Drug Card Template
Patient teaching/patient education: Topical antifungals are safe to use while pregnant
or breastfeeding. It is recommended that the medication is not applied
directly on the breast or nipple while breast feeding.
Reference: Smeltzer, S. C., & Bare, B. G. (1992). Brunner & Suddharth’s textbook of
medical-surgical nursing. Philadelphia: JB Lippincott@2022 Nurseslabs.
https://www.singlecare.com
Drug Classification: Topical Antifungal
Action: Topical antifungals work by inhibiting production of ergosterol, a fundamental component of the fungal
cell membrane and wall.
Indications for use: Topical antifungal drugs are used to treat many common types of fungal infections including:
pityriasis, tinea capitis, tinea pedis, ringworm, cutaneous candidiasis, dandruff, diaper rush, yeast infections,
seborrheic dermatitis, onychomycosis, intertrigo, paronychia, jack itch, tinea versicolor, tinea corporis and tinea
cruris.
Pre -Assessment/Nursing interventions
Check for allergies, Assess for cautions
contraindications like liver and kidney dysfunction,
pregnancy, and lactation. Perform a thorough physical
assessment, obtain culture of the infected area to make
an accurate determination of the type and
responsiveness of the fungus.
Side Effects
Itching, burning, rash, redness, tingling, skin irritation,
thinning of skin, stinging, dryness.
Adverse Effects/Toxic Effects
Diarrhea, abdominal pain, maceration of skin, Alopecia,
bruising hypopigmentation
Post Administration /Nursing intervention
Ensure patient receives full course as prescribed,
monitor patient response to therapy, closely monitor
adverse reactions.
Contraindications / Drug to Drug interactions/Food
Interactions
Contraindications: Do not take topical antifungal if you
have: known hypersensitivity to medication, or a skin
infection where the medication would be applied.
Drug interactions: Co-administration of drugs such
as phenytoin, phenobarbital, carbamazepine, rifampicin,
isoniazid, ritonavir, efavirenz, and other inducers of
CYP3A4 can induce the metabolism of azole antifungals.
This in turn can result in failure of antifungal treatment.
