Consult a dermatologist. Fungal infection on skin are resistant to Rx & tend to become chronic. A lot of itching will be there. The patient gets tired as infection tends to recur. If its a fungal infection, you can go for
1. Tab. ketoconazole (nizral)1 tab twice a day for a day & then once a day for 3 weeks
2. Tab fluconazole (forcan)150 mg in a dose as mentioned above
Before taking any of these tablets, make sure that you don't have a major liver problem. Both the drugs are hepatotoxic. If you have history of jaundice 2-3 times, its better to do liver function tests ( SGPT,SGOT). These are enzyme levels which may be high if you have any liver disease.
. Griseofulvin is generally preferred for fungal infection of nail bed. Its available in tablet form.
Many antifungal creams are available like -
clotrimazole, fluconazole, ketoconazole ( trade name- forcan, nizral).
. Good hygiene is extremely important & remember not to share towel with anybody. Keep skin dry.
. Fungal infection on skin are more common in groin, underarms, below the breasts in lactating women, etc. This is because of excessive sweating in these areas. Area below the breasts in lactating women, remains wet due to oozing milk. So it should be kept dry.
make it sure that you don't have dandruff. If you have it, try shampoo- Nizral, scalpe, selsun. Remember not to share comb with anybody.
If the dermatologist diagnoses it as psoriasis, pemphigus vulgaris, then Rx is different.
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