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Dermatology (Expert Forum)
RingWorm Treatment Follow Up
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.
RingWorm Treatment Follow Up
by krakatoa, Aug 04, 2006 12:00AM
At your advice (posted on 7/29) I went back to the dermatologist and they gave me Lamisil tablets 250mg for 30 days and Naftin gel for skin for treatment of ringworm. I started that on 7/31/06 (fith day today).
Backgrond: Originally I incorrectly treated ringworm (doctor thought it was eczema) with steroid creme for three months and now I have a large 3.5in diameter ringworm (dermatophytosis/tinea corpis) on my wrist (verifed by biopsy). Now after revisit to Dermatologist I am using only the Lamisil tablets and the Naftin.
I had some questions and unfortunately I cannot make it back to doctor until mid next week.
a)I am getting some side effects, I imagine from Lamisil. Dissy/tired (I can live with it), very itchy all over. Today after fith day I feel some tightness of throat (not too bad I can breath).
Question: Can I take diphenhydramine HCL for itchy feeling (very bad)?
b)The Naftin gel prescription says one time a day. I have been using it 2-3 times a day. My skin is dry and the area of the ring itself is scally, white, flaky (not unlike a sunburn peel).
Question: Is this normal or am I using too much Naftin or is the Lamisil tablets working?
c) After 3-4 days on Lamisil I saw new bumps on my arm. I have about six additional bumps of ringworm the size of eraser heads or smaller. They have tended to stop growing once I hit them with the Naftin.
Question: Should I expect new ringworm after taking Lamisil tablets for 4 days?
d) When I work out in gym I use long sleeve tee shirt to avoid contaminating others and I clean equipment afterwards.
Question: To avoid sweat on ringworm can I use baby power (talc) on my forearm/wrist for the workout?
Up to today I see a little better color on the ringworm but the size is the same. Minor improvement. Some of the large ring has expanded a little to the right.
Backgrond: Originally I incorrectly treated ringworm (doctor thought it was eczema) with steroid creme for three months and now I have a large 3.5in diameter ringworm (dermatophytosis/tinea corpis) on my wrist (verifed by biopsy). Now after revisit to Dermatologist I am using only the Lamisil tablets and the Naftin.
I had some questions and unfortunately I cannot make it back to doctor until mid next week.
a)I am getting some side effects, I imagine from Lamisil. Dissy/tired (I can live with it), very itchy all over. Today after fith day I feel some tightness of throat (not too bad I can breath).
Question: Can I take diphenhydramine HCL for itchy feeling (very bad)?
b)The Naftin gel prescription says one time a day. I have been using it 2-3 times a day. My skin is dry and the area of the ring itself is scally, white, flaky (not unlike a sunburn peel).
Question: Is this normal or am I using too much Naftin or is the Lamisil tablets working?
c) After 3-4 days on Lamisil I saw new bumps on my arm. I have about six additional bumps of ringworm the size of eraser heads or smaller. They have tended to stop growing once I hit them with the Naftin.
Question: Should I expect new ringworm after taking Lamisil tablets for 4 days?
d) When I work out in gym I use long sleeve tee shirt to avoid contaminating others and I clean equipment afterwards.
Question: To avoid sweat on ringworm can I use baby power (talc) on my forearm/wrist for the workout?
Up to today I see a little better color on the ringworm but the size is the same. Minor improvement. Some of the large ring has expanded a little to the right.
Doctor's Answer
by Alan Rockoff, MD, Aug 04, 2006 12:00AM
, Aug 04, 2006 12:00AM
These are not typical side-effects from Lamisil. I don't know what they mean. Please call your doctor or go to a walk-in clinic or emergency room right away.
a)I am getting some side effects, I imagine from Lamisil. Dissy/tired (I can live with it), very itchy all over. Today after fith day I feel some tightness of throat (not too bad I can breath).
Question: Can I take diphenhydramine HCL for itchy feeling (very bad)?
Repeat: These are not typical side-effects from Lamisil. I don't know what they mean. Please call your doctor or go to a walk-in clinic or emergency room right away.
b)The Naftin gel prescription says one time a day. I have been using it 2-3 times a day. My skin is dry and the area of the ring itself is scally, white, flaky (not unlike a sunburn peel).
Question: Is this normal or am I using too much Naftin or is the Lamisil tablets working?
Don't know. Keep using the Naftin.
c) After 3-4 days on Lamisil I saw new bumps on my arm. I have about six additional bumps of ringworm the size of eraser heads or smaller. They have tended to stop growing once I hit them with the Naftin.
Question: Should I expect new ringworm after taking Lamisil tablets for 4 days?I doubt these are fungus. Please ask your doctor.
d) When I work out in gym I use long sleeve tee shirt to avoid contaminating others and I clean equipment afterwards.
Question: To avoid sweat on ringworm can I use baby power (talc) on my forearm/wrist for the workout?
Yes.
When my patients have questions and think they have side-effects, they call me. I think you should do likewise with your doctor.
Best.
Dr. Rockoff
a)I am getting some side effects, I imagine from Lamisil. Dissy/tired (I can live with it), very itchy all over. Today after fith day I feel some tightness of throat (not too bad I can breath).
Question: Can I take diphenhydramine HCL for itchy feeling (very bad)?
Repeat: These are not typical side-effects from Lamisil. I don't know what they mean. Please call your doctor or go to a walk-in clinic or emergency room right away.
b)The Naftin gel prescription says one time a day. I have been using it 2-3 times a day. My skin is dry and the area of the ring itself is scally, white, flaky (not unlike a sunburn peel).
Question: Is this normal or am I using too much Naftin or is the Lamisil tablets working?
Don't know. Keep using the Naftin.
c) After 3-4 days on Lamisil I saw new bumps on my arm. I have about six additional bumps of ringworm the size of eraser heads or smaller. They have tended to stop growing once I hit them with the Naftin.
Question: Should I expect new ringworm after taking Lamisil tablets for 4 days?I doubt these are fungus. Please ask your doctor.
d) When I work out in gym I use long sleeve tee shirt to avoid contaminating others and I clean equipment afterwards.
Question: To avoid sweat on ringworm can I use baby power (talc) on my forearm/wrist for the workout?
Yes.
When my patients have questions and think they have side-effects, they call me. I think you should do likewise with your doctor.
Best.
Dr. Rockoff
I had simular issue. I had ringworm on my arm and Ketoconazole cream 2% cleared it up. You need to get a prescription for it.
I posted a few days ago and put my son on it and his face is clearing up. Finally!! After trying to treat it with everything else.
Good luck.