Ringworm is treatable with antifungal medications, which can be applied to the skin or taken orally, depending on the severity and location of the infection. Mild cases often clear up with over-the-counter treatments, while more severe cases may require prescriptions.
Over-The-Counter (OTC) Antifungal Treatments
For mild infections, antifungal creams, gels, or powders can effectively manage symptoms. Popular options include:
- Clotrimazole (Lotrimin)
- Miconazole (Desenex)
- Terbinafine (Lamisil AT)
- Tolnaftate (Tinactin)
These products should be applied as directed, even if the rash improves, to prevent the infection from returning.
Prescription Antifungal Medications
Oral antifungal medications may be necessary for severe or widespread infections. These include:
- Fluconazole (Diflucan)
- Griseofulvin
- Itraconazole (Sporanox)
- Terbinafine
Scalp ringworm often requires a combination of oral medications and antifungal shampoos, such as ketoconazole (Nizoral), to prevent further spread and recurrence.
Home Care Tips
- Keep the affected area clean and dry.
- Avoid touching the rash, and wash your hands thoroughly after applying the medication.
- Wash clothing, bedding, and towels daily in hot water to prevent the spread of infection.
- Wear loose, breathable clothing over the affected area.
Home Remedies
While some individuals try remedies like tea tree oil, turmeric, or apple cider vinegar, these methods lack scientific backing. They should not be used as a replacement for proven antifungal treatments.
Special Considerations
Doctors usually recommend topical antifungals, such as clotrimazole or ciclopirox, during pregnancy or breastfeeding, as they are considered safe. Oral antifungals are typically avoided due to potential side effects.
With consistent treatment, most cases of ringworm clear up within a few weeks. Severe infections, such as those on the scalp or nails, may take 1–3 months to resolve fully. Consult a doctor if symptoms don’t improve with OTC treatments.
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Type of Treatment
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Examples (Brand/Generic)
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Best For
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Notes
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Over-the-Counter Antifungals
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Clotrimazole (Lotrimin), Miconazole (Desenex), Terbinafine (Lamisil AT), Tolnaftate (Tinactin)
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Mild skin infections
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Apply as directed, continue even after rash improves
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Prescription Oral Antifungals
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Fluconazole (Diflucan), Griseofulvin, Itraconazole (Sporanox), Terbinafine (oral)
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Severe, widespread scalp or nail infections
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May require weeks to months of treatment
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Antifungal Shampoos (Adjunct)
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Ketoconazole (Nizoral), Selenium sulfide
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Scalp ringworm
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Used along with oral medication to reduce the spread
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