Ringworm (body)

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Treatments and drugs

By Mayo Clinic staff

If ringworm of the body covers a large area, is severe or doesn't respond to over-the-counter medicine, you may need a prescription-strength topical medication (lotion, cream or ointment) or an oral medication (pill, capsule or tablet). Many options are available, including:

Topical

  • Butenafine (Mentax)
  • Ciclopirox (Loprox)
  • Econazole
  • Miconazole (Monistat-Derm)
  • Oxiconazole (Oxistat)
  • Terbinafine (Lamisil)

Oral

  • Itraconazole (Sporanox)
  • Fluconazole (Diflucan)
  • Ketoconazole (Nizoral)
  • Terbinafine (Lamisil)

Side effects from oral medications include gastrointestinal upset, rash and abnormal liver functioning. Taking other medications, such as antacid therapies for ulcer disease or gastroesophageal reflux disease (GERD), may interfere with the absorption of these drugs taken for ringworm. Oral medications for ringworm may alter the effectiveness of warfarin, an anticoagulant drug that decreases the clotting ability of your blood.

References
  1. Goldstein AO, et al. Dermatophyte (tinea) infections. http://www.uptodate.com/home/index.html. Accessed Sept. 2, 2008.
  2. Habif, TP. Superficial fungal infections. In: Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 4th ed. Philadelphia, Pa.: Mosby Inc.; 2004. http://www.mdconsult.com/das/book/body/104355536-2/742469442/1195/81.html?printing=true. Accessed Sept. 2, 2008.
  3. Ringworm and animals. Centers for Disease Control and Prevention. http://www.cdc.gov/healthypets/diseases/ringworm.htm. Accessed Sept. 2, 2008.
  4. Andrews MD, et al. Common tinea infections in children. American Family Physician. 2008;77(10):1415-1420.
  5. Drugs@FDA. Food and Drug Administration. http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm. Accessed Sept. 3, 2008.
  6. Gupta AK, et al. Tinea corporis, tinea cruris, tinea nigra, and piedra. Dermatologic Clinics. 2003;21(3):395-400.

DS00489

Oct. 28, 2008

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