What Causes Malassezia Folliculitis?

Posted on Thu, 7 May 2015

Question: I've been prescribed terbenifine to treat recurrent malessezia folliculitis but I'm worried about side effects as I'm 66. Particularly, loss of taste. Comments?

Answered by Dr. Suresh Heijebu (2 hours later)

Brief Answer:
Loss of taste sensation is temporary.

Detailed Answer:
Hi Sir.

I understand your concern.

Yes terbinafine is reported to cause loss of taste sensation in 3 % individuals.

The other side effects include headache and rash.

This loss of taste sensation is reversible with discontinuation of the drug.

Post your further queries if any.

Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Suresh Heijebu (5 hours later)

Yes, the average loss of taste is 3%. However, in a 6600 person UK study the loss of taste is clearly associated with age, the study showing a 43% loss in individuals over the age of 60. That is my concern. Moreover, it appears to be either temporary or permanent based on the duration of treatment. My doctor is recommending only a two week treatment so that gives me some comfort. But, I'm still concerned.

Answered by Dr. Suresh Heijebu (6 hours later)

Brief Answer:
Risk is very minimal with 2 week course.

Detailed Answer:
Hi Sir.

I understand your concern.

Okay Sir,I do accept that higher age(above 65)is associated with elevated risk.

But this effect is absolutely temporary.

And a 2 week duration will hardly have any such effects.

So you can prefer taking it without any major concern.

Post your further queries if any.

Thank you.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar