Athlete's foot treatments range from home remedies like hydrogen peroxide to over-the-counter (OTC) antifungal products and prescription medications. The one that will work best for you depends on the severity of your case and the fungus you're infected with. Show
There are more than 40 different types of fungus that cause athlete's foot, and some are more stubborn than others. These may require prescription drugs like Lamisil (terbinafine) or Diflucan (fluconazole). This is especially true if the infection is severe or you have a weakened immune system. This explains when you might need a topical or oral prescription athlete's foot treatment. It also reviews the various options and possible side effects. PhotoAlto / Odilon Dimier / Getty Images Who Needs a Prescription Athlete's Foot Treatment?People tend to regard athlete's foot as a relatively minor and common skin infection, and that's largely true. Studies suggest that anywhere from 15% to 25% of people will get athlete's foot at some point in their life. This doesn't mean that an infection can't turn serious, however. Standard over-the-counter antifungal remedies are often enough to clear the fungus. When that's not the case, prescription antifungals may be needed to clear the infection and prevent secondary infections (i.e., those that arise as a result of the primary infection). Generally speaking, prescription medications are needed to treat athlete's foot if:
Athlete's Foot and DiabetesIf you have athlete's foot and diabetes, see your healthcare provider immediately; do not bother with home treatments. Athlete's foot can cause breaks in the skin that can lead to potentially serious complications like foot ulcers and cellulitis in people with diabetes. Prescription Treatment OptionsDepending on the severity and location of the infection, your healthcare provider may prescribe topical medications (which you apply to the skin) or oral medications (which you take by mouth). Topical AntifungalsIf athlete's foot fails to respond to over-the-counter topical antifungals, your healthcare provider will usually a prescribe prescription-strength version of the same drug. Prescription topical antifungal options include:
Treatment is usually prescribed for four weeks or at least one week after skin symptoms have all cleared. Oral AntifungalsIf the athlete's foot fungus is resistant to topical antifungals, oral antifungals may be used to support the treatment. They are less commonly used on their own for fungal skin infections. Prescription oral antifungal options include:
Treatment may be prescribed for anywhere from one to nine weeks depending on the severity of the infection. Other Athlete's Foot TreatmentsThere are other topical or oral medications that may be prescribed for specific purposes to support antifungal therapy. Examples include:
Possible Side EffectsAs with all drugs, prescription topical and oral athlete's foot treatments carry a risk of side effects. Many of these tend to be mild, but, with oral antifungals especially, some can be severe. Topical AntifungalsTopical antifungals are generally considered safe when used as prescribed. Because prescription antifungals are stronger, it is even more important to adhere to your healthcare provider's instructions. Possible side effects of topical antifungals include:
Oral AntifungalsWhile oral antifungals can be extremely effective, they carry a greater risk of side effects than their topical counterparts. Side effects can vary by the drug used,
Oral Antifungals and PregnancyHigh doses of Diflucan and other oral antifungals are typically avoided as they cause harm to a fetus. When used for athlete's foot, the benefits of treatment will rarely outweigh the risks. SummaryAthlete's foot is a common fungal infection of the foot. Mild cases can usually be treated with over-the-counter ointments, but severe or persistent cases may require topical or oral
prescription medications like Spectazole (econazole) and Lamisil (terbinafine). A Word From VerywellIf your healthcare provider recommends a prescription drug for athlete's foot, be sure to advise them about any medical conditions you have or any medications you may be taking. In some cases, the drug may need to be avoided or used with extreme caution. This includes the avoidance of oral Lamisil in people with advanced liver disease, as well as oral Sporanox if you have congestive heart failure. The more that your healthcare provider knows about your medical history, the safer the treatment will be. Frequently Asked Questions
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By Naveed Saleh, MD,
MS Thanks for your feedback! Is a yeast infection the same as athlete's foot?Yeast infections can occur in several places on the body. The most common areas are: The mouth, where the infection is called thrush (2) On the feet, as athlete's foot.
What else can you use athlete's foot cream for?This medication is used to treat a variety of fungal skin infections such as ringworm, athlete's foot, and jock itch. This medication is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs.
Does antifungal cream work on skin yeast infections?Treatment for your armpit yeast infection may include an antifungal medication. Your healthcare provider may recommend an antifungal cream, ointment, powder or other solution. You can apply the antifungal directly onto the infected area of your skin.
Can I use Lotrimin for female yeast infection?Clotrimazole Vaginal Cream will cure most vaginal yeast (candida) infections. Clotrimazole Vaginal Cream can kill the yeast that cause vaginal yeast infections and can relieve the associated itching and burning.
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