Keep in mind that fungal infections can be systemic and/or deep in tissue where a topical [surface] application may not reach. Consider leaving a message for your doc telling him the approach you are taking and to please notify you if he has different instructions. His staff can relay a message like that.
That is why I opted for the cream instead of the pill - that way I can use less and only on the areas needed. The less the better. It would take a week for my LLMD to answer. Thanks for your responses.
This is something that your LLMD should tell you like Jackie said.
Everyone is different
If you search 'ketoconazole' online, the first link that popped up for me is from the NIH (National Institutes of Health in DC) and the second one is from the website 'rxlist', which is pretty good imo at explaining medical/scientific/pharmaceutical stuff at a high level but not completely over my head. Rxlist seems pretty well balanced, and I usually go there when curious about some medication I'm supposed to take.
These are some of the meds that are related to ketoconazole (generic name first, then the brand name):
Fluconazole (Diflucan)
Itraconazole (Sporanox)
Miconazole (Zeasorb)
Terbinafine (Lamisil)
Nystatin (Nystop)
They are used for fungal infections and are in my experience pretty good at what they do. I would not think there is a clash with having Lyme and taking and an '-azole' medication, but your Lyme doc *and* the doc who prescribed the -azole meds should both be aware that you are on it just so everybody's on the same page.
I seem to recall it should not be taken indefinitely, due to possible damage to the [liver?], but don't stop taking it without your doc's approval -- he's got you on it for a reason, and it should be given a chance to work.
Hang in there!