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Suggest Treatment To Get Rid Of Candidiasis Fungal Infection

Posted on Sat, 14 Jun 2014

Question: I have problem of Candidiasis in the inner thigh and groin area for more than last 5 years. The fungal infection keeps getting active and dormant. I have been using various medicines as per the attached prescriptions. These medicines have been largely helpful in getting the fungal infection down. However after few weeks of stopping the medicine, the problem recurrs. I am interested in solution to completely get rid of Candidiasis fungal infection. Please suggest suitable medicine for the same. Kindly note, I have also started wearing loose boxer shorts to avoid skin contact with wet clothes for elongated period of time.

I had consulted on this forum sometime back and was advised the following medicines:
-Antifungal creams: Either Clotrimazole/Ketoconazole/Sertaconazole/ OR Luliconazole for 4-6 weeks
-Antifungal tablets: Either Fluconazole/Itraconazole for 4-6 weeks
-An oral antihistamines like either Cetrizine/Fexofenadine or Loratadine can be taken once or twice daily symptomatically, for the itch associated with fungal infection
-An antifungal dusting powder like Clotrimazole

I had taken Fluconazole 200 tablet twice and Cetrizine tablet for 10 days. I am using Clotimazole 2% cream and Clotrimazole dusting powder Abzorb for a long time. Recently my wife had consulted a gynecologist who suggested both of us to take FAS 3 kit followed by ViBacy-DS for a month.

Please suggest suitable medicines for getting rid of Candidiasis fungal infection completely.

Answered by Dr. Dr. Rahul Kumar (1 hour later)

Brief Answer:
duration of treatment is important

Detailed Answer:
Hello
Thanks for the query.
Response to treatment with antifungal shows that the diagnosis is correct.
However your problem is recurrent.
It is important to understand that most of antifungal drugs are fungustatic, that is they prevent fungus from growing but they cannot kill the fungus.
Once their growth is restricted symptoms decrease.
When medication is stopped they again regrow.
To break this chain it is important to continue using the same medicine for another two months once all the symptoms disappear.
Hope this helps.
Let me know if you have any other doubts.
Thank you

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

Follow up: Dr. Dr. Rahul Kumar (3 minutes later)

Please let me know the medication to use and for what duration. Kindly provide dosage and brand name of the medicines to use.

Answered by Dr. Dr. Rahul Kumar (31 hours later)

Brief Answer:
fluconazole and clotrimazole

Detailed Answer:
Hi
I usually advice tablet fluconazole 150 mg per week for 16 weeks continuous and to apply ointment clotrimazole twice daily in the affected area for same duration.
This will help you.
Let me know if you have any other doubts.
Thank you

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

Follow up: Dr. Dr. Rahul Kumar (42 hours later)

Thanks. I will start Fluconazole 150 mg per week for 16 weeks. Please advise;

1. Should I continue taking ViBact-DS capsule. My wife's gynecologist advised both of us to take the same for 1 month. I have been taking for 2 weeks now.

2. Should I also take Cetrizine tablet together with the suggested medicine

3. I am planning to put Abzorb Clotrimazole dusting powder with Clotrimazole cream in the morning and only Clotrimazole Powder in the evening. Please advise if this is okay, or I should use cream + powder both in morning and night.

Answered by Dr. Dr. Rahul Kumar (23 hours later)

Brief Answer:
You can take Vi bact along with my medication

Detailed Answer:
Hello
You can continue with vi Bact along with my medications.
Vi bact is a gut stabilizer. It will improve your over all immunity.
Continue with the cream and powder as decided by you.
Another important thing is that your wife should also take tablet fluconazole 150 mg once a week for 16 weeks.
She might be carrier of infection.
Let me know if you have any other doubts.
Thank you

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

Follow up: Dr. Dr. Rahul Kumar (23 hours later)

Thanks. What about Cetrizine tablet. Is it required. If yes, what dosage?

Answered by Dr. Dr. Rahul Kumar (19 hours later)

Brief Answer:
crtrizine not must

Detailed Answer:
Cetrizine is required only if you have itching.
Take 10 mg in night.
Once itch is controlled you can stop it.
Thank you

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

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