Balanoposthitis Medication

Updated: Oct 05, 2020
  • Author: Vladimir O Osipov, MD; Chief Editor: Dirk M Elston, MD  more...
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Medication

Medication Summary

Topical medications are the treatment of choice in this condition. The primary goal is elimination of various pathogenic organisms and control of inflammation.

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Antifungals

Class Summary

The mechanism of action usually involves inhibiting pathways (enzymes, substrates, transport) necessary for sterol/cell membrane synthesis or altering the permeability of the cell membrane (polyenes) of the fungal cell.

Clotrimazole (Lotrimin, Mycelex, Femizole-7, Gyne-Lotrimin)

Imidazoles have broad-spectrum antifungal action and are used to treat dermal infections caused by various species of pathogenic dermatophytes, yeasts, and Malassezia furfur. Clotrimazole inhibits yeast growth by altering cell membrane permeability, causing death of fungal cells. Reevaluate the diagnosis if no clinical improvement is seen after 4 weeks. Use 1% cream.

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Antimicrobials

Class Summary

These agents tend to destroy microbes, to prevent their multiplication or growth, or to prevent their pathogenic action.

Metronidazole (1% Noritate cream, 0.75% MetroGel cream or lotion)

Metronidazole is an imidazole with the ability to inhibit fungi, protozoa, and anaerobic bacteria. Anti-inflammatory effects include modulation of leukocyte activity.

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