COMPARATIVE STUDY OF EFFICACY OF COMBINED TREATMENT WITH KETOCONAZOLE 2% CREAM AND ADAPALENE 0.1% GEL VS. KETOCONAZOLE 2% CREAM MONOTHERAPY IN  PITYRIASIS VERSICOLOR

Authors

  • Sadia Hameed
  • Mohammad Majid Paracha
  • Farah Sagheer
  • Abdul Qayum Khan
  • Sahibzada Mahmood Noor

DOI:

https://doi.org/10.47672/ajhmn.1029

Keywords:

Ketoconazole 2%, Adapalene, Efficacy, Malassezia spp., Pityriasis versicolor.

Abstract

Background: Pityriasis Versicolor (PV) is an infection of the superficial layers of skin caused by Malassezia yeasts.  It is a non-contagious disease characterized by hypo and hyperpigmented macules on the body. Up to 40% of people face itching, decreased quality of life, social stigmatization, and embarrassment due to the lesions. Adapalene with Ketoconazole provides an efficient option for PV patients due to better toxicity profile and rapid action on the lesions.

Objective: Comparison of efficacy of combined therapy with Ketoconazole 2% cream and adapalene 1% gel against Ketoconazole 2% cream monotherapy in Pityriasis Versicolor.

Methods: Total 90 patients (45 in each group) were included in the study. Group-A was treated with combination of Ketoconazole 2% cream &  adapalene 1% gel while group-B was given Ketoconazole 2% cream monotherapy. Study design was randomized controlled trial and SPSS version 26 was used for data analysis.

Results: Mean age of the patients was 24.3±4.3 and 23.3±3.9 years in group-A and B, respectively. There were 30 males (66.7%) & 15 females (33.3%) in group-A while 35 males (77.8%) and 10 females (22.2%) in group-B. Mean duration of disease was 2.0±0.9 months in group-A & 2.3±1.2 months in group-B.The efficacy of combined therapy   with Ketoconazole 2% cream & adapalene 1% gel was found to be better when compared with Ketoconazole 2% cream monotherapy in Pityriasis Versicolor. Difference between two groups (p=0.011) was statistically significant.

Conclusion: It was concluded that adapalene 0.1% gel & ketoconazole 2% cream in combination is more effective than ketoconazole 2% cream monotherapy in the treatment of PV.

Recommendation: It is recommended to use a combination of adapalene 0.1% gel & ketoconazole 2% cream than ketoconazole 2% cream monotherapy in the treatment of PV.

 

 

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Author Biographies

Sadia Hameed

MBBS, Department of Dermatology, Lady Reading Hospital, Peshawar, KPK, Pakistan.

Mohammad Majid Paracha

MBBS, FCPS, MCPS, Department of Dermatology, Lady Reading Hospital, Peshawar, KPK, Pakistan.

Farah Sagheer

MBBS, FCPS, Department of Dermatology, Lady Reading Hospital, Peshawar, KPK, Pakistan.

Abdul Qayum Khan

MBBS, FCPS, Department of Dermatology, Lady Reading Hospital, Peshawar, KPK, Pakistan.

Sahibzada Mahmood Noor

MBBS, FCPS, Department of Dermatology, Lady Reading Hospital, Peshawar, KPK, Pakistan.

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Published

2022-05-12

How to Cite

Hameed, S. ., Paracha, M. M. ., Sagheer, F. ., Khan, A. Q. ., & Noor, S. M. . (2022). COMPARATIVE STUDY OF EFFICACY OF COMBINED TREATMENT WITH KETOCONAZOLE 2% CREAM AND ADAPALENE 0.1% GEL VS. KETOCONAZOLE 2% CREAM MONOTHERAPY IN  PITYRIASIS VERSICOLOR. American Journal of Health, Medicine and Nursing Practice, 7(6), 33–40. https://doi.org/10.47672/ajhmn.1029

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