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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
This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.
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.