In the local treatment of various forms of
dermatophytosis tolnaftate used to be the most convincing
drug. More recent developments have led to a group of imidazol derivatives which have a broader spectrum and are also effective against yeasts. Polyene
antibiotics are still very useful in the treatment of Candida
mycoses. There are only few drugs available for systemic treatment of
mycoses. Grisefulvin is only effective against dermatophytes.
Amphotericin B, given intravenously, is a very useful
drug against a series of systemic
mycoses but it's value is decreased by serious side effects. Fluorocytosin shows less unwanted effects than
Amphotericin B, but many fungi are resistent against this antimycotic or may become so during treatment. Of the imidazol group only
miconazole is available for systemic intravenous
therapy. Further developments of systemic antimycotics are of great importance.