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Suggest Treatment For Ringworm Infection

Posted on Sat, 7 Nov 2015

Question: I believe I have ringworms and would like an oral medication if possible as it is on too many parts of my body to treat well with creams. Im allergic to penicillin and sulfa drugs.

Answered by Dr. Dr. Kakkar (33 minutes later)

Brief Answer:
Oral terbinafine tablets and topical terbinafine cream

Detailed Answer:
Hello. Thank you for writing to us

I have gone through your query and I have also reviewed the Images

I can see red, dry, figurate patches.
They do seem like tinea however I suggest you to get a confirmatory diagnosis with a laboratory; a KOH preparation made by scraping a small amount of scale from surface and visualised under the 10X lens of microscope to look for fungal elements i.e hyphae.
If KOH is +ve, I would definitely suggest an oral antifungal in addition to the topical one, simply because this seems to be an extensive area of involvement.
My choice of an Oral antifungal would be terbinafine tablets 250mg once every day for 2 weeks. Topically, I would suggest a terbinafine 1% cream, to be applied twice daily for 2 weeks.
An oral antihistamine e.g cetrizine 10 mg can also be taken once daily for symptomatic relief from itching.
Terbinafine or Cetrizine do not belong to the category of drugs to which you are allergic.
These are prescription drugs and should be used under supervision of a doctor and after a proper diagnosis has been established by laboratory testing and therefore I suggest that you talk to your General Practitioner for the needful in that direction

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Kakkar (55 minutes later)

thank you for your help. I am going to try the new "lamisil once" single application terbinafine treatment on the smallest patch and if that doesn't work I will visit my doctor for a lab test to confirm.

Answered by Dr. Dr. Kakkar (10 hours later)

Brief Answer:
You are welcome

Detailed Answer:
Thank you for writing to us.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Kakkar (13 hours later)

if this 1% terbinafine cream does indeed clear up the areas I use it on, is there any way to get a prescription for the 250mg oral terbinafine through this application? I only ask because a doctors visit will cost me $100 or more with my high deductible insurance plan

Answered by Dr. Dr. Kakkar (6 hours later)

Brief Answer:
You need to visit a doctor in person for a prescription

Detailed Answer:
Hi.

Unfortunately this discussion is not meant for Prescription purposes. Kindly go thorugh the disclaimer at the bottom of this page.

Regards

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar