Which antifungal treatments are recommended as first-line therapy for tinea capitis in children?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

The provided UK guidelines (NICE CG153 on Psoriasis and CG57 on Atopic Eczema) do not contain specific recommendations for the first-line antifungal treatments for tinea capitis in children ,.

However, peer-reviewed literature indicates that various antifungal agents are used for the treatment of tinea capitis in children. For instance, a study compared itraconazole versus griseofulvin in the treatment of tinea capitis in children, suggesting both as relevant treatments (). Other literature reviews discuss the management strategies and treatment updates for tinea capitis (; ).

Educational content only. Always verify information and use clinical judgement.