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Hydrocortisone on jock itch: Jock Itch — Medical Secrets

Jock Itch — Medical Secrets

What is jock itch?

Jock itch is an itchy rash caused by fungus. It tends to be red or dark, dry patches of skin in and around your inguinal folds (groin), usually on both sides (one side > the other). It can come up onto the lower belly or down onto the inner thighs (in men, it does not affect the scrotum). There is usually an obvious line between the rash and your normal skin because the edges of the rash are often a brighter red or darker than the middle. If you are sweaty, the rash can leave damp, peeling skin in the folds. It tends to happen in people with athlete’s foot.

Why do I have jock itch?

Jock itch tends to come from athlete’s foot on the feet. It is more common if you sweat a lot, are obese, wear tighter clothing in the groin that doesn’t “breathe,” leave wet clothes on the skin (by not changing out of a swimsuit), or live in a humid climate.

How do I fix jock itch?

There are several things you can do to treat jock itch. None of these are perfect, but hopefully, you can find the best combination for you:

  1. Apply a thin layer of topical antifungal cream twice a day. Head-to-head studies don’t exist on the best antifungal creams, but antifungals ending in “-afine” appear to work better (and are pricier) than antifungals ending in “-azole.” I would try a cheaper “azole” first.

    • “-afine” antifungals (more expensive): butenafine or terbinafine.

    • “-azole” antifungals (less expensive): miconazole or clotrimazole.

      NOTE: The percentages of each medicine are only important for that specific medicine, so ketoconazole 2% (prescription) is twice as strong as ketoconazole 1% (over-the-counter), but miconazole 2% is NOT stronger than clotrimazole 1%.

  2. If it’s itchy, use steroid (cortisone) ointments WITH the antifungal cream

    • Don’t use steroid ointments alone for jock itch. Fungus loves steroid medicine, and the jock itch will get worse. But, antifungal creams take a couple of weeks by themselves to help with the itchiness of jock itch.

    • An over-the-counter hydrocortisone ointment works best (instead of cream). Apply a thin layer of hydrocortisone ointment twice daily after putting on the antifungal cream. You would stop the steroid ointment if it is not itchy anymore.

      WARNING: Overuse of topical steroids like hydrocortisone can cause skin thinning, stretch marks, and easy bleeding or bruising.

  3. If you sweat or it is humid where you live, use an antifungal powder.

  4. Try vinegar soaks to speed up the process.

    • Vinegar soaks are immensely helpful for cleaning up superficial infections with fungus or bacteria and healing up any scratched, broken, or damaged skin. Safe for all ages.

  5. Wear loose-fitting underwear (women) and clothing until clear. Let things breathe down there.

What if my jock itch isn’t getting better?

Usually, the steps above can help most people get their jock itch better. You HAVE to treat athlete’s foot if you have that too, or it’s a neverending process that keeps coming back. If you are very sweaty, you need to treat it with a clinical-strength antiperspirant (see my Sweating page). Other rashes can look like jock itch (like a bacterial infection, psoriasis, or eczema). If over-the-counter options are not working or if the jock itch keeps coming back, look for a board-certified dermatologist in your area. There are stronger prescription medications that can be given – a course of oral antifungal medications works really well for most people. If you are in or near Utah, see one of my excellent colleagues at the University of Utah.

DISCLAIMER

The statements expressed and content of this website are not intended to be a substitute for professional medical advice. Readers should seek their own professional counsel for any medical condition or before starting or altering any treatment, exercise, or dietary plan. Please see our full disclaimer here.

Dryness, Fungal infectionAaron Secrestitchy, fungus, yeast, antifungal, jock itch, rash, groinComment

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Jock Itch That Won’t Go Away: Causes and Treatments

Jock Itch That Won’t Go Away: Causes and Treatments

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Medically reviewed by Owen Kramer, M. D. — By Tim Jewell — Updated on February 16, 2023

Some practices can make jock itch worse or prevent it from healing. But other health conditions may resemble jock itch and require different treatment options.

Jock itch happens when a specific species of fungus builds up on the skin, growing out of control and causing inflammation. It’s also called tinea cruris.

Common symptoms of jock itch include:

  • redness or irritation
  • itchiness that doesn’t go away
  • scaling or dryness

Most cases of jock itch are mild and easily treated.

But there are some activities and “treatments” that can make jock itch symptoms last longer. Let’s dive into what can make jock itch worse, how to tell jock itch apart from other similar conditions, and how to successfully treat jock itch.

There are a few things you might do that unintentionally make your jock itch worse. Here are some examples:

  • Working out. This can cause the infected skin to chafe against nearby skin or with clothing and irritate it, making the skin more susceptible to a worsening infection.
  • Having poor hygiene habits. Using improperly cleaned, damp towels or clothing, and not keeping skin dry may promote infection.
  • Using the wrong treatment. Spreading an anti-itch cream, such as hydrocortisone, on the infected area won’t treat the infection — it can actually worsen it. This can increase the area of the infection or make the infection worse.
  • Having a weakened immune system. Taking immunosuppressants for autoimmune disorders or having a weakened immune system from medication or conditions like HIV can make it harder for your body to fight off fungal infections.

Some conditions look like jock itch, but they aren’t, so they won’t respond to typical tinea cruris treatment.

Inverse psoriasis

Inverse psoriasis is a type of psoriasis, an autoimmune condition, that may have a genetic basis.

Like jock itch, it tends to appear in the same areas where you skin chafes, like your groin or inner thighs. Some common treatments for inverse psoriasis include:

  • prescription topicals
  • oral medications
  • biologics

Yeast infection (thrush)

Yeast infections are a similar type of fungal infection caused by the fungus Candida.

They’re more common in people with vulvas, but they can also affect the penis from the head and shaft to the scrotum and the nearby groin skin.

Common treatments for yeast infections include:

  • antifungal topicals like nystatin or clotrimazole (Lotrimin AF)
  • oral antifungal medications, for more severe cases

With early and proper treatment, jock itch should go away within about a month.

Here are some signs that your jock itch is going away:

  • rash or redness begins to fade away
  • skin regains its usual color
  • symptoms like itchiness or irritation start to subside

Got an especially severe or resistant case of groin itching? Here’s what you should do if over-the-counter (OTC) topical treatments don’t work.

Take antifungal medication

A doctor may prescribe medication for severe jock itch. Here are some of the options:

  • oral medications like fluconazole (Diflucan) or itraconazole (Sporanox)
  • topicals like oxiconazole (Oxistat) or econazole (Ecoza)

Use an antifungal shampoo

Medicated shampoos that contain ketoconazole or selenium sulfide are a good, strong treatment for jock itch symptoms. They’re available by prescription from your doctor or over the counter.

They don’t typically have side effects, and OTC versions are easy to buy at most drugstores.

See a doctor if you’ve used OTC treatments but haven’t seen any improvements in your symptoms after 2 weeks.

A doctor may be able to prescribe you a medication that can help, or they can evaluate you for another type of skin disorder that can mimic jock itch.

Here are some tips for preventing jock itch:

  • Wash your hands regularly. This is especially important when you touch other people or are about to eat with your hands.
  • Keep the moist areas of your body clean and dry. This is especially important for areas around your groin and upper thighs.
  • Bathe at least once a day. Make sure to use gentle, unscented soap and dry off completely before putting clothes on. Bathe more than once a day if you’re active or sweat profusely throughout the day.
  • Don’t wear tight clothing. It can trap moisture and cause skin to chafe.
  • Wear loose-fitting cotton underwear. It’ll let your groin and thighs ventilate, especially if you live in a humid climate.
  • Wash your workout clothes or any equipment your body touches after a sweaty workout.
  • Have athlete’s foot? Don’t use the same towel on your feet and other areas of your body. Athlete’s foot and jock itch are both caused by tinea fungi and can spread to one another. Treating athlete’s foot is important for preventing jock itch.

Jock itch is typically easy to treat, but it can often come back.

Practice healthy hygiene habits to help prevent jock itch. Treat it early with OTC topicals when you first notice symptoms. If it doesn’t go away after a few weeks, see a doctor.

Last medically reviewed on October 22, 2019

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

  • 8 reasons your groin itches and how to get relief. (n.d.).
    aad.org/public/diseases/itchy-skin/groin-itch
  • Jock itch (tinea cruris). (2018).
    health.harvard.edu/a_to_z/jock-itch-tinea-cruris-a-to-z
  • Mayo Clinic Staff. (2018). Jock itch.
    mayoclinic.org/diseases-conditions/jock-itch/symptoms-causes/syc-20353807

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Feb 16, 2023

Written By

Tim Jewell

Edited By

Roman Gokhman

Oct 22, 2019

Written By

Tim Jewell

Edited By

Roman Gokhman

Medically Reviewed By

Owen Kramer, MD

Share this article

Medically reviewed by Owen Kramer, M.D. — By Tim Jewell — Updated on February 16, 2023

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instructions for use of ointment and suspension for children and adults

Hydrocortisone ointment eliminates inflammation in various skin diseases, reduces discomfort in dermatitis, psoriasis, relieves itching from insect bites. Often used in ophthalmology, improves the condition of allergies and eczema. It contains a hormonal component, so when using it, you must carefully read the instructions, follow the dosage rules.

Contents

  1. Indications for the use of ointment Hydrocortisone
  2. Effects on the body
  3. Forms
  4. Instructions for use
  5. During pregnancy
  6. Side effects
  7. Contraindications
  8. Interaction with other drugs
  9. Conclusion

Hydrocortisone-POS 1%

Indications for use of Hydrocortisone ointment

The drug in a convenient form is intended for external use, complex treatment of various skin diseases:

  • allergic reactions accompanied by rashes, redness, peeling, swelling, burning;
  • inflammatory reactions of the skin;
  • non-microbial diseases;
  • various types of eczema;
  • allergic and contact dermatitis;
  • neurodermatitis;
  • exacerbation;
  • psoriasis.

Hydrocortisone ointment is often prescribed in the treatment of atopic, allergic, or nutritional dermatitis when other treatments have failed. It relieves exacerbation well, reduces the intensity of the inflammatory process, and relieves a person of unpleasant symptoms. The drug is recommended for people who have an allergic reaction to insect bites (wasps, bees, hornets). After application, painful itching, burning quickly disappears, the risk of extensive edema and other complications is reduced.

Among other medical indications for which Hydrocortisone is used: exacerbation of hemorrhoids, inflammatory joint pathologies (arthritis, arthrosis), phimosis in men, herpes rashes on the body. Eye ointment Hydrocortisone is often used in the treatment of ophthalmic diseases. It gently eliminates inflammation in conjunctivitis, blepharoconjunctivitis, acute keratitis. It can be applied to the affected areas of the eye with burns after working with a welding machine, chemicals, irritation with allergies.

Effects on the body

The main active substance in the composition of the ointment is the synthetic hormonal component hydrocortisone, which belongs to local glucocorticosteroids. After application to the skin, it is quickly absorbed, penetrates to the receptors that cause the release of histamine, prostaglandins. These compounds cause pain, an allergic reaction, irritation, and acute inflammation. By suppressing the work of nerve receptors responsible for the inflammatory process, the substance hydrocortisone soothes irritated areas, acts from the inside. In just a few applications, the work of capillaries is normalized, the removal of excess fluid is enhanced and subcutaneous edema disappears.

At the site of inflammation, the number of inflammatory cell infiltrates decreases, the composition of leukocytes and lymphocytes normalizes, which eliminate pain, burning, suppuration. The use of Hydrocortisone ointment stimulates the body to produce a large number of beneficial cytokine cells. They form local immunity in the focus of inflammation. This reduces the period of treatment, accelerates the recovery of tissues, healing of wounds, abrasions, burns. The nutrition of the epidermis improves, the flow of blood and nutrients to the site of a bite or injury increases.

Release form

The most popular ointment is Hydrocortisone with an active substance content of 1%. It is available in a convenient form, it is easily distributed over the surface of the skin, it is quickly absorbed without leaving a thick or greasy film. The drug is completely ready for use.

Depending on symptoms and diagnosis, doctors may also prescribe the following formulations:

  • hydrocortisone suspension, for injection in inflammation of the joints;
  • eye ointment;
  • lyophilisate, which can be used to prepare liquid solutions for injections or infusions.

Hydrocortisone (eye ointment), 5 mg/g, ophthalmic ointment, 3 g, 1 ea.

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There are contraindications. Specialist consultation is required.

For home use, the most convenient topical ointment is Hydrocortisone. Preparations for injection can be used only under the supervision of a doctor in a hospital.

Instructions for use

In case of exacerbation of skin diseases, Hydrocortisone ointment should be applied to the inflamed areas of the skin 2-3 times a day. No additional compresses or bandaging required. The drug is quickly absorbed, allowing a person to return to work and daily activities. When using, it must be remembered that the ointment contains a hormonal component. Therefore, the duration of the course of treatment should be no more than 3 weeks. Otherwise, there is a risk of adverse reactions, exacerbation of chronic diseases of internal organs and systems. In atopic dermatitis, the use of Hydrocortisone ointment in children and adults is necessarily combined with additional skin care that eliminates dryness and flaking. But a moisturizing emulsion must be applied only 20-30 minutes after the treatment of the inflamed area with a hormonal preparation.

In case of inflammation of the joints, a hormonal ointment is applied in a thin layer in the morning and at bedtime, left until completely absorbed. A more effective method is a course of injections with a solution prepared from Hydrocortisone ampoules. Such injections are carried out in clinics under the supervision of a doctor, the medicine is injected directly into the joint bag. One of the methods of external use of the drug is electrophoresis with hydrocortisone. Microcurrents accelerate the flow of the active substance to the irritated receptors. At the same time tense muscles relax, blood circulation improves. This speeds up metabolic processes, starts tissue repair, relieves pain, swelling and redness.

The use of hydrocortisone ophthalmic ointment also has features. It must be laid in a thin strip in the lower conjunctival sac, repeating the procedure 3 times a day. Before the procedure, you should carefully rinse your eyes with clean water, remove purulent discharge with a cotton swab. 10 minutes after the administration of the drug, anti-inflammatory drops and other drugs can be used. When treating with Hydrocortisone ointment, doctors remind you of the need for strict adherence to the dosage. The doctor individually calculates it based on age, health characteristics and contraindications.

During pregnancy

Ointment Hydrocortisone easily penetrates the systemic circulation, affects the functioning of inflammatory receptors, changes the level of prostaglandins and hormonal levels. This can lead to negative consequences in any trimester of pregnancy. Therefore, the drug is contraindicated in women during the period of expectation of a child or breastfeeding.

Side effects

Hydrocortisone 3 g

A hormonal drug, by any route of administration, can cause a negative reaction of the body. Irritation of the receptors provokes severe swelling, increases the risk of heart failure, rhythm disturbances, changes in blood pressure and pulse. With prolonged use of Hydrocortisone ointment, in rare cases, a sharp decrease in immunity occurs, which entails frequent colds, general weakness, drowsiness, exacerbation of chronic diseases. When using Hydrocortisone ointment for the treatment of joint diseases, doctors do not exclude an increased risk of changes in the structure of bone tissue. This is one of the causes of osteoporosis and pathological bone fractures.

Improper use of the ointment may cause an allergic skin reaction:

  • severe redness;
  • rashes;
  • appearance of red spots;
  • burning;
  • intolerable itching.

Use of eye ointment Hydrocortisone rarely causes painful and non-healing eczema of the upper and lower eyelids. With prolonged and uncontrolled treatment, the risk of hormonal glaucoma, corneal perforation and other dangerous complications increases. In case of an overdose, the risk of side effects increases significantly. If you experience unpleasant symptoms, negative reactions, you should consult a doctor. In many cases, the specialist selects a symptomatic treatment that restores well-being, improves the condition of the skin and joints.

In case of an overdose, the risk of damage to the adrenal cortex increases, the function of the organ is inhibited. There are signs of hypercortisolism – an increased content of natural hormones of corticosteroids in the blood. Among the characteristic symptoms: thinning of the skin, accumulation of adipose tissue on the neck, above the collarbones, muscle atrophy. Patients develop a large number of stretch marks, their appetite increases sharply, and their complexion changes. In such a situation, complex treatment, correction of the hormonal background is necessary.

Contraindications

Hydrocortisone Medicated Ointment is not indicated for people who have a history of allergy to synthetic hormonal agents. It is not recommended for use in the treatment of deep ulcers, non-healing wounds, viral and fungal skin diseases. A contraindication is also perioral dermatitis, acne vulgaris and rosacea. The action of synthetic hormones can be harmful for any tumors, tuberculosis, syphilitic lesions of the skin. A contraindication is also any trimester of pregnancy, age up to 2 years.

Interaction with other drugs

Hydrocortisone ointment may reduce the effectiveness of the following medicines:

  • anticonvulsants;
  • allergy medications;
  • diuretics.

Simultaneous use increases the likelihood of atrophic changes in the skin, the formation of poorly healing wounds. With great care, any procedures and ultrasound with Hydrocortisone are prescribed when taking oral contraceptives, hormonal agents. Simultaneous use with paracetamol or non-steroidal anti-inflammatory drugs increases the risk of gastric or intestinal ulcers, toxic effects on the liver.

Conclusion

Hydrocortisone ointment is often prescribed in the complex treatment of skin diseases, inflammations and allergic reactions. Due to the content of the hormonal component, the work of capillaries and receptors is restored, the nutrition of the epidermis improves. But at the same time, the risk of negative reactions, hormonal imbalance and other complications increases. Therefore, a doctor who controls the treatment, individually calculates the dosage and duration of the course of therapy, should prescribe Hydrocortisone ointment.

Sources

  • Hydrocortisone // Vidal Medicines Guide // 2022;
  • Hydrocortisone // Encyclopedia of drugs RLS // 2022.

The information is presented for informational purposes only and is not medical advice or a guide to treatment by uteka. ru.

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What helps, composition, contraindications

THERE ARE CONTRAINDICATIONS. POSSIBLE SIDE EFFECTS. A SPECIALIST’S CONSULTATION IS REQUIRED. number 30353

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Contents of the article

  • Hydrocortisone: composition
  • Hydrocortisone: for the eyes
  • Hydrocortisone: ointment for what
  • Hydrocortisone ointment: hormonal or not 9000 8
  • Hydrocortisone: for inhalation
  • Hydrocortisone: contraindications
  • Sinaflan or Hydrocortisone: which is better
  • Summary
  • Ask the expert on the topic of the article

Conjunctivitis is an inflammation of the mucous membrane of the eye and the inner surfaces of the eyelids that everyone has experienced. According to statistics, conjunctivitis is one of the most common eye diseases and accounts for more than 60% of all eye diseases. At the same time, the disease affects not only adults: neonatal conjunctivitis is the most common infection in the first month of life, occurring with a frequency of up to 24%.

The pharmacist will tell you about the Hydrocortisone preparation: will familiarize you with its composition, indications for use and contraindications, and also compare it with its analogue, Sinaflan.

Hydrocortisone: composition

Hydrocortisone is a drug and active substance with anti-inflammatory and anti-allergic effect. The drug is produced by several countries, including Russia, Denmark and the United States, under various trade names. These include Hydrocortisone, Cortef, Lokoid and others. At the moment, Hydrocortisone is available in the following dosage forms:

  • Hydrocortisone eye ointment for inflammation, mucosal burns and allergic eye lesions;
  • Hydrocortisone topical ointment for the treatment of skin disorders;
  • Hydrocortisone tablets for the treatment of endocrine, rheumatic and allergic diseases, as well as lesions of the joints, connective tissue, skin and other systems;
  • Hydrocortisone – powder ampoules for intramuscular and intravenous injection, used for the treatment of the same diseases as tablets, but in severe or complicated conditions;
  • Hydrocortisone – suspension with Lidocaine for intra-articular and peri-articular administration in arthritis and inflammation of the tendons.

The composition of auxiliary agents depends on the form of release and the manufacturing company, therefore it is not possible to derive a single list of components. If necessary, it can be found in the instructions for the drug. For example, Hydrocortisone injections contain sodium hydrogen phosphate, as well as a solvent with benzyl alcohol and water for injection.

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Hydrocortisone: for the eyes

Eye ointment Hydrocortisone is known to many. The drug relieves inflammation and allergy symptoms, eliminating redness, irritation, swelling and itching in eye diseases. Indications for the use of the drug:

  • Allergic eye lesions: conjunctivitis, eyelid dermatitis, blepharitis – inflammation of the edges of the eyelids involving the skin and mucous membranes;
  • Inflammation of the eyes, except for the violation of the integrity of the cornea: conjunctivitis and keratoconjunctivitis – combined inflammation of the eyes;
  • Thermal and chemical burns after complete healing of the cornea.

Hydrocortisone ointment for what

Hydrocortisone topical ointment is used to relieve symptoms of inflammation in superficial uninfected skin diseases. In addition to the anti-inflammatory action, the ointment also exhibits a decongestant and antipruritic effect. Indications for applying Hydrocortisone in the form of an external ointment:

  • Atopic, contact and seborrheic dermatitis;
  • Eczema;
  • Psoriasis.

Hydrocortisone ointment: hormonal or not

Hydrocortisone is a hormonal ointment from the group of glucocorticoids for topical use. It is thanks to the hormonal nature that the ointment quickly and effectively relieves inflammation.

Hydrocortisone: for inhalation

Hydrocortisone is not available as an inhalation solution, and self-dilution and use of the mixture can lead to serious consequences. It is recommended to choose a ready-to-use inhalation drug based on the indications.

Hydrocortisone: contraindications

Contraindications for the use of Hydrocortisone depend on the dosage form. You can get acquainted with them in the instructions or on the website of the state register of medicines. Let’s analyze the contraindications of a common form of release of Hydrocortisone – eye ointment. These include:

  • Highly sensitive to the active substance or excipients;
  • Tuberculosis of the eyes is an extrapulmonary form of tuberculosis;
  • Herpetic keratitis – infection of the cornea with the herpes virus;
  • Acute period of viral eye infections;
  • Fungal and bacterial eye infections;
  • Violation of the integrity of the cornea, including due to trauma;
  • Glaucoma.

Sinaflan or Hydrocortisone: which is better

Sinaflan is a domestic drug based on Fluocinolone acetonide. Available in the form of ointment and liniment for external use. Like Hydrocortisone, Sinaflan refers to hormonal ointments.

Sinaflan has a wider list of indications for use. For example, it includes sunburn and insect bites. However, Sinaflan also has a greater number of adverse reactions. The drug can cause “steroidal” acne, and with prolonged use, secondary immunodeficiency, excessive hair growth or baldness and other undesirable reactions.

Thus, Hydrocortisone topical ointment is safer to use, but suitable for a small list of indications. The final decision on the appointment of the drug and its form is made by the doctor, based on the individual characteristics of the patient.

Summary

  • Hydrocortisone is a drug and active ingredient with anti-inflammatory and anti-allergic effects.
  • Eye ointment Hydrocortisone relieves inflammation and allergy symptoms by eliminating redness, irritation, swelling and itching in eye diseases.
  • Hydrocortisone topical ointment is used to relieve symptoms of inflammation in superficial uninfected skin diseases.