require 3–4 weeks of treatment with oral antifungal pills, including:
The infection should go away within 4–6 weeks after using effective treatment.