DERMATOLOGY COMMUNITY
Ringworm not going away with Fluconazole

Ringworm not going away with Fluconazole

A month ago I got ringworm. By the time I noticed it, I already had several lesions. I then used a topical anti-fungal cream but that didn't help. It spread rapidly from my torso to my arms and legs, and my neck. I went to see a doctor, who prescribed Fluconazole (150mg, 1 capsule a week for 4 weeks). After a few days the lesions on my stomach began to fade, so I felt I was getting better. I have just taken my third Fluconazole pill. The bad news is that although some parts of my body are definitely better, new ringworm has appeared on my face in the last few days.  

What should I do? I'm hoping to see the doctor again soon. I read on the internet that Fluconazole is not the most effective medication, and oral Lamisil is better. Is this true? Should I ask for Lamisil when I see the doctor?

I'm worried that what I have is not ringworm at all, but then again, it did respond somewhat to the Fluconazole.
Related Discussions
3 Comments Post a Comment
Blank
Avatar_dr_f_tn
Hi,
Ringworm can be treated topically (with external applications) or systemically (for example, with oral medications):
Topical treatment: When fungus affects the skin of the body or the groin, many antifungal creams can clear the condition in two weeks or so. Examples of such preparations include those that contain clotrimazole (Cruex cream, Desenex cream, Lotrimin cream, lotion, and solution), miconazole (Monistat-Derm cream), ketoconazole (Nizoral cream); and terbinafine (Lamisil cream and solution).
Oral anti-fungal medications for Ringworm are terbinafine (Lamisil), itraconazole (Sporanox), and fluconazole (Diflucan).
ref:http://www.medicinenet.com/ringworm/page3.htm
Blank
Avatar_n_tn
Thanks for your reply. I've already been on fluconazole for over two weeks. My probme is that while some parts of my body is getting cleared up, new lesions have also appeared in the past few days. Is it normal to get more lesions during a treatment? Is this a sign that fluconazole isn't effective and I should switch to something else?
Blank
Avatar_n_tn
I have had similar issues with ringworm.  I had the rash for over 6 months without realizing it or seeing a doctor.  The first doctor misdiagnosed it, but months later another doctor gave me 200mg/day fluconazole for one week, but the rash is still there.  I haven't quite figured this out yet, but hopefully this isnt a problem.
Blank
Have a Dermatology question?
100,000+ doctor answers
Post a Comment
To
Comment
Post A Comment
Go
Blank
Food Diary Tracker
What are you eating?
Start Tracking Now
MedHelp Health Answers
Submit
Blank
My Diet Diary
The ideal weight loss app
Download Now
Top Dermatology Answerers
209987_tn?1334790318
Blank
tschock
AB
995833_tn?1336663431
Blank
maatson
Other
1939607_tn?1324292900
Blank
nefeli1986
Greece
757137_tn?1316284120
Blank
allmymarbles
NJ
363110_tn?1332738103
Blank
martikadragoon
Hemet, CA
168348_tn?1333651418
Blank
ChitChatNine
RSS Expert Activity
1741471_tn?1336957856
Blank
LIVE WEBINAR TOMORROW!-SUPER BODY, ... Blank
May 22 by Michael Gonzalez-WallaceBlank
2126606_tn?1335910182
Blank
Fibromyalgia Awareness
May 11 by Clare Waismann Kavin, RASBlank
2126606_tn?1335910182
Blank
Opioid-induced hyperalgesia reduces...
May 03 by Clare Waismann Kavin, RASBlank