Dr. Yeshwanth Kumar
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am suffering from skin infection mainly on my groin, buttock, waist, leg, and hand. The doctors are saying it is ringworm. Now I am under medication for the last two months. The tablets I am taking are Itraconazole 100 mg twice a day, Terbinafine 250 twice a day, Grisovin FP 250 two times a day, and Lulibet cream. It is responding to medicines but suddenly with a day, it appears again with red spots which are too itchy. I have done my blood test also and do not show any sugar. Please suggest.
Hi,
Welcome to icliniq.com.
Yes, it is called tinea corporis (fungal infection). At present, which tablet you are taking and duration? The cream, you can continue.
Patient's Query
Hi doctor,
I am taking Itraconazole 100 two times, Terbinafine 250 two times, Grisovin FP 250 two times, and Lulibet cream.
Hi,
Welcome back to icliniq.com.
Do not take all these tablets daily. Stop these medications. Get liver function tests done once first.
Patient's Query
Hi doctor,
I have attached the liver function test report for your referral. Please let me know in detail analysis and medicines.
Hi,
Welcome back to icliniq.com.
Your reports are normal (attachment removed to protect patient identity). Never take all antifungal medicines at one time as they damage the liver and you will develop resistance to medications. Stop everything now. Start with capsule Syntran 100 mg (Itraconazole) twice daily for three weeks, Lulibet cream for local application, tablet Teczine 5 mg twice daily for three weeks, and KZ soap (Ketoconazole, Aloe vera, etc.). Do not apply or take anything other than this for three weeks. Review after three weeks.
Patient's Query
Hi doctor,
During current medication, it has been observed that it recovers but suddenly one day, it appears very fast again. Is that any reaction to anything?
Hi,
Welcome back to icliniq.com.
Do not stop medications or discontinue until the doctor says. It has to be taken for 4 to 6 weeks depending on the response.
Patient's Query
Hello doctor,
As per your advice, I have been taking medicines for the last 21 days and during these days it has not reappeared again. I can say 75 percent improvement. But still, big patches are seen on my buttocks, groin, and loin area. I have attached a photograph of the same. As per advice, I am taking Itra 100 and Levocetirizine 5 mg twice a day, and Kz soap. Please also let me know any diet control I have to follow during medicines. e.g. non-veg, alcohol, and fermented food.
Hi,
Welcome back to icliniq.com.
Do not stop continue for another three weeks same medications. No diet restrictions and avoid alcohol during taking these medications. Avoid sweating or else fungal infection can occur again and again Bath twice daily and use antifungal powder like Flucos dusting powder to keep the area dry.
Thank you.
Patient's Query
Hello doctor,
Currently, I am applying Lullicanazole only at night and in the morning bathing with KZ soap. Is it advisable to apply Lullicanazole two times even after bathing with KZ soap? Also will these black patches subside?
Hi,
Welcome back to icliniq.com.
Depending on the severity you can apply up to twice daily. Instead, you can apply Luliconazole at night and apply powder during day times morning and afternoon. Black patches will subside with time. Apply coconut oil as well.
Thank you.
Patient's Query
Hi doctor,
Currently, my fungal infection is under control. It is getting appeared in small quantities ( May be two to three dots but getting control). Kindly let me know the next action plan. Medicines are continued at the same frequency as described by you.
Hi,
Welcome back to icliniq.com.
Continue tablets and cream for another two weeks. If everything subsides then apply only cream for another two weeks after that you can stop if nothing is present. It can recur again so keep the area dry and use powder-washed clothes.
Thank you.
Patient's Query
Hello doctor,
I stay in a cool city so there is no sweating here. Also sweating in the groin area is understandable but it is appearing on the forehand and leg. it is getting subdued but appears again in small spots, which is a cause for concern.
Hello,
Welcome back to icliniq.com.
I think you have taken medications for around six to seven weeks so you can continue them for another two to three weeks. Yes, if there are only two to three patches you can apply only creams it will subside you can change cream to use Terbinafine cream instead of Lulibet cream.
Thank you.
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