An open randomized comparative study of oral itraconazole pulse and terbinafine pulse in the treatment of onychomycosis.

Indian J Dermatol Venereol Leprol 2005 Jul-Aug;71(4):262-6

Department of Dermatology and Venereology, S.C.B.Medical College, Cuttack, Orissa, India.

Background: Onychomycosis is a recalcitrant disease of the nails caused by dermatophytes, yeasts, and molds.

Aims: To compare the clinical efficacy of oral itraconazole pulse therapy and oral terbinafine pulse therapy in onychomycosis.

Methods: A randomized single-blind clinical comparative study was undertaken on 120 patients of onychomycosis during the period March 1999-February 2002. Sixty patients were randomly assigned to receive oral itraconazole 100 mg, two capsules twice daily for seven days a month and the other group of sixty patients received oral terbinafine 250 mg, one tablet twice daily for seven days every month. Four such monthly pulses were administered for each drug. The patients were evaluated at 4-weekly intervals till sixteen weeks and then at 24, 36 and 48 weeks.

Results: We observed a clinical cure rate of 82% and mycological cure rate of 90% in the group of patients treated with itraconazole while the group with terbinafine showed clinical and mycological cure rates of 79% and 87% respectively. This difference was not statistically significant.

Conclusions: Both oral itraconazole and terbinafine are effective in the treatment of onychomycosis when administered in the pulse dosage form. Terbinafine is more cost effective while itraconazole has a broader spectrum of antimycotic activity.

Download full-text PDF

Source
http://dx.doi.org/10.4103/0378-6323.16619DOI Listing
March 2006
3 Reads

Publication Analysis

Top Keywords

oral itraconazole
16
itraconazole pulse
8
terbinafine pulse
8
days month
8
treatment onychomycosis
8
oral terbinafine
8
daily days
8
mycological cure
8
pulse therapy
8
sixty patients
8
cure rate
8
comparative study
8
oral
6
itraconazole
6
terbinafine
6
pulse
5
patients
5
intervals till
4
4-weekly intervals
4
evaluated 4-weekly
4

Similar Publications