4 remedy options for impingement

4 remedy options for impingement

Illnesses

The most recommended remedies for impingement are antifungals such as ketoconazole, fluconazole, amorolfine or clotrimazole, which can be found in the form of ointments, tablets, shampoos or nail polish and should be used according to the doctor’s instructions.

Impinge, or impinge, is a popular term for skin mycoses known as tinea, which can affect parts of the body such as the feet, groin, nails, trunk or scalp and cause symptoms such as red, rounded, ring-shaped patches, peeling and itchy skin.

Read too: Impingem: what it is, symptoms, causes and treatment

If you suspect impingement, it is recommended to consult a dermatologist, who is the best doctor to guide your treatment and indicate which remedies are most suitable for each case and how to use them correctly.

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Main remedies

The most recommended remedies for impingement include:

1. Ointments

Impinge ointments have antifungal action and help eliminate the fungus and alleviate symptoms. These remedies also exist in the form of lotions or solutions to be applied to the skin and are normally indicated when the lesions are small and localized.

Some ointments recommended for impingement are:

  • Clotrimazole 1% cream or solution (Canesten or Clotrimix);
  • Ketoconazole 2% cream (NIzoral or Cetonax);
  • Miconazole 2% cream, solution, lotion or powder (Vodol);
  • Terbinafine 1% cream or solution (Lamisilate or Funtyl).

These ointments should normally be applied to skin lesions 1 to 2 times a day, for at least 2 weeks, and should always be used according to the doctor’s instructions.

It is important to maintain treatment until the end, even if symptoms improve within 1 to 2 weeks, to prevent the infection from reappearing.

2. Pills

Antifungals in the form of tablets are normally recommended by the doctor when the impingement affects a very large area of ​​skin, affects the scalp or does not improve with the use of ointments alone.

In these cases, the dermatologist may recommend the use of medications, such as:

  • Fluconazol 150 mg cápsulas (Zoltec ou Triazol);
  • Itraconazole 100 mg capsules (Sporanox or Itraspor);
  • Terbinafine 250 mg tablets or capsules (Zior or Funtyl).

Impingement treatment with oral medications should only be carried out under the guidance of a dermatologist or general practitioner and its duration normally varies from 1 to 4 weeks, depending on the medication indicated.

3. Shampoo

Especially in cases of impingement on the scalp, the dermatologist may also recommend the use of antifungal shampoos to complement treatment with oral medications. An example of a shampoo is Nizoral, which contains 2% ketoconazole.

The shampoo helps to quickly alleviate impingement symptoms, such as itching or peeling skin, and can help reduce its transmission.

4. Nail polish

Nail polishes with antifungals may be recommended by the dermatologist for the treatment of nail impingement, also called onychomycosis or tinea unguealis. In these cases, its use may sometimes be indicated in conjunction with oral treatment.

Read too: Onychomycosis: what it is, symptoms, causes and treatment

Some examples of antifungal nail polishes are:

  • Amorolfina 50 mg/mL (Loceryl ou Onicoryl);
  • Ciclopirox 80 mg/mL (Fungirox or Micolamine).

Nail polish should be applied to the affected fingernails or toenails once or twice a week and the duration of treatment can vary from around 6 months for fingernails to 12 months for toenails.

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Graduated in Pharmacy from Centro Universitário Newton Paiva in 2003. Master in Biomedical Sciences from UBI, Portugal.

We regularly update our content with the latest scientific information, so that it maintains an exceptional level of quality.

Bibliography
  • LIPNER, S. R.; SCHER, R. K. Onychomycosis: Treatment and prevention of recurrence. J Am Acad Dermatol. 80. 4; 853-867, 2019
  • LEUNG, AK; et al. Tinea corporis: an updated review. Drugs Context. 9. 5-6, 2020
  • LEUNG, AKC; et al. Tinea Capitis: An Updated Review. Recent Pat Inflamm Allergy Drug Discov. 14. 1; 58-68, 2020
  • ELY, J.W.; et al. Diagnosis and Management of Tinea Infections. Am Fam Physician. 90. 10; 702-10, 2014
  • WEINSTEIN, Andrew; BERMAN, Brian. Topical Treatment of Common Superficial Tinea Infections. Am Fam Physician. 65. 10; 2095-2103, 2002
  • PRATI, DONADUZZI & CIA LTDA. Terbinafine hydrochloride. 2014. Available at: <http://www.anvisa.gov.br/datavisa/fila_bula/frmVisualizarBula.asp?pNuTransacao=19668672016&pIdAnexo=3640324>. Accessed on June 21, 2019
  • TEUTO. Fluconazole. 2016. Available at: <http://www.anvisa.gov.br/datavisa/fila_bula/frmVisualizarBula.asp?pNuTransacao=23568422016&pIdAnexo=3932657>. Accessed on June 14, 2019
  • EUROPHARMA. Itraconazole. 2016. Available at: <http://www.anvisa.gov.br/datavisa/fila_bula/frmVisualizarBula.asp?pNuTransacao=24935542016&pIdAnexo=4022942>. Accessed on June 14, 2019
  • BRAZILIAN SOCIETY OF DERMATOLOGY. hold (push). Available at: <https://www.sbd.org.br/doencas/tinea-impinge-2/>. Accessed on February 13, 2024
  • AAD. Ringworm: Diagnosis and treatment. Available at: <https://www.aad.org/public/diseases/az/ringworm-treatment>. Accessed on February 13, 2024
  • STATPEARLS. Moths of the body. 2023. Available at: <https://www.ncbi.nlm.nih.gov/books/NBK544360/>. Accessed on February 13, 2024