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How do you treat fungal acne?

Published in Fungal Acne Treatment 2 mins read

Fungal acne, also known as pityrosporum folliculitis or Malassezia folliculitis, is treated primarily with antifungal medications. These medications target the yeast that causes the condition.

Topical Treatments for Fungal Acne

Topical antifungal treatments are often the first line of defense for mild to moderate cases of fungal acne. Here's a look at some common options:

  • Ketoconazole: Available in cream (like Extina) and shampoo forms, ketoconazole effectively reduces yeast growth.
  • Clotrimazole: This cream (brands like Mycelex and Lotrimin AF) is another common topical antifungal used to treat fungal acne.
  • Ciclopirox: Available as a cream or shampoo (brands include Loprox and Penlac), ciclopirox is another antifungal option that can be effective.

These topical treatments are generally applied to the affected areas one to two times daily.

Oral Treatments for Fungal Acne

In more severe cases, or when topical treatments are ineffective, oral antifungal medications may be necessary. Here are a few commonly prescribed oral options:

  • Fluconazole: Fluconazole tablets (Diflucan) are often prescribed for systemic fungal infections, and can be used for stubborn fungal acne.
  • Itraconazole: Itraconazole tablets (Sporanox) are another option for treating fungal acne that has not responded well to other treatments.

Oral antifungal medications are usually taken for a specified period, as prescribed by a doctor.

Treatment Table

Treatment Type Medication Examples Application Method Severity Typically Addressed
Topical Ketoconazole cream/shampoo, Clotrimazole cream, Ciclopirox cream/shampoo Applied directly to skin Mild to Moderate
Oral Fluconazole tablets, Itraconazole tablets Oral ingestion Moderate to Severe

Important Considerations

  • Consult a Dermatologist: It is crucial to consult a dermatologist for proper diagnosis. What might appear to be acne could be another condition.
  • Patience is Key: Fungal acne can take time to clear, so consistent use of medication is important.
  • Lifestyle Changes: In addition to medications, maintaining good hygiene, wearing breathable clothing, and avoiding harsh skin products can help prevent recurrences.

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