Triggers for choosing oral antifungals

Answer: Consider oral antifungal medicines where repeated topical therapies have failed, or for fungal infections of the scalp (tinea capitis) and for heavily keratinised areas – where topical agents are generally ineffective. 1,2 

For the majority of superficial fungal skin infections, initial treatment should involve a topical agent. 1 . Most agents are available over the counter with some also listed on the RPBS and PBS (for Aboriginal and Torres Strait Islander people). 3,4