This is an OPD consultation slip from NIMS Hospital, Jaipur (Skin & V.D. Department), dated 19-08-2026, for Mr. Vishal, 23y/M, OPD No. 67, Unit III.
Chief complaint: Extensive (Ext.) Tinea corporis - a fungal skin infection commonly known as ringworm.
Prescription (Rx):
| # | Medicine | Instruction |
|---|
| 1 | Cap Itraconazole 100 mg | 1 capsule once daily (OD) |
| 2 | Tab Levocetirizine | 1 tablet at night (antihistamine for itching) |
| 3 | "K2" (Ketoconazole-based antifungal) soap | to wash with daily |
| 4 | Eberconazole cream | apply to the affected area |
Follow-up: Review after 3 weeks (R/A 3 weekly)
What this means clinically
- Itraconazole is an oral triazole antifungal, a standard first-line systemic treatment for extensive/widespread tinea corporis when the infection is too large or resistant for topical therapy alone. A common regimen from dermatology references is 100 mg/day for 2-4 weeks, though some protocols use 100 mg twice daily for shorter courses (Fitzpatrick's Dermatology).
- Levocetirizine is added to control itching (pruritus) associated with the fungal rash.
- Antifungal (ketoconazole-type) soap reduces fungal load on the skin surface and helps prevent spread/recurrence with daily washing.
- Eberconazole cream is a topical imidazole antifungal; Indian clinical studies confirm eberconazole 1% cream is effective and well-tolerated for tinea corporis/cruris, often used twice daily on the lesion as an adjunct to oral therapy.
This combination (oral azole + topical azole + antihistamine + antifungal soap) is a fairly standard approach for extensive or recurrent tinea corporis in Indian dermatology practice.
A few handwriting details (e.g., exact frequency for the cream/soap, and a couple of abbreviated notes near "History of past illness") aren't fully legible in the image - if you need exact dosing frequency confirmed, it would be safest to double check directly with the prescribing dermatologist or the pharmacist filling this slip, since I'm reading it from a photo rather than verifying with the physician.