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Have spots on face. Taking fluconazole. What is the remedy?

I have small and large red spots waistline and a little below. Most on are my hip on right side. They don't seem to be spreading and are not itching. I was prescribed Fluconazole 7 tablets to take 1 per day and am on day four and so far no improvement. I am also using clotrimazole cream USP 1%. Any suggestions. I am also adrenal deficient and take hydrocortisone cream to replace cortisol my adrenals to not make. Thanks M
Asked On : Thu, 18 Apr 2013
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Dermatologist 's  Response
Welcome to Healthcare Magic Forum

You seem to have developed a fungal infection of the groin region and buttocks. It is more likely to be a tinea infection
You should try to keep the groin region clean and dry
Do not apply any kind of oils or moisturizing creams over the groin region
Wear cotton undergarments inorder to reduce sweating.

Now you are adrenal deficient and on oral steroid replacement therapy..
This steroid replacement is very necessary for your medical problem , but when a patient is on oral steroids, these fungal infections are very commonly seen .
And these are also a bit resistant to treatment and may take much longer time than usual.

So you can continue to take fluconazole 150 mg once a week and apply clotrimazole over the lesions twice a day..for atleast 6 weeks. If however, after 6 weeks also there is persistence of the lesions, then you might be switched over to the next agent ie terbinafine which your dermatologist can decide

Hope it helps
Wishing you speedy recovery

Dr Geetika Paul
Answered: Thu, 18 Apr 2013
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