Medications

The doctor will prescribe antifungal medication based on your history and physical examination.

• Skin creams will be the first line.
  
  
  • Prescription medications to clear the fungus may come in the form of a cream, powder, gel, or spray. A topical medication often prescribed is terbinafine (Lamisil, Daskil, Dermgel). Lamisil is now available in nonprescription form.
    
    
  • Keep the area dry and cool between applications.
    
    
  • Some medications may cause skin irritation, so stop using it and call your doctor if the area seems to get worse.
    
    
  • Some topical (ointment) therapies are available over-the-counter. Miconazole (Micatin, Monistat Derm), tolnaftate (Aftate, Ting, Tinactin), and clotrimazole (Lotrimin, Mycelex) are some examples.
  
  
• Oral medications have a greater risk for side effects.
  
  
  • They will be reserved for extensive, severe, or chronic infections.
    
    
  • They may also be prescribed if topical therapy does not work. Commonly prescribed medications are itraconazole (Sporanox) and fluconazole (Diflucan)
    
    
  • You will use the medication for 1 to several weeks because fungal infections can take a long time to clear.
  
  
• Occasionally, your doctor may prescribe combination therapy in which a steroid or antibiotic is added to the antifungal medication.