DOES NAFTIFINE HAVE ANTIINFLAMMATORY PROPERTIES - A DOUBLE-BLIND COMPARATIVE-STUDY WITH 1-PERCENT CLOTRIMAZOLE 1-PERCENT HYDROCORTISONE IN CLINICALLY DIAGNOSED FUNGAL INFECTION OF THE SKIN
Egv. Evans et al., DOES NAFTIFINE HAVE ANTIINFLAMMATORY PROPERTIES - A DOUBLE-BLIND COMPARATIVE-STUDY WITH 1-PERCENT CLOTRIMAZOLE 1-PERCENT HYDROCORTISONE IN CLINICALLY DIAGNOSED FUNGAL INFECTION OF THE SKIN, British journal of dermatology, 129(4), 1993, pp. 437-442
In a multicentre, double-blind, randomized, parallel group study in ge
neral practice, 269 patients with clinically diagnosed fungal infectio
n of the skin were treated with either naftifine (Exoderil(R)) or 1% c
lotrimazole plus 1% hydrocortisone (CHC; Canesten HC(R)) applied twice
daily for 4 weeks. Only 115 patients were shown subsequently to have
a fungal infection by laboratory tests; the others had inflammatory di
sease of unknown aetiology. In those with fungal disease, both treatme
nts were equally effective in terms of mycological cure (negative micr
oscopy and culture). Clinical results for all 265 patients showed no c
linically identifiable difference between the two preparations in term
s of resolution of the disease, indicating that naftifine does have an
ti-inflammatory activity at least equal to CHC. This study suggests th
at there is no clinical advantage in treating patients with clinically
diagnosed fungal infection of the skin with an antimycotic/corticoste
roid combination as opposed to naftifine alone.