What is the first line treatment for Tinea Capitis?

The first-line treatment for Tinea Capitis, which is a fungal infection of the scalp, involves the use of systemic antifungal medications, specifically oral Griseofulvin or oral Terbinafine. This is primarily because Tinea Capitis typically affects the hair follicles and deeper structures of the scalp, necessitating oral treatment for effective penetration and eradication of the fungus.

Griseofulvin has been a traditional choice for many years due to its effectiveness against dermatophyte infections, while Terbinafine has demonstrated a broader antifungal spectrum and may offer a favorable side effect profile. The oral administration of these medications allows them to reach adequate concentrations in the hair and scalp, ensuring that the infection is effectively treated.

In contrast, topical agents such as Terbinafine, Clotrimazole, or others are generally not effective for Tinea Capitis because they do not penetrate the hair follicles adequately. These medications are more suitable for superficial fungal infections of the skin rather than for infections that involve the hair and scalp, where systemic treatment is required.