{
  "schema_version": 1,
  "kind": "condition",
  "id": "tinea-versicolor",
  "name": "Tinea Versicolor (Pityriasis versicolor)",
  "category": "infectious",
  "sources": "BAD Guidelines for Tinea Versicolor 2014 · Nizoral 2% Shampoo SmPC section 4.2 (eMC product 1510) · Egyptian National Drug Formulary, antimicrobial 2023, selenium sulfide monograph, tinea versicolor",
  "review_status": "reviewed",
  "verified_against": "Nizoral 2% Shampoo SmPC section 4.2 (eMC product 1510) · Egyptian National Drug Formulary, antimicrobial 2023, selenium sulfide monograph, tinea versicolor",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1736,
      "generic": "Ketoconazole",
      "line": 1,
      "is_adjunct": false,
      "form": "topical",
      "strength_mg": null,
      "adult_dose": "Apply 2% shampoo once daily for 5 days (leave on 5 min before rinsing), or 2% cream 1-2 times daily for 2-3 weeks",
      "adult_duration": "5 days (shampoo); 2-3 weeks (cream)",
      "dose_source": "Nizoral 2% Shampoo SmPC section 4.2 (eMC product 1510)",
      "rationale": "Topical azole antifungal active against the lipophilic yeast Malassezia furfur that causes pityriasis versicolor; clears the causative organism, though the resulting skin discolouration takes months to normalise afterward.",
      "cautions": [
        "Caused by lipophilic yeast Malassezia furfur.",
        "Inform patient that hypopigmented spots take months to normalize after yeast eradication.",
        "Lather shampoo over entire chest/back and leave on for 5 minutes before washing off."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children >=12 years: apply shampoo once daily for 5 days",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "KONAZOLE 2% CREAM 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ALFACURE PHARMACEUTICALS",
          "price_egp": 6.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CURAZOLE 2% TOPICAL CREAM 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EVA PHARMA",
          "price_egp": 7.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "KETODERM 2% TOP. CREAM 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SEDICO",
          "price_egp": 7.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "KONAZOLE 2% SHAMPOO 60 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ALFACURE PHARMACEUTICALS",
          "price_egp": 12.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "KETODERM 2% GEL SHAMPOO 60 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SEDICO",
          "price_egp": 18.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 60000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "WELLOFUNG 2% TOPICAL CREAM 40 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGPI > HEALTH WELL",
          "price_egp": 48.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 40000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ZAKAN 2GM/100ML SHAMPOO 60 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SIGMA",
          "price_egp": 18.3,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 2000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "NIZAPEX 20MG/GM SHAMPOO 80 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "APEX PHARMA",
          "price_egp": 68.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "tinea-versicolor"
    },
    {
      "id": 1737,
      "generic": "Selenium sulfide",
      "line": 2,
      "is_adjunct": false,
      "form": "topical",
      "strength_mg": null,
      "adult_dose": "Apply 2.5% lotion to the affected skin with a little water, leave 10 minutes, then rinse thoroughly; once daily",
      "adult_duration": "7 days",
      "dose_source": "Egyptian National Drug Formulary, antimicrobial 2023, selenium sulfide monograph, tinea versicolor",
      "rationale": "Antifungal and antiseborrhoeic lotion, an alternative to azole therapy for tinea versicolor that is particularly useful for widespread trunk involvement.",
      "cautions": [
        "Avoid contact with eyes, genital mucosa, and inflamed or broken skin.",
        "Rinse off thoroughly after designated exposure to prevent skin irritation.",
        "Selenium sulfide is an alternative topical antifungal and antiseborrheic agent for widespread trunk involvement.",
        "Ten minutes, then wash it off. Leaving selenium sulfide on overnight is not a stronger course, it is a chemical burn waiting to happen."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Not recommended in infants",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "TINASEL 2.5 GM CREAM 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ALFACURE PHARMACEUTICALS",
          "price_egp": 5.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 2500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "VENEER HAIR SHAMPOO 120 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGYPTIAN COMPANY FOR COSMETICS > RAND PHARM",
          "price_egp": 32.95,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "SELENO CARE HAIR SHAMPOO 150 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SIGMA > INTERPHARMA",
          "price_egp": 98.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "SELENGENA ANTI-DANDRUFF SHAMPOO 120 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGYPTIAN CO. FOR COSMETICS (E.C.C.) > PARKVILLE",
          "price_egp": 105.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "SELENGENA ANTI-DANDRUFF SHAMPOO 220 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGYPTIAN CO. FOR COSMETICS (E.C.C.) > PARKVILLE",
          "price_egp": 165.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "tinea-versicolor"
    }
  ]
}