How effective is ketoconazole for treating ringworm and other fungal skin infections. What are the proper usage instructions and potential side effects of topical ketoconazole. When should you consult a doctor about using ketoconazole for skin conditions.

Understanding Ketoconazole and Its Applications

Ketoconazole is an antifungal medication commonly used to treat various skin conditions, including ringworm, dandruff, and other fungal infections. Available in both topical and oral forms, this article focuses primarily on the topical route of administration.

Topical ketoconazole comes in several formulations, including:

• Creams
• Shampoos
• Foams
• Gels

These products are designed to be applied directly to the affected areas of the skin or scalp. The concentration of ketoconazole in these products typically ranges from 1% to 2%, with the 2% formulation often being prescription-strength.

Effectiveness of Ketoconazole for Fungal Infections

Is ketoconazole an effective treatment for fungal skin infections? Clinical studies and user experiences suggest that ketoconazole can be highly effective in treating various fungal skin conditions, including:

• Ringworm (tinea corporis)
• Jock itch (tinea cruris)
• Athlete’s foot (tinea pedis)
• Seborrheic dermatitis
• Pityriasis versicolor

Many users report significant improvement in their symptoms after using ketoconazole. For instance, one user shared their positive experience: “My dermatologist initially prescribed Ketoconazole 2% cream for a small fungal infection near my hairline. After about a week, the spot was completely gone, but I continued to use the cream for another week as prescribed. Nearly 6 months later, it has not returned.”

However, it’s important to note that individual responses to ketoconazole can vary. Some users may experience rapid improvement, while others might require longer treatment periods or alternative therapies.

Proper Usage and Application of Ketoconazole

How should ketoconazole be applied for optimal results? The application method depends on the specific formulation and the condition being treated. Here are some general guidelines:

1. Clean and dry the affected area thoroughly before application.
2. Apply a thin layer of the cream, foam, or gel to the affected area and surrounding skin.
3. Gently massage the product into the skin until it’s fully absorbed.
4. Wash your hands thoroughly after application to avoid spreading the infection.
5. For shampoos, apply to wet hair, lather, and leave on for the recommended time (usually 3-5 minutes) before rinsing.

The frequency of application can vary depending on the severity of the condition and the prescribing doctor’s instructions. Typically, ketoconazole is applied once or twice daily for creams and gels, and once or twice weekly for shampoos.

Potential Side Effects and Precautions

While ketoconazole is generally well-tolerated, it can cause side effects in some individuals. Common side effects may include:

• Skin irritation
• Redness
• Itching
• Burning sensation
• Dry skin

In rare cases, more severe reactions may occur. If you experience severe irritation, swelling, or signs of an allergic reaction, discontinue use and consult your healthcare provider immediately.

Are there any precautions to keep in mind when using ketoconazole? Yes, there are several important considerations:

• Avoid getting the medication in your eyes, nose, or mouth.
• Do not use on broken or irritated skin unless directed by a doctor.
• Inform your doctor if you’re pregnant, breastfeeding, or have any underlying health conditions.
• Be aware of potential drug interactions if you’re using other medications.

Ketoconazole for Dandruff and Seborrheic Dermatitis

Ketoconazole shampoo is a popular treatment for dandruff and seborrheic dermatitis. These conditions are often caused by an overgrowth of yeast on the scalp, which ketoconazole can effectively combat.

One user shared their positive experience with ketoconazole shampoo: “I use this every time I wash my hair, before shampoo and conditioner. It makes my hair and scalp feel so clean and helps so much with my dandruff areas! I love this stuff!”

For best results when using ketoconazole shampoo for dandruff:

• Wet your hair thoroughly
• Apply the shampoo and massage it into your scalp
• Leave it on for 3-5 minutes before rinsing
• Use 2-3 times per week or as directed by your doctor

It’s important to note that while ketoconazole can be effective for many people, some may require additional treatments or alternative approaches for optimal dandruff control.

Comparing Ketoconazole to Other Antifungal Treatments

How does ketoconazole compare to other antifungal treatments? Ketoconazole is one of several antifungal medications used to treat skin infections. Other common antifungal agents include:

• Clotrimazole
• Miconazole
• Terbinafine
• Nystatin

Each of these medications has its own strengths and may be more suitable for certain conditions or individuals. For example, terbinafine is often preferred for treating athlete’s foot, while nystatin is commonly used for yeast infections.

Ketoconazole is generally considered to be a broad-spectrum antifungal, meaning it’s effective against a wide range of fungal species. This makes it a versatile option for various fungal skin infections.

In some cases, your doctor may recommend alternating between different antifungal medications to improve effectiveness or prevent resistance. One user shared their experience with this approach: “Going to try using K2 on one side, alternate nystatin on the other side. My groin and penis look red from this not healed. I’ll come back in a week with a follow up.”

When to Consult a Healthcare Professional

While over-the-counter ketoconazole products can be effective for mild cases of fungal infections, there are situations where it’s crucial to consult a healthcare professional. These include:

• Persistent or worsening symptoms despite treatment
• Spread of the infection to new areas
• Development of severe side effects
• Uncertainty about the diagnosis
• Presence of other health conditions that may complicate treatment

A healthcare provider can offer a proper diagnosis, prescribe stronger formulations if necessary, and provide guidance on the most appropriate treatment approach for your specific situation.

Misdiagnosis and Its Consequences

It’s important to note that not all skin conditions that appear fungal are actually caused by fungi. Misdiagnosis can lead to ineffective treatment and potentially worsen the condition. One user shared their experience with misdiagnosis: “CVS doc misdiagnosed psoriasis for ringworm on my legs. $65 wasted where generic body lotion was just as effective.”

This experience highlights the importance of seeking professional medical advice for accurate diagnosis and appropriate treatment, especially for persistent or unusual skin conditions.

Combining Ketoconazole with Other Treatments

In some cases, ketoconazole may be used in combination with other treatments for optimal results. This approach can be particularly beneficial for complex or stubborn infections.

One user described their comprehensive treatment approach: “I practice other precautions: I keep the affected areas clean and dry. I also use the medicine in conjunction with Aquaphor for dryness and hydrocortisone for itchiness as needed. For moist groin areas, I also alternate with an over-the-counter antifungal spray.”

Common complementary treatments used alongside ketoconazole include:

• Moisturizers to combat dryness
• Hydrocortisone cream for inflammation and itching
• Other antifungal products for comprehensive coverage
• Oral antifungal medications for severe or systemic infections

Always consult with your healthcare provider before combining treatments to ensure safety and avoid potential interactions.

Duration of Treatment

How long should ketoconazole be used? The duration of treatment can vary depending on the specific condition and its severity. In general:

• For mild to moderate fungal infections, treatment may last 2-4 weeks
• For more severe or persistent infections, treatment may extend to 6-8 weeks or longer
• For conditions like seborrheic dermatitis, long-term maintenance therapy may be recommended

It’s crucial to complete the full course of treatment as prescribed, even if symptoms improve before the medication is finished. This helps ensure complete eradication of the fungal infection and reduces the risk of recurrence.

Preventing Fungal Infections and Recurrence

While ketoconazole can effectively treat fungal infections, prevention is always preferable. Here are some strategies to reduce your risk of fungal infections:

• Keep your skin clean and dry, especially in areas prone to moisture
• Wear breathable fabrics and avoid tight-fitting clothing
• Change out of wet or sweaty clothes promptly
• Use antifungal powders in shoes and on feet if prone to athlete’s foot
• Avoid sharing personal items like towels or combs
• Practice good hygiene in public areas like gyms and swimming pools

For those prone to recurrent fungal infections, your healthcare provider may recommend a preventive regimen, such as using ketoconazole shampoo once weekly or applying antifungal powder to susceptible areas regularly.

Long-Term Management of Chronic Conditions

Some individuals may require long-term management strategies for chronic fungal-related conditions like seborrheic dermatitis. This might involve:

• Regular use of ketoconazole shampoo or other antifungal products
• Identifying and avoiding triggers that exacerbate the condition
• Maintaining a consistent skincare routine
• Regular follow-ups with a dermatologist or healthcare provider

By developing a comprehensive management plan, individuals with chronic conditions can often achieve significant improvement in their symptoms and quality of life.

Understanding Ketoconazole Resistance

Can fungi develop resistance to ketoconazole? Like many antimicrobial agents, there is a potential for fungi to develop resistance to ketoconazole over time. This is more likely to occur with prolonged or improper use of the medication.

To minimize the risk of resistance:

• Use ketoconazole only as prescribed or directed
• Complete the full course of treatment
• Avoid using antifungal medications unnecessarily
• Consider rotating between different antifungal agents for recurrent infections

If you notice that ketoconazole is becoming less effective over time, consult your healthcare provider. They may recommend alternative treatments or combination therapies to combat resistant fungi.

Emerging Research and Future Directions

Research into antifungal treatments, including ketoconazole, is ongoing. Scientists are exploring new formulations, combination therapies, and novel antifungal agents to improve treatment outcomes and combat resistance.

Some areas of current research include:

• Development of new azole antifungals with improved efficacy and safety profiles
• Investigation of natural antifungal compounds as potential treatments
• Exploration of nanotechnology-based delivery systems for antifungal medications
• Studies on the microbiome and its role in fungal infections

These ongoing research efforts hold promise for even more effective and tailored treatments for fungal infections in the future.

Effectiveness, Ease of Use, and Satisfaction

Show ratings & reviews for

2.9 Overall Rating

Share Your Experience

Effectiveness

Tooltip icon

See more

Ease of Use

Tooltip icon

See more

Satisfaction

Tooltip icon

See more

Most voted positive review

40 People found this comment helpful

I have extremely bad dandruff. I used the shampoo once a week and on another day I would use Nioxin. My dermatologist suggested alternating shampoos with different bases. I have curly hair, so I don’t wash my hair more than twice a week. My hair isn’t dried out either. I also use a topical steriod solution to calm itches as well as two steriod shots over a period of two weeks. So far, my scalp has…

Read more

Shared reviews and ratings

SORT BY Condition: Dandruff

Overall rating 1.7

EffectivenessEase of UseSatisfaction

I have only used it once and it took more of my hair out, the doctor told me to use it 3 times a week, but i went to her for my hair thinning badly & patches of hair loss too! Now i’m very concerned of using this shampoo anymore cause of losing more hair, yikes! Is dandruff a cause of losing so much hair over a period of time? This shampoo is a generic too!!

1

ShapeCreated with Sketch. thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Scaly Oily Skin Problem Primarily On Face and Scalp

Overall rating 2.3

EffectivenessEase of UseSatisfaction

At the onset of the symptoms I start using ketoconazole 2-3 times a day. It keeps getting worse and patches of dead skin start appearing, which looks so bad I have to use tweezers to pick it off. When I can’t stand it any longer I resort to using triamcinolone acetonide. In 2-3 days the condition improves and goes away. However since this medication is a cortisone I have been advised to use it sparingly.

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Dandruff

Overall rating 5.0

EffectivenessEase of UseSatisfaction

I use this every time I wash my hair, before shampoo and conditioner. It makes my hair and scalp feel so clean and helps so much with my dandruff areas! I love this stuff!

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Fungal Infection of Skin

Overall rating 2.7

EffectivenessEase of UseSatisfaction

Taken for a yeast infection of the scalp. It hardly does anything. Took the whole bottle according to directions and saw no change at all.

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Ringworm of the Beard

Overall rating 2.3

EffectivenessEase of UseSatisfaction

Options for reason suck!!
cvs doc mis diagnosed psoriasis for ringworm on my legs. $65 wasted where generic body lotion was just as effective.

ShapeCreated with Sketch. 1

thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Fungal Infection of Skin

Overall rating 5.0

EffectivenessEase of UseSatisfaction

My dermatologist initially prescribed Ketoconazole 2% cream for a small fungal infection near my hairline. After about a week, the spot was completely gone, but I continued to use the cream for another week as prescribed. Nearly 6 months later, it has not returned. I brought this cream back out a week and a half ago after experiencing the severe itching, redness, and scales characteristic of a fungal infection on the back of neck and groin area. I’ve struggled with a variety of skin issues my entire life, so I recognized these as fungal infections. One day after applying the cream to these areas, the redness, scaling, and skin integrity drastically improved along with the itching. Almost two weeks later, they’re all but gone. For me, ketoconazole 2% is extremely effective. I will say, however, that along with the cream I practice other precautions: I keep the affected areas clean and dry. I also use the medicine in conjunction with Aquaphor for dryness and hydrocortisone for itchiness as needed. For moist groin areas, I also alternate with an over-the-counter antifungal spray (Walgreens Jock Itch spray works just fine).Read More Read Less

ShapeCreated with Sketch. 1

thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Ringworm of the Beard

Overall rating 2.3

EffectivenessEase of UseSatisfaction

I’ve been battling tinea cruris/corpus for over two months now. GP put me on K2%, a lot of redness and skin discoloration and a lot of itching! Fighting an increased area in my arm pits which seem to be growing not slowing. Going to try using K2 on one side, alternate nystatin on the other side. My groin and penis look red from this not healed. I’ll come back in a week with a follow up.

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Other

Overall rating 5.0

EffectivenessEase of UseSatisfaction

Works great for my face “irritations” that would normally flare up from time to time. They are pretty annoying and slightly painful. As long as I apply this at least once a week, the “irritations” never appear. You have to stay on top of it or it gets out of control. When it is out of control you have to use a steroid cream to calm everything down again.

1

ShapeCreated with Sketch. 1

thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Fungal Infection of Skin

Overall rating 4. 7

EffectivenessEase of UseSatisfaction

It may take a few days but the improvement in the skin condition are very Noticeable even the naked eye. I make that observation based on my own experience.

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Inflammation and Infection of Nail Cuticle

Overall rating 2.3

EffectivenessEase of UseSatisfaction

Applied to Mom’s feet religiously for 6 months. Used cotton socks and sandals. No effect. Would NOT prescribe oral meds, stating they were “too hard on the liver.” So she suffers with this instead. The toes catch on socks and are so thickened and distended that shoes don’t fit properly.

2

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Fungal Infection of Skin

Overall rating 1.0

EffectivenessEase of UseSatisfaction

Had a rash on the external sides of my mouth, got presribed this, and then made the life-regretful mistake of applying it not only to those areas but also on totally fine spots as a test, which were a spot on my forehead, around my nose and on my cheeks. After application, all spots burned a bit, but the next day the rash spots by my mouth had become so dry and lost virtually 100% elasticity. It bled if i even smiled and the skin were to stretch a little, and applying any moisturizers would make it burn 10/10 searing burning pain. This new condition then seemed to cycle on a monthly schedule of becoming almost normal then flaky then super dry and i cringed everytime this happened. As for the test spots, ALL of those spots are permanently thinned, weaker, and are lighter than the unmedicated skin, so i have a multitoned complexion now. I took this medication about 9 years ago and these effects are basically still there, except that the extremely dry spot on my mouth gradually improved their elasticity from year 5 and on. I’ve found that I’ve needed to drastically limit my sugar and carbs, otherwise those spots that were damaged by the ketoconazole all revert back. I honestly wish i could sue the doctor for causing me this permanent damage and urge everyone, if you will use this, use it as sparingly as possible because it can cause permanent damage to your skin. The label even said “could cause skin lightening, thinning, dryness”, but who would ever imagine the extent and PERMANENT DAMAGE. Read More Read Less

1

ShapeCreated with Sketch. 2

thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Scaly Oily Skin Problem Primarily On Face and Scalp

Overall rating 4.0

EffectivenessEase of UseSatisfaction

This is one of the few shampoos that is effective for the stubborn dandruff I have had for many years. Prescription Selsun shampoo was also helpful. Shampoo with both 2% sulfur and salicylic were helpful in past.

2

ShapeCreated with Sketch. 1

thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Scaly Oily Skin Problem Primarily On Face and Scalp

Overall rating 4.0

EffectivenessEase of UseSatisfaction

This is one of the few shampoos that is effective for the stubborn dandruff I have had for many years. Prescription Selsun shampoo was also helpful. Shampoo with both 2% sulfur and salicylic were helpful in past.

ShapeCreated with Sketch. 2

thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Ringworm of the Body

Overall rating 1.0

EffectivenessEase of UseSatisfaction

I had a two dime size ringworm infections. I went to the doctor prescribed me with Ketoconazole, and they are now both quarter and they are so itchy like hell. It is not effective at all!!!

3

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Fungal Infection of Skin

Overall rating 2.3

EffectivenessEase of UseSatisfaction

I was told to us this cream once a day for three weeks by the PA. It made my rash worse twenty fold. Cannot use!

4

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Athlete’s Foot

Overall rating 1.0

EffectivenessEase of UseSatisfaction

I had a bad experience with this cream. I had athletes feet on only one of my foot. I applied on both since the other just got better since I was using natural coconut oil as treatment. .. Honestly I just used this cream like three times and both my feet got worse. Be careful of this cream.

3

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Fungal Infection of Skin

Overall rating 2.0

EffectivenessEase of UseSatisfaction

I was prescribed this cream for an infection on my face. Please, please try this somewhere other than your face before applying! After 2 applications, my face was burning and itching and looked like I had been torched. Still waiting after 2 days for the swelling to go down.

4

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Athlete’s Foot

Overall rating 1.0

EffectivenessEase of UseSatisfaction

Caused severe contact dermatitis rash on tops of both feet Rash skin discoloration still present 1 week after discontinuation of product. .as of this writing feet are not back to normal will not use product again now undergoing trement wth dermatologist to correct condition this medication caused

3

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Fungal Infection of Skin

Overall rating 1.0

EffectivenessEase of UseSatisfaction

Giant hives all over neck and face and severe swelling on neck, face and back of neck, ear. Only one application and the redness and swelling appeared. One blotch in front of throat caused problem swolling, sore throat, headache.

2

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Ringworm of the Body

Overall rating 2.3

EffectivenessEase of UseSatisfaction

This medicine caused my ringworm to spread wider and get worse. I highly do not recommend it.

3

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch.

IMPORTANT INFORMATION ABOUT USER-GENERATED CONTENT ON WEBMD

The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions.

Read More

Ketoconazole topical Uses, Side Effects & Warnings

Generic name: ketoconazole topical [ kee-toe-KOE-na-zole ]
Brand names: Extina, Ketodan, Kuric, Nizoral A-D, Nizoral Topical, Xolegel
Dosage forms: topical cream (2%), topical foam (2%), topical gel (2%), topical kit (2% with cleanser), topical shampoo (1%; 2%)
Drug class: Topical antifungals

Medically reviewed by Drugs. com on Mar 7, 2023. Written by Cerner Multum.

What is ketoconazole topical?

Ketoconazole topical (for the skin) is an antifungal medicine used to treat infections such as athlete’s foot, jock itch, ringworm, and seborrhea (dry, flaking skin or dandruff).

Ketoconazole topical is also used to treat a fungal infection called pityriasis, which causes scaly discolored patches on the skin of the neck, chest, arms, or legs.

Ketoconazole topical may also be used for purposes not listed in this medication guide.

Warnings

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Before taking this medicine

You should not use ketoconazole topical if you are allergic to ketoconazole.

Ask a doctor or pharmacist if this medicine is safe to use if you have:

• asthma or a sulfite allergy;

• an allergic reaction to an antifungal medicine, such as clotrimazole, econazole, or miconazole.

Ask a doctor before using this medicine if you are pregnant.

You should not breast-feed while using ketoconazole topical.

Always follow directions on the medicine label about using this medicine on a child.

How should I apply ketoconazole topical?

Use exactly as directed on the label, or as prescribed by your doctor.

Using more of this medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects.

Do not take by mouth. Topical medicine is for use only on the skin. Do not use on open wounds or irritated skin. Rinse with water if this medicine gets in your eyes, nose, or mouth.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Wash your hands before and after using this medicine.

Clean and dry the skin before applying ketoconazole cream, foam, or gel.

This medicine may be flammable. Do not use near high heat or open flame, or while smoking. Avoid heat or smoking until the medicine has completely dried on your skin.

Ketoconazole shampoo is not for daily use. Allow at least 3 days to pass between uses.

Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication.

Call your doctor if your symptoms do not begin to improve after 2 to 4 weeks of treatment, or if your condition gets worse.

Store ketoconazole topical at room temperature. Protect from light and do not refrigerate or freeze.

What happens if I miss a dose?

Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

An overdose of ketoconazole topical is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.

What should I avoid while using ketoconazole topical?

Do not get ketoconazole topical in your eyes. If contact does occur, rinse with water.

Avoid covering treated skin areas with tight-fitting, synthetic clothing (such as nylon or polyester) that doesn’t allow air to circulate to your skin. If you are treating your feet, wear clean cotton socks and sandals or shoes that allow for air circulation. Keep your feet as dry as possible.

You may need to avoid sunlight if you are treating pityriasis. Follow your doctor’s instructions.

Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime.

Avoid using other medications on the areas you treat with ketoconazole topical unless your doctor tells you to.

Ketoconazole topical side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Ketoconazole topical may cause serious side effects. Call your doctor at once if you have:

• burning, stinging, or severe irritation after using this medicine;

• redness, pain, or oozing of treated skin; or

• shortness of breath.

Common side effects of ketoconazole topical may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect ketoconazole topical?

Medicine used on the skin is not likely to be affected by other drugs you use. But many drugs can interact with each other. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

More about ketoconazole topical

• Compare alternatives
• Pricing & coupons
• Reviews (42)
• Side effects
• Dosage information
• During pregnancy
• Drug class: topical antifungals
• Breastfeeding
• En español

Patient resources

• Advanced Reading
• Ketoconazole Cream
• Ketoconazole Foam
• Ketoconazole Foam and Cleanser Kit
• Ketoconazole Gel

Other brands

Nizoral Topical, Ketodan, Nizoral A-D, Xolegel, . .. +2 more

Professional resources

• Prescribing Information

Related treatment guides

• Androgenetic Alopecia
• Cutaneous Candidiasis
• Dandruff
• Seborrheic Dermatitis

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Copyright 1996-2023 Cerner Multum, Inc. Version: 5.02.

Ringworm in humans

Ringworm is a fungal and highly contagious disease caused by fungi Microsporum, Trichophyton, etc. You can become infected with ringworm only through direct contact with the carrier of the fungus – pets, a person suffering from this disease, household appliances, toys. At the same time, in a person who has become infected from an animal, the process of treating ringworm takes much longer, and the disease itself proceeds in a more severe form. Most often, ringworm in humans affects the scalp and scalp. Much less often, the disease appears on the eyelashes, feet and nails. According to statistics, it is children who most often suffer from this disease and are carriers of the fungus.

– appearance of red spots on human skin. Spots, initially covered with a crust or scales, eventually become covered with tiny bubbles. In places where the spots are localized, there is severe itching;
– the appearance of rounded bald spots in the hair. The hair in these places is very thin and short;
– deterioration of hair health in general;
– thickening and delamination of the nail plate;
– with weak immunity, weakness, headache or fever may occur.

Due to the fact that each organism is individual and reacts to the fungus in completely different ways, there are several forms of ringworm in humans :

1. In the papular-squamous form, lichen appears on the chest or face;
2. In the abortive form, the symptoms of the disease are mild. On the skin, only pale foci of localization of the fungus can be observed, which do not have clear boundaries;
3. When the palms and feet are affected, dry plaques are observed, similar in appearance to ordinary corns;
4. The erythematous-edematous form most often occurs in children. Severe inflammation occurs at the site of the spots. Often this form of the disease is accompanied by allergies;
5. When the form is deep, subcutaneous nodes appear on the legs. As a rule, women get sick with this form of lichen;
6. Microsporic onychomycosis affects the nail plate. The nail is covered with dull spots, becomes brittle and collapses over time;
7. Suppurative-infiltrative form is considered the most severe form of the disease. It is characterized by swollen dense plaques, severe itching and purulent discharge.

To combat ringworm in a person, the doctor prescribes medication to the patient with external and internal antifungal drugs with the active ingredient Ketoconazole , Terbinafine , Clotrimazole , Mikoseptin . For deep lesions of the skin, hair or nails, apply Griseofulvin .

As a rule, with complex and correct treatment, the disease recedes after a few weeks. To prevent the occurrence of repeated plaques, it is recommended to complete the entire course of treatment to the end. Also, the patient is prescribed a special diet, including vegetables, meat, fruits, milk and sour-milk drinks.

The material is for informational purposes only. Medicinal products, biologically active supplements and other products are indicated as an example of their possible use and / or application, which in no way constitutes a recommendation for their use. Before using drugs, dietary supplements and medical equipment and other products, be sure to consult a specialist.

how to distinguish between eczema and ringworm

Content

• 1 How to distinguish acute eczema from ringworm: simple rules and signs
  • 1.1 Eczema: what is it?
  • 1.2 What are the symptoms of eczema?
  • 1.3 How is eczema diagnosed?
    • 1.3.1 History and examination
    • 1.3.2 Additional research methods
  • 1.4 Ringworm: what is it and how to get sick
  • 1.5 Ringworm: what are the symptoms?
  • 1.6 Diagnosis of ringworm: what you need to know?
    • 1.6.1 Manifestations of the disease
    • 1.6.2 Diagnostic methods
  • 1.7 What are the main differences between ringworm and eczema?
    • 1.7.1 Properties of the disease
    • 1.7.2 Localization and duration of course
    • 1.7.3 Diagnosis and treatment
  • 1.8 Treatment of eczema: methods and preparations
    • 1. 8.1 Topical preparations
    • 1.8.2 Systemic preparations
    • 1. 8.3 Alternative methods
  • 1.9Treatment of ringworm: what are the methods?
  • 1.10 How can eczema and ringworm be prevented?
    • 1.10.1 Better hygiene
    • 1.10.2 Skin protection
    • 1.10.3 Healthy lifestyle
    • 1.10.4 Visiting a dermatologist
  • 1.11 When should I see a doctor if I suspect eczema or ringworm?
  • 1.12 Related videos:
  • 1.13 Q&A:
    • • 1.13.0.1
      • 1.13.0.2

      9

  90 0063 1.13.0.3

  • 1.13.0.4
  • 1.13.0.5
  • 1.13.0.6 075

    How to distinguish acute eczema from ringworm? Check out the features of the symptoms and treatment of these skin diseases on our website.

    Eczema and ringworm are two different skin problems that have very different symptoms. If you’re worried about pink spots and itchy skin, it’s important to get the right diagnosis so you can get the appropriate treatment.

    Ringworm is a common skin condition that usually appears as fairly large, round patches on the skin. The patches often look like albinization of the skin around the disease and can be quite itchy. Eczema, on the other hand, usually appears as dry, flaky skin and can appear on any part of the body.

    It is important to consider that both problems can be caused by various factors, including allergies, stress, or genetic factors. However, the presence of severe itching is one of the most characteristic symptoms of ringworm.

    Sharpness and severity are the two main features by which eczema can be distinguished from ringworm. The severity of eczema is significantly less than that of ringworm. Eczema skin is usually red and only appears on areas where the skin is constantly in contact with the irritant, such as the elbows or knees.

    However, if you are in doubt, the best option is to see a qualified dermatologist who can help you determine the correct diagnosis and suggest appropriate treatment.

    Eczema: what is it?

    Eczema is a chronic inflammatory skin disease that manifests itself in the form of various skin rashes. It can be caused by various factors such as genetic predisposition, allergic reactions, climatic conditions and others. Eczema is not contagious, but may be accompanied by an infection caused by scraping the rash.

    Symptoms of eczema include itching, redness of the skin, peeling, fissures, swelling and sometimes discharge. These symptoms can be very annoying and can have a significant impact on quality of life. Treatment for eczema may include the use of creams, lotions, and other medications, as well as lifestyle changes such as diet changes and avoidance of triggers.

    • Eczema can appear at any age, but most often this disease develops in childhood.
    • There are various forms of eczema such as atopic dermatitis, contact dermatitis and others.
    • Eczema is often associated with other atopic diseases such as allergic rhinitis and asthma.

    Diagnosis of eczema requires a consultation with a dermatologist who can perform a physical examination and take appropriate measures. Laboratory tests are often required to rule out other possible causes of skin rashes. It is important to remember that self-treatment of eczema can lead to worsening of symptoms, so at the first sign you should consult a specialist.

    What are the symptoms of eczema?

    Skin rash: One of the most characteristic signs of eczema is a skin rash that can appear on any part of the body. The rash usually starts as red patches that turn into fluid-filled blisters over time.

    Itching: The most unpleasant symptom is itching, which can be very intense and interfere with normal life. The skin with eczema is very dry, so itching is aggravated by contact with water and moist air.

    Intertrigo: If you have severe eczema, your skin may begin to diaper rash as bacteria and viruses can easily penetrate the damaged skin barrier.

    Peeling: Peeling of the skin can also be a symptom of eczema as the skin can become very dry and prone to keratinization.

    Bleeding: If the rash is very itchy, you can scratch the skin to the point where it bleeds.

    Running wounds: If you have scratched the skin so much that the surface of the inflamed area has become a spawn color, this can be a serious problem that needs to be treated as quickly as possible to avoid infection.

    How is eczema diagnosed?

    History and examination

    To diagnose eczema, the doctor takes the patient’s history and examines the affected areas of the skin. The doctor asks about the time of onset of symptoms, the presence of allergic reactions, the frequency of relapses and previous diseases. Examination allows you to establish the localization, shape and severity of erythema, papules, vesicles, dryness and cracks in the skin.

    Additional tests

    The following test methods can be used to confirm the diagnosis of eczema:

    • Skin tests . Allows you to identify the allergen that causes exacerbation of eczema.
    • General analysis of blood and urine . Determine the presence of inflammatory processes in the body.
    • Bacteriological test . Allows you to identify a bacterial infection, often developing against the background of eczema.
    • Dermoscopy . Zooms in on skin and helps identify signs of eczema.

    However, the diagnosis of eczema is predominantly clinical and is based on the characteristic symptoms and clinical experience of physicians.

    Ringworm: what is it and how to get it

    Ringworm is a skin disease that causes complications in the form of various types of strip-like rashes on the skin. This disease is more common in children and adolescents, but can be present in people of any age.

    The disease begins with the appearance of a red spot on the body, which eventually increases and begins to spread over the body. As the spot grows, yellowish crusts appear that break the integrity of the skin and cause itching and burning.

    Ringworm is a contagious disease and can be transmitted through direct contact with infected skin. Also, if you suffer from other diseases, such as diabetes or immunodeficiencies, you may be at risk of infection.

    To avoid contracting shingles, it is important to maintain personal hygiene and avoid contact with infected persons.

    • Maintain good personal hygiene by washing your hands frequently with warm water and soap.
    • Avoid using other people’s personal items – towels, toiletries.
    • Keep public areas clean – swimming pools, gyms, locker rooms.

    If you suspect you have ringworm, see a qualified dermatologist for treatment and to prevent further infection.

    Ringworm: what are the symptoms?

    Ringworm is a dermatological disease that appears on the skin in the form of numerous red spots that are very itchy and cover most of the body. In the early stages of the disease, the disease can pass without pronounced symptoms, but over time, the spots grow and become more obvious signs.

    Among the main symptoms of ringworm are:

    • Initially appearing smooth red spots on the skin;
    • Spots may vary in shape and size;
    • Severe itching that can occur at any time of the day or night;
    • Yellowish or white scales on the surface of the spots;
    • The skin at the site of the lesion looks very dry and scaly;
    • Granulomas in the center of the spots, formed from itching and scraping;
    • The appearance of new spots on other parts of the body.

    If you notice the presence of these signs, you need to contact a dermatologist who will prescribe the necessary treatment. In the case of ringworm, it is necessary to concentrate on eliminating itching and restoring the skin, rebuilding the protective functions of the body. An early appeal to a specialist will allow you to quickly get rid of the disease, avoiding serious complications and maintaining your health!

    Diagnosis of ringworm: what you need to know?

    Ringworm is a condition that can be difficult to identify. It is similar to eczema, but the treatment for lichen and eczema can be quite different. As a rule, the diagnosis of ringworm is carried out exclusively by a professional dermatologist. But at the same time, there are several indicators that can help determine the disease more accurately.

    Symptoms

    Ringworm can present with itching, skin redness, swelling and hair loss. However, these signs can also occur with eczema and other skin conditions. Despite this, the presence of itching and hair loss may indicate ringworm, and not eczema.

    Diagnostic methods

    There are a number of diagnostic methods that can help identify ringworm. One such method is scraping. During this procedure, the skin is lightly scrubbed, after which the skin sample is analyzed under a microscope. If fungal cells are present in the sample, the presence of lichen becomes more likely. In addition, an allergy test can also help in determining the diagnosis.

    However, without professional help from a dermatologist, diagnosis of ringworm may not be possible. If you suspect the presence of this disease, contact a specialist who will conduct an appropriate diagnostic complex.

    What are the main differences between eczema and ringworm?

    Eczema and ringworm are two different skin conditions with similar symptoms. However, they are of different nature and require different treatment. Let’s take a look at their differences.

    Characteristics of the disease

    • Eczema is an inflammatory skin disease of a non-infectious nature. It could be caused by an allergic reaction to a particular allergen. As a result, itching, redness and rashes on the skin occur, which can be started before bleeding.
    • Ringworm is caused by a fungal infection that affects the upper layers of the skin. As a result, red spots with a significant degree of peeling form on the skin.

    Localization and time of leakage

    Eczema most often occurs on open skin areas: hands, feet, face. Symptoms may vary from day to day, but do not disappear for a significant amount of time. Ringworm occurs on any part of the skin, but most often on the head. The rash may wax and wane over several weeks.

    Diagnosis and treatment

    Observation of specialists will help to accurately determine the disease. Treatment includes the use of medicated creams, gel hygiene and other conservative methods. More severe cases may require radiation treatment and a course of antibiotics.

    Treatment of eczema: methods and preparations

    Eczema is a skin disease characterized by various symptoms such as itching, redness, dryness and irritation. Various methods are used to treat this disease.

    Topical preparations

    One of the treatments for eczema is the use of topical preparations. These include ointments, creams, and lotions that are applied to the affected areas of the skin. These medications may contain hormones, antibiotics, or antiseptics that help reduce inflammation and itching. However, it is important to note that some of these drugs may cause side effects such as skin irritation or allergic reactions.

    Systemic drugs

    In some cases, it is necessary to use systemic drugs such as tablets or injections. These medications may contain hormones or immunosuppressants that help control the symptoms of eczema. However, these methods have side effects and may increase the risk of infections.

    Alternative methods

    If topical and systemic treatments are ineffective or undesirable, alternative methods such as herbal teas, aromatherapy, massage and acupuncture can be tried. Such methods are not the main treatment, but can help reduce tension and stress, which can increase the negative symptoms of eczema.

    • Do not self-medicate and use any drugs without consulting a specialist;
    • Treatment depends on the type of eczema, age and other factors;
    • It is important to observe hygiene rules, avoid overheating and hypothermia of the skin, and avoid factors that can trigger an outbreak.

    Ringworm treatment: what are the methods?

    Ringworm is a fungal infection of the skin that is transmitted from a sick person or animal. It appears as red or pink patches on the skin that may flake and itch.

    Ringworm treatment can be a bit more complicated than eczema treatment and involves thorough cleansing and disinfection of the affected area. Here are some of the treatments that can be used:

    • Antimycotic creams and ointments. Your doctor may recommend using an antifungal medication, such as terbinafine or ketoconazole, to kill the fungus that causes ringworm and relieve symptoms.
    • Antifungal tablets. For severe cases of ringworm, your doctor may prescribe antifungal tablets that work on the inside of the fungus.
    • Wash clothes, bed linen and towels. It is important to regularly wash and disinfect items that come into contact with affected skin to prevent the spread of infection.
    • Avoid contact with infected animals. If ringworm is caused by contact with an infected animal, limit contact and take precautions to avoid further infection.
    • Use of antifungal shampoos. If ringworm affects the scalp, your doctor may recommend using an antifungal shampoo to treat the infection.

    It is always important to consult a physician in order to obtain a correct diagnosis and evaluate the possible risks and benefits of treatment in each individual case.

    How can eczema and ringworm be prevented?

    Better hygiene

    One of the main causes of eczema and ringworm is poor hygiene. Proper daily washing of the body and hair will help to avoid the development of skin diseases. For prevention, it is recommended to use mild hypoallergenic detergents.

    Skin protection

    If you notice irritation, redness and itching on your skin, then to prevent eczema and ringworm it is necessary to take measures to protect the skin. Use soft non-allergenic natural fabrics, avoid wearing too tight and synthetic clothing.

    Healthy lifestyle

    Good overall body tone, a healthy diet and moderate exercise can help reduce the chances of eczema and ringworm. Avoid stressful situations, take enough time for good rest and skin care.

    Visiting a dermatologist

    If you suspect eczema or ringworm, do not self-medicate. Contact a dermatologist who will diagnose and prescribe the necessary treatment. Seeing a doctor early can help avoid complications and cure the disease faster.

    When should I see a doctor if I suspect eczema or ringworm?

    If you have symptoms of eczema or ringworm, see your doctor as soon as possible.

    Both diseases have similar symptoms: itching, dry skin and red, inflamed areas on the skin. However, in eczema, the skin may be covered with blisters that may break through with possible drainage. Ringworm, on the other hand, manifests itself as bright red patches on the skin, usually on the thighs, abdomen, and arms, which can be bumpy and look like cuts.