Why ringworm comes again and again despite treatment?

Question

Hello doctor,

I am suffering from ringworm in the buttock area for the past three years. I am tired of taking medications. Though I follow good hygiene, the infection is reoccurring within a month. It started with a slight itching, and now it has got worse. Our dog is also suffering from ringworm.

My current medications are Phytoral-B cream, Levocetirizine tablets 5 mg, Ketoconazole tablet, and I previously took Luliconazole cream, HH Zole cream, and Itraconazole. Would you please suggest medicines to treat this?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Fungal infections are known for its recurrence. The presence of moisture exacerbates these infections. I suggest you use plain fungal creams like Sebifin cream (Terbinafine) and oral antifungal tablets, which had a good response. Kindly do not use cream having steroid combination. Once it subsides, you can use antifungal dusting powder after bath regularly.

I suggest you the following precautions to prevent the recurrence;

1) It is advisable to stay in well-ventilated areas.

2) Wear loose cotton inner wears and do not wear tight clothes.

3) Moisture retention should be avoided as much as possible to prevent a recurrence.

4) Treat the dog simultaneously.

5) Wash after getting in contact with your dog.

Consult your dermatologist for further evaluation and management if it does not subside.

 I hope this helps.

Kindly revert if there are any queries.

Thank you.