Home » Browse Health Topics » Ringworm » Fluconazole and Ketoconazole
Fluconazole and Ketoconazole
Dear Ask The Doctor:
I have a resistant ringworm infection and have seen a few different doctors about it. First one prescribed cream...no fix. Second prescribed 2 weeks ketoconazole...no fix. Third prescribed 1 month ketoconazole...no fix... Went back and he prescribed me another month of ketoconazole (all 200mgday). But since I was in the emergency room on an unrelated injury and decided to ask the doctor about fluconazole because I read online that it is less toxic and sometimes better to treat ringworm...So this forth doctor at the emergency room prescribed me a month of fluconazole 50mgday. Now I've read that fluconazole should be prescribed at 150mg to 200mgday. So like what the heck? I'm losing faith in doctors. I understand that ketoconazole can be prescribed for up to 6 months in some cases, and I've succumbed to thinking that's what I'll be doing...but my question is can I take the fluconazole 50mgday WITH the ketoconazole? I mean they both supposedly are broad spectrum antibiotics, but on the sixth week of ketoconazole 200mgday... the infection has only spread from my inner thighs to almost my entire skin area that covers my boxers...ass and hips and belt-line. (strangely the penis and testicles have been unaffected!) HELP PLEASE...this is really starting to affect my mental and physical health, as I haven't been able to swim (big swimmer), or have sex! (yikes)
Answer:If ringworm of the body covers a large area, is severe or doesn't respond to some anti-fungals, then I would suggest you taking oral anti-fungals.
Fluconazole or Terbinafine might be used. I would agree with your doctor’s Fluconazole dosage of 50mg per day to treat skin fungal infections. However 28 days might not be enough and this could e be extended after an evaluation. On the other hand, remember that even if you are receiving medication, you must keep the compromised area dry and cool, clean and avoid sharing personal items. I would suggest you to continue the treatment t as indicated, and make an appointment for a follow up visit, your doctor might continue with the same antifungal or probably change it to a stronger one such as Terbinafine. I wish you a prompt recovery.
Sign In to join in the conversation.
You’re in good hands, meet ATD’s founding physicians.
Dr. Suneel Sharman M.D.
- Board Certified GP
- CMO ATD Health Network Inc.
- Adjunct Professor at U Of T
Dr. Kunaal Jindal M.D.
- Board Certified Plastic Surgeon
- Director ATD Health Network Inc.
- Fellowship Training Atlanta, GA
Serious Ringworm Illness
Dear Doctor, I recently caught ringworm on my wrist and I use an antifungal cream for it but within the past couple ...
I have a small bump on my leg
I have a small bump on my leg and it began as ring worm when I was little, but I never treated it completely. It hasn...
Hi I am due to get a tattoo tomorrow
Hi I am due to get a tattoo tomorrow and I have just been told I have ringworm am I still able to get the tattoo?
Could my cough be related to my daughter having...
I have just discovered my daughter has worms (small white worms around anus and vagina activly moving) she noticed th...
I am getting ringworm again and again
I am getting ringworm again and again. I have been using labote gm cream. It's getting clean once I apply cream but...
Ringworm or something else?
Hi, My husband woke up a week ago with a strange perfectly round shaped bright red rash pattern on his leg. Since, w...
Hi I have had these small clustered itchy bu...
Hi I have had these small clustered itchy bumps on the inside arch of my right foot. Its about the size of a 5c co...
Possible ringworm or eczema?
I have a rash that I believe to be is ringworm. I have been using a combination of OTC Clotrimazole, Lamisil and hyd...
How ringworm is contracted
Is it likely to pick up ringworm from working out in a gym and not showering after? I picked up ringworm on my arm ab...
I need to know the fastest cure for ringworm fo...
Is there a faster way to cure ringworm for my child than just using anti-fungal cream?