Best over the counter for yeast infection on skin

Your Care Instructions

Yeast normally lives on your skin. Sometimes too much yeast can overgrow in certain areas of the skin and cause an infection. The infection causes red, scaly, moist patches on your skin that may itch.

Common areas for skin yeast infections are skin folds under the breasts or belly area. The warm and moist areas in the skin folds can make it easier for yeast to overgrow. Yeast infections also can be found on other parts of the body such as the groin or armpits.

You will probably get a cream or ointment that contains an antifungal medicine. Examples of these medicines are miconazole and clotrimazole. You put it on your skin to treat the infection. Your doctor may give you a prescription for the cream or ointment. Or you may be able to buy it without a prescription at most drugstores.

If the infection is severe, the doctor may prescribe antifungal pills.

A yeast infection usually goes away after about a week of treatment. But it's important to use the medicine for as long as your doctor tells you to.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

• Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor or nurse call line if you think you are having a problem with your medicine.
• Keep your skin clean and dry. Your doctor may suggest using powder that contains an antifungal medicine in the skin folds.
• Wear loose clothing.

When should you call for help?

Call your doctor or nurse call line now or seek immediate medical care if:

• You have symptoms of infection, such as:
  • Increased pain, swelling, warmth, or redness.
  • Red streaks leading from the area.
  • Pus draining from the area.
  • A fever.

Watch closely for changes in your health, and be sure to contact your doctor or nurse call line if:

• You do not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter A142 in the search box to learn more about "Yeast Skin Infection: Care Instructions".

Medication for Treating Yeast Infections

Standard medicines for yeast infections are all part of the class of antifungal drugs called azoles. They include:

• miconazole (Monistat)
• clotrimazole (Gyne-Lotrimin)
• tioconazole (Vagistat)
• butoconazole (Gynazole)
• terconazole (Terazol)

Prescribed medication may also come with additional prescription drugs to help treat your symptoms, such as steroids to relieve inflammation of the opening of the vagina.

Treatments last one, three, or seven days, all of which are equally effective. Unless you have an allergic reaction to the medication, side effects are generally mild.

You should not use tampons while using suppositories and creams. You should also avoid condoms and diaphragms because the yeast infection medicines contain oil, which can degrade the contraceptives. (3,4)

Having sex while being treated for a yeast infection is not generally recommended because it may worsen symptoms (by further irritating your vagina) and cause micro-tears in your skin that increase your risk of catching a sexually transmitted disease. (5)

Fluconazole (Diflucan) is a prescription pill for yeast infections. Most women only require a single dose of the medication to clear their yeast infection, but fluconazole is not recommended for pregnant women due to a potential risk of harming the developing baby.

Fluconazole may cause mild and infrequent side effects, such as headache, rash, and upset stomach. More rarely, severe side effects may develop, such as flu-like symptoms, swelling, and seizures. (2)

Lifestyle Changes That Support Medical Yeast Infection Treatment

While taking yeast infection medication, certain lifestyle changes can help relieve symptoms and prevent worsening symptoms. These include:

• Keeping your genital area clean and dry
• Avoiding douching and using scented feminine sprays, fragrances, or powders, which can affect the microbial balance of the vagina (and potentially promote yeast growth)
• Wearing loose-fitting underwear, pants, or shorts to prevent irritation and sweating, which can lead to the growth of more yeast
• Promptly changing out of wet bathing suits or exercise clothing, and washing sweat-covered or wet clothes after each use
• Keeping your blood sugar level under control if you have diabetes (4,6)

Some Candida Species Are Resistant to Drugs

Though azoles work well against C. albicans, some other Candida species are resistant to these first-line drugs.

For example, about half of C. glabrata strains isolated from recurrent yeast infections are far less susceptible to fluconazole than C. albicans, and C. krusei is completely resistant to it.

To treat non-albicans yeast infections, your doctor may prescribe nystatin (Mycostatin) vaginal cream or tablet, which you must apply or take daily for 14 days.

With treatment, a yeast infection will usually pass after one to seven days. The length of treatment will depend on which product you are using.

If a week is too long for you, you can also try a single dose of a powerful azole oral medication — fluconazole, if appropriate. (7)

Other antifungals, such as amphotericin B (Fungizone) and flucytosine (Ancobon), are also available for the treatment of non-albicans yeast infections.

Popular Home Remedies for Vaginal Yeast Infections

Despite the effectiveness of prescription and OTC treatments, some people may choose to try home remedies for yeast infections, including:

• Probiotic yogurt and supplements
• Boric acid suppositories
• Tea tree oil
• Garlic
• Douching (especially with vinegar)

But not all home remedies are backed up by clinical trials, and thus have not been proven effective against yeast infections.

Boric acid suppositories, at the very least, might be effective against yeast infections, in particular those caused by nonalbicans Candida species. (8,9)

Yogurt and supplements containing Lactobacillus — “good” bacteria common in the vagina and elsewhere — are thought to help treat and prevent yeast infections. But evidence for the bacteria’s helpfulness is inconsistent. (10)

The same is true for capsules of garlic, which is a natural fungicide. (11)

What Causes Recurring Yeast Infections?

About 5 to 8 percent of women experience four or more yeast infections in a single year, a condition known as recurrent or chronic yeast infections. (12)

It’s not clear why some women get chronic or recurring yeast infections, but there are several risk factors that can predispose you to it, such as pregnancy, birth control pills, estrogen therapy, regular antibiotic use, diabetes, and conditions that affect your immune system, particularly HIV.

Treatments used for normal yeast infections are effective if your recurring yeast infections are caused by C. albicans.

But some infections are caused by other Candida species, such as C. glabrata, which may require treatment with a nystatin vaginal cream or tablet, a vaginal gel containing the antifungals amphotericin B and flucytosine, or another treatment.

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