Does Antifungal Cream Contain Steroids? A Dermatologist's Insight - Dermatology

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Does the antifungal medication produced by Ouyie contain steroids?


Hello, doctor.
I have been suffering from athlete's foot on my right foot for about two months.
During this time, I have seen three dermatologists and have been taking and applying medication as prescribed, but there has been no improvement.
A friend recommended a topical antifungal cream called "Lamisil," but I forgot to ask the pharmacist if this cream contains steroids, so I'm hesitant to use it.
I would like to ask you about this issue.
Thank you.

Lin Xiaoping, 30~39 year old female. Ask Date: 2024/01/15

Dr. Li Yufen reply Dermatology


Hello: The antifungal cream Oumei contains two ingredients, Isoconazole nitrate and Diflucortolone valerate, which includes a corticosteroid.
Thank you!

Reply Date: 2024/01/15

More Info


When it comes to antifungal creams, the presence of steroids can vary depending on the specific formulation. Some antifungal creams do indeed contain corticosteroids, while others do not. The primary purpose of antifungal creams is to treat fungal infections, such as athlete's foot (tinea pedis), by targeting the fungi responsible for the infection. Corticosteroids, on the other hand, are used to reduce inflammation and alleviate symptoms such as itching and redness.

In your case, you mentioned suffering from athlete's foot for about two months, despite seeing multiple dermatologists and using prescribed medications. This situation can be frustrating, especially when the condition does not seem to improve. It's important to note that athlete's foot can be persistent and may require a combination of treatments, including topical antifungals, oral antifungals, and proper foot hygiene.

If the antifungal cream you are considering contains a steroid, it may provide some relief from inflammation and itching associated with athlete's foot. However, prolonged use of topical steroids can lead to skin thinning, increased susceptibility to infections, and other side effects. Therefore, it is crucial to use such medications under the guidance of a healthcare professional.

To determine whether the specific antifungal cream you are considering contains steroids, you should check the active ingredients listed on the packaging or consult with a pharmacist. If you are unsure, it is always best to err on the side of caution and discuss your concerns with a dermatologist or healthcare provider before starting any new treatment.

In addition to medication, here are some general tips for managing athlete's foot:
1. Keep Your Feet Dry: Fungi thrive in warm, moist environments. Make sure to dry your feet thoroughly after bathing, especially between the toes.

2. Use Antifungal Powder: Consider using antifungal powder on your feet and in your shoes to help keep them dry and reduce moisture.

3. Wear Breathable Footwear: Choose shoes made from breathable materials and avoid wearing the same pair of shoes every day to allow them to air out.

4. Practice Good Hygiene: Wash your feet daily and change your socks regularly. If you are in a communal area, such as a gym or pool, consider wearing flip-flops to prevent exposure to fungi.

5. Follow Treatment Guidelines: If you are prescribed a topical antifungal, make sure to use it as directed, even if symptoms improve before the treatment course is complete.

If you continue to experience symptoms despite following these recommendations and using antifungal treatments, it may be worthwhile to revisit your dermatologist for further evaluation. They may consider alternative diagnoses or treatments, such as a different antifungal agent or a combination therapy approach.

In summary, while some antifungal creams may contain steroids, it is essential to verify the ingredients and consult with a healthcare professional before use. Managing athlete's foot effectively often requires a comprehensive approach, including medication, hygiene practices, and lifestyle adjustments.

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