Trichophyton
Microsporum
Griseofulvin 500mg PO q12h for 6-12 weeks taken with a fatty meal to enhance absorption
OR
Terbinafine 250mg PO q24h
PLUS
2.5% Selenium sulphide shampoo
OR
2% Ketoconazole shampoo, 2-3x per week for 2 weeks
Trichophyton sp.: 2-4 weeks
Microsporum sp.: 8-12 weeks
Consider adding oral Prednisolone in selected cases
May be treated with 2% ketoconazole shampoo 2-3 times per week for 2 weeks
Surgical excision is to be avoided
Topical therapy alone is not recommended for the management of tinea capitis