Ringworm (dermatophytosis) is a contagious skin infection that causes an itchy, ring-shaped rash.
The best fungus-fighting treatment for ringworm depends on its location and severity.
Unfortunately, there’s no instant cure for ringworm.
Illustration by Maritsa Patrinos for Verywell Health
Illustration by Maritsa Patrinos for Verywell Health
1.
Over-the-Counter (OTC) Antifungal Creams
Antifungal creamsdestroy ringworm cell membranes, eliminating the infection.
Creams available without a prescription include:
2.
Reproduced with permission from ©DermNet NZ and ©Raimo Suhonenwww.dermnetnz.org2022
OTC Antifungal Sprays
Sprays work best on hard-to-reach areas or fungal infections with large surface areas, likeringworm.
Sprays allow a no-touch software, reducing the risk of spreading the fungus.
They provide even coverage, making them ideal for treating areas like the back, groin, or feet.
Reproduced with permission from © DermNetdermnetnz.org2023.
Some antifungal sprays include:
3.
Fungi thrive in warm, damp environments.
Antifungal powders include:
4.
These shampoos should be used two to three times per week alongside oral treatment.
Examples of antifungal shampoos include Nizoral Anti-Dandruff (ketoconazole) and Selsun Blue Medicated(selenium sulfide).
However, clinical evidence supporting their effectiveness against ringworm is limited.
If and when you use them, you should apply them cautiously and dilute them.
Good hygiene practices can help prevent ringworm, including:
7.
Keeping your skin moist and hydrated reduces infection risk and promotes faster healing.
How to maintain a healthy skin barrier:
Does Ringworm Go Away on Its Own?
OTC antifungal treatments usually clear it up within weeks, making early treatment the best option.
Reproduced with permission from DermNet NZ and Raimo Suhonenwww.dermnetnz.org2022
Reproduced with permission from DermNetdermnetnz.org2023.
Summary
Effective ringworm treatment starts with OTC antifungal creams, sprays, or powders.
Keep the affected area clean and dry.
Even after symptoms are gone, continue treatment for at least two weeks.
This helps kill any remaining fungus, which can survive on the skin even after symptoms clear.
For stubborn ringworm, prescription oral or topical antifungals may prove necessary.
With proper care, most cases clear in about two to four weeks.
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