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Athlete’s Foot Treatment Overview

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Care Plan

1

First steps to consider

  • Most cases of athlete’s foot can be treated at home.
  • Treat athlete’s foot with antifungal creams and help prevent it by changing your foot hygiene.
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2

When you may need a provider

  • Using OTC treatment for 4 weeks without improvement
  • Rash is spreading up your leg to your groin or other parts of your body
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When to see a healthcare provider

Most athlete’s foot can be treated with OTC antifungal creams, but if it’s not getting better after about 4–6 weeks, see your healthcare provider. Sometimes athlete's foot is confused with other conditions, like eczema or psoriasis—your doctor can help you get the correct diagnosis.

You should also see a provider if the rash begins to spread up your leg or to other parts of your body (your groin, your hands).

If your rash becomes painful, you have a fever, or you can’t walk, you may have a bacterial infection of the skin called cellulitis. You should see your healthcare provider immediately.

Getting diagnosed

If you need to see a doctor, they will diagnose you based on your symptoms. Your doctor may take a culture of the rash to determine the type of fungus if it is not responding to treatment. They’ll use a cotton swab to sample the rash, which is then sent to the lab.

If your symptoms are not improving, your doctor may take a biopsy to figure out what’s causing it.

How do doctors treat athlete's foot?

Your doctor will examine your rash and probably prescribe a topical (applied to the skin) or oral antifungal medication based on how much the rash has spread . It’s typical to treat athlete’s foot with prescription medication for 2–4 weeks.

If after about a month of prescribed treatment, your athlete's foot is not improved, your doctor may take a skin biopsy of the rash to make sure it is not eczema (dermatitis) or psoriasis, which can look like athlete’s foot.

Is there a prescription for athlete's foot?

  • Ketoconazole 2% or econazole cream (Nizoral or Spectazole)
  • Oral terbinafine (Lamisil)
  • Oral fluconazole (Diflucan)

Types of providers

  • A primary care provider can check for athlete's foot and give you a treatment plan.
  • A dermatologist, a doctor who specializes in diseases of the skin, can diagnose and treat athlete's foot. They can also make sure the rash is not caused by something else.
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