Medicines and Products for Fungal Infection

Most fungal infections need an antifungal medicine. The choice depends on the site and severity, so see a doctor for diagnosis, especially for scalp, nail or recurrent infections.

Skin infections (creams, lotions, powders)

• Clotrimazole, miconazole, ketoconazole, terbinafine, luliconazole or sertaconazole are common topical antifungals.
• Apply as directed, usually once or twice daily, and continue for a couple of weeks after the rash clears, as advised.
• Use enough to cover the rash and a margin of healthy skin around it.

Oral antifungal tablets

Used for scalp, nail, widespread or stubborn infections, and in some mouth and vaginal infections:

• Terbinafine, itraconazole, fluconazole or griseofulvin
• Need a prescription. They can affect the liver and interact with other medicines, so tell your doctor about other medicines and liver problems.
• Not suitable for everyone, including in pregnancy for some drugs.

Mouth and genital candidiasis

Antifungal gels, lozenges, pessaries or tablets as prescribed.

Steroid and combination creams: a warning

Creams that combine a steroid with an antifungal, such as clotrimazole with betamethasone, are widely sold without a prescription in India. They can relieve itching for a short time, but often make the infection worse, spread it, change how it looks and promote resistance. Do not use them without a doctor's advice.

Other products

Antifungal shampoos, such as ketoconazole, help with scalp and pityriasis versicolor, along with the main treatment.

Safety

• Do not use leftover medicines.
• Finish the prescribed course.
• Tell your doctor if you are pregnant or breastfeeding.

See a doctor

No improvement in two weeks, widespread rash, fever, or weak immunity need prompt review.