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Suggest treatment for ringworm infection

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Posted on Mon, 18 May 2015
Question: have been taking zimig 250 for two weeks and used nizral and lamely ointment but the ringworm infection is still growing. please advise
doctor
Answered by Dr. Geetika Paul (16 minutes later)
Brief Answer:
Need for changing treatment

Detailed Answer:
Hi

I understand your concern regarding your skin problem and I hope I am able to help you in the same.
You seem to be taking sufficient treatment for your infection .
There can be two reasons for non response .
Either you are resistant to terbinafine or you have any other underlying conditions like diabetes .
Please get your fasting blood glucose levels checked .
In my patients with such a presentation ,I switch over to the next higher antifungals like itraconazole. I usually give 200 mg capsules twice daily for five days .
You can however continue to apply the topical agents .
Do not apply any other cream or oil over the affected area.
Wear cotton clothes so as to decrease sweating and prevent further infection.

Hope it helps


Dr Geetika Paul
Above answer was peer-reviewed by : Dr. Shanthi.E
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Follow up: Dr. Geetika Paul (24 minutes later)
what is the brand name for itraconazole 250
? thanks
doctor
Answered by Dr. Geetika Paul (46 minutes later)
Brief Answer:
cansivin or onitraz.

Detailed Answer:
Hi again


It is available as capsule cansivin or onitraz.

Dr Geetika Paul
Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Geetika Paul

Dermatologist

Practicing since :2008

Answered : 2606 Questions

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Suggest treatment for ringworm infection

Brief Answer: Need for changing treatment Detailed Answer: Hi I understand your concern regarding your skin problem and I hope I am able to help you in the same. You seem to be taking sufficient treatment for your infection . There can be two reasons for non response . Either you are resistant to terbinafine or you have any other underlying conditions like diabetes . Please get your fasting blood glucose levels checked . In my patients with such a presentation ,I switch over to the next higher antifungals like itraconazole. I usually give 200 mg capsules twice daily for five days . You can however continue to apply the topical agents . Do not apply any other cream or oil over the affected area. Wear cotton clothes so as to decrease sweating and prevent further infection. Hope it helps Dr Geetika Paul