Itll also lower the chances of it coming back. Your dermatologist may need to remove unhealthy tissue to help the area heal. Toenail curettings should wait at least 10 minutes to several hours before examination. Some preliminary research has found that Melaleucaalternifolia,anessential oilknown as tea tree oil that'swidely used in aromatherapy,may help cure ringworm affecting the feet. Contains 1% Clotrimazole: This clinically proven ingredient relieves itchy, red skin as it treats the fungus that causes ringworm. Athletes foot: An antifungal cream or spray that you buy without a prescription may clear athletes foot. Similarly, in a small study published in the Journal of the American Academy of Dermatology in 2000, ajoene was more effective than terbinafine (which is the active ingredient in Lamisil) in treating athlete's foot. is an essential oil made from the leaves of the Australian tea tree. To treat the itch, it often helps to apply a wet, cool washcloth to the area for 20 to 30 minutes. Apply a topical antifungal Most cases of ringworm can be treated at home. You may also need to follow preventive measures to avoid reinfection. The diagnosis of onychomycosis should generally be confirmed with a test such as potassium hydroxide preparation, culture, or periodic acidSchiff stain before initiating treatment. They might includenausea,diarrhea,indigestion, andrashes. Find out what can help. Keep the infected area clean and dry. Some people notice their ringworm starts to improve after just a few days. Ringworm can be transmitted between dogs and cats and humans. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho. Dermatologists team up to improve patient care, JAK inhibitors: A newer type of medication, Free materials to help raise skin cancer awareness, Dermatologist-approved lesson plans, activities you can use. Used about 3-4 times a day for . This medicine comes in many different forms like creams, ointments, and pills. Treatment of interdigital tinea pedis with 25% and 50% tea tree oil solution: a randomized, placebo-controlled, blinded study. . Even if it seems to go away within a few days, always continue ringworm treatment for as long as your healthcare provider recommends. These considerations may warrant antifungal treatment in the absence of hyphae under the microscope.2 In a European study of 45,000 patients with suspected onychomycosis, general physicians performed a confirmatory test in only 3% of patients and dermatologists in only 40%.40 However, accurate diagnosis is important, especially for onychomycosis and tinea capitis, because these disorders have many mimics and the treatment is prolonged. Thankfully its not nearly as creepy (or as crawly) as it sounds. People apply miconazole twice per day, and symptoms. This medicine is available both over-the-counter (OTC) and with your doctor's prescription. The Center for Food Security & Pubic Health. Verma S and Heffernan MP. However, DO NOT treat ringworm with apple cider vinegar. Pictures and symptoms of the red, scaly rash. When everyone uses antifungal shampoo, this helps prevent family members from infecting each other. The best one for you will depend in large part on where the ringworm rash is located. even any worms involved. This can make it more difficult to get rid of the ringworm. Ringworm Treatment for Babies and Toddlers. The borders between squamous cells can also be mistaken for hyphae. Fitzpatricks Dermatology in General Medicine (seventh edition). JOHN W. ELY, MD, MSPH, SANDRA ROSENFELD, MD, AND MARY SEABURY STONE, MD. Other studies show that it works against athlete's foot when applied as a cream. It is characterized by itchy, scaly, and red patches on the skin. As much as possible, don'twear clothing or footwear that can cause you to sweat. The sensitivity of the KOH preparation varies widely in different settings, ranging from 12% in a study of 27 Flemish general practitioners to 88% in a Nova Scotia tertiary care center 41 (Table 510,11,29,30,4148 ). USD Now $9.98. Sometimes, another prescription medicine is prescribed. All Rights Reserved. Most of the time ringworm on the skin will clear in a couple of weeks. Dermatomycoses due to pets and farm animals : neglected infections? Ringworm that appears on the feet (tinea pedis, or athlete's foot) may need to be managed differently than ringworm that affects the scalp (tinea capitis), for example. Ringworm is caused by one of three types of fungus, or dermatophyteTrichophyton, Microsporum, or Epidermophyton. How Often You Should Wash Your Sheets (and the Gross Reasons Why), How To Treat an Infected Belly Button Piercing, How to Avoid Athletes Foot and Staph Infections in the Locker Room, How You Can Stop Foot and Toenail Fungus In Its Tracks, 6 Sore Throat Remedies That Actually Work. Ringworm, also known as dermatophytosis, is a common fungal skin disorder which commonly spreads by direct skin-to-skin contact with an infected person or animal. Continue treatment until gone. Australas J Dermatol. Find patient medical information for Ringworm topical on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Many of these approved medicines are safe and effective for children. Here is some care advice that should help. Safe for kids over 2 when used as directed, Stop Athletes Foot before it starts. The medications you can buy without a prescription to treat ringworm are called antifungals. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Ringworm causes red, ring-shaped patches on the skin. Children who have scalp ringworm often receive a medicine called griseofulvin. After heating the slide, tap down the coverslip to compress the sample and separate the hyphae from the squamous cells. Apple cider vinegar has strong antifungal properties, so it may help treat ringworm when applied topically to the affected area. Nails: You need prescription medicine to clear ringworm from the nails. Efficacy of ajoene in the treatment of tinea pedis: a double-blind and comparative study with terbinafine. When washing the infected area or applying a cool compress, be sure to use a clean washcloth every time and use it only on the jock itch. Cathy Wong is a nutritionist and wellness expert. Throw out or disinfect shoes in the case of athlete's foot. Ledezma E, Marcano K, Jorquera A, et al. There also are natural treatments that have shown promise in treating certain types of ringworm. A Wood lamp examination may be helpful to distinguish tinea from erythrasma because the causative organism of erythrasma (Corynebacterium minutissimum) exhibits a coral red fluorescence. Lesions may be single or multiple and the size generally ranges from 1 to 5 cm, but larger lesions and confluence of lesions can also occur. However, some patients resist systemic treatment, and ciclopirox nail lacquer (Penlac) can be offered together with information about its low cure rate. Find out by selecting your child's symptom or health condition in the list below: Seattle Childrens complies with applicable federal and other civil rights laws and does not discriminate, exclude people or treat them differently based on race, color, religion (creed), sex, gender identity or expression, sexual orientation, national origin (ancestry), age, disability, or any other status protected by applicable federal, state or local law. Typically, this medication has to be applied two to three times a day for at least a week before the ringworm infection begins to clear. The sound of ringworm is enough to make your skin crawl, but its not as creepy (or crawly) as it sounds. It is a greaseless and non-staining formula. Do not use combination products such as betamethasone/clotrimazole because they can aggravate fungal infections. Can You Get Athletes Foot on Your Hands? Throw away any disposable items that might have been infected. However, some preliminary research suggests there may be natural remedies that work for some people. Learn more about tinea versicolor treatment here. (or prevent them from spreading from one part of your body to another): Cleveland Clinic is a non-profit academic medical center. Wash your hands immediately after touching a ringworm rash. Sobera JO and Elewski BE. Keep using the cream for at least 7 days after the rash is cleared. Ringworm on the scalp must be treated with an oral medication, but often it can help speed up healing to also use a shampoo that contains a fungus-fighting ingredient. Skin scrapings and hair can be examined under the microscope immediately. Disclaimer: this health information is for educational purposes only. In addition to the common distal subungual form, which is characterized by thickened, brittle, discolored nails (Figure 5), onychomycosis may present with an uncommon proximal subungual form, which should raise suspicion of immunocompromise, and a white superficial form, which is more common in children than adults24 (Figure 6). Centers for Disease Control and Prevention. It also can causebirth control pills not to work. : "Antifungal Activity of Apple Cider Vinegar on Candida Species Involved in Denture Stomatitis. The fungi that cause ringworm can live for up to nearly two years if they're in the warm, moist environment where they thrive. Hands: You may be able to clear a mild case with an antifungal cream. If you haveringworm on your scalp or in many different places on your body, OTC treatments may not be enough. https://familydoctor.org/familydoctor/en/diseases-conditions/tinea-infections/treatment.html. $25.30. Product details. After 48 hours of treatment, ringworm usually is no longer easily spread. Always shower after you work out to wash away perspiration and dry off thoroughly. Continue to treat the area for as long as directed, even if you think your ringworm is cured. Most of the time, ringworm can be treated with OTC topical medications that are applied directly to the affected areas. Sometimes a healthcare provider will prescribe prescription-strength ketoconazole shampoo to treat stubborn ringworm on the scalp. people with scarring as a result of trying to treat ringworm with vinegar.. Scalp ringworm is extremely contagious. . Your child doesn't have to miss any child care or school for ringworm. Antifungal medications kill the fungus by interfering with the fungus' ability to form cell walls. Lotrimin Ultra Athlete's Foot Cream with No Touch Applicator, Lotrimin AF Athletes Foot Daily Prevention Deodorant Powder Spray, Lotrimin AF Athletes Foot Daily Prevention Medicated Foot Powder, Lotrimin Daily Sweat & Odor Control Medicated Foot Powder, Lotrimin AF Athletes Foot Antifungal Cream, Lotrimin AF Athletes Foot Antifungal Powder, Lotrimin AF Athletes Foot Deodorant Powder Spray, Lotrimin AF Jock Itch Antifungal Powder Spray, Treat itchy ringworm on the body with Lotrimin. Keeping things clean prevents the infection from spreading to other parts of your body as well as to other people and animals in your household. Have your dog checked for fungal infection. Topical over-the-counter antifungals can effectively treat ringworm in most cases. To use it, soak a cotton ball in undiluted apple cider vinegar and. Ringworm vs. Eczema: What Are the Differences? Her work is regularly featured in media such as First For Women, Woman's World, and Natural Health. The most common onychomycosis mimics include chronic trauma and psoriasis.25 Adolescents and young adults can develop dystrophic toenails from repeated sudden-stop trauma associated with basketball, soccer, and tennis.26 The great toes are most often involved in onychomycosis and trauma-related dystrophy, but exclusive little toe involvement is likely related to trauma. For infections that get worse or don't go away, there are prescription topical products that can treat ringworm, such as: Fungal infections on the scalp must be treated with a prescription antifungal. A dermatologist is a medical doctor who specializes in treating the skin, hair, and nails. Clearing scalp ringworm also often requires using an antifungal shampoo. Cream Combination Skin Anti-Aging Day Treatment, Cream Oily Skin Anti-Aging Contour Treatments, Nature's Cure Cream Unisex Acne . There are many topical treatments for tinea versicolor that work well. Some people suggest applying this would-be home remedy and covering the spot Some fungal skin infections like ringworm clear up in a few weeks. Unless otherwise indicated, all trademarks are owned by Bayer, and its affiliates, or licensed for its use. American Academy of Dermatology. Its not for use in children, the elderly, or those with severeliver disease. Saving Lives, Protecting People, Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Foodborne, Waterborne, and Environmental Diseases (DFWED), Antimicrobial Resistance: People & Environment, Valley Fever: Timely Diagnosis, Early Assessment, and Proper Management, Mission and Community Service Groups: Be Aware of Valley Fever, Presumed Ocular Histoplasmosis Syndrome (POHS), Emerging antimicrobial-resistant ringworm infections, Medications that Weaken Your Immune System, For Public Health and Healthcare Professionals, About Healthcare-Associated Mold Outbreaks, Antifungal susceptibility testing yeasts using gradient diffusion strips, Identification of filamentous fungi using MALDI-ToF using the Bruker Biotyper, Target Genes, Primer Sets, and Thermocycler Settings for Fungal DNA Amplification, Impact of Fungal Diseases in the United States, Health Equity Priorities for Fungal Diseases, Preventing Deaths from Cryptococcal Meningitis, Think Fungus: Fungal Disease Awareness Week, National Center for Emerging and Zoonotic Infectious Disease, Division of Foodborne, Waterborne, and Environmental Diseases, U.S. Department of Health & Human Services, Miconazole (Aloe Vesta Antifungal, Azolen, Baza Antifungal, Carrington Antifungal, Critic Aid Clear, Cruex Prescription Strength, DermaFungal, Desenex, Fungoid Tincture, Micaderm, Micatin, Micro-Guard, Miranel, Mitrazol, Podactin, Remedy Antifungal, Secura Antifungal). If you have ringworm on your scalp, an OTC product will not be an option; you will need to take a prescription oral medication. This product usually can be used every three or four days, just as you would a regular shampoo, for up to eight weeks. What can I do to make ringworm heal faster? The active ingredient in this ringworm fungus treatment is clotrimazole, which relieves the discomfort of ringworm symptoms and is clinically proven to cure most ringworm. Lotrimin Af Antifungal Cream 1.05 oz (Pack of 2) 4. There a several forms of ringworm that humans can experience. 2000;43(5 Pt 1):829-32. doi:10.1067/mjd.2000.107243, Nenoff P, Handrick W, Krger C, et al. KOH dissolves squamous cells but leaves the fungal elements intact. Ringworm is a common fungal infection that can affect the skin, scalp, and nails. KOH preparations are often needed to confirm the diagnosis of tinea infections (Figure 7). If you have ringworm, your dermatologist will treat it with antifungal medicine. Keep the affected area clean and dry. If you want to diminish a noticeable scar, know these 10 things before having laser treatment. These dermatologists' tips tell you how to protect your skin. 2. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. We do not endorse non-Cleveland Clinic products or services. Microsporum infections result from exposure to infected dogs or cats and may produce much more inflammation than Trichophyton infections.4, Tinea capitis must be treated with systemic antifungal agents because topical agents do not penetrate the hair shaft. Cookies used to make website functionality more relevant to you. Here are ways to keep things clean when you have a ringworm infection: National Health Service (U.K.): Ringworm and Other Fungal Infections Treatment., Summit Medical Group Foundation: Ringworm., Cleveland Clinic: How to Cure Ringworm., American Academy of Dermatology Association: "RINGWORM: 12 TIPS FOR GETTING THE BEST RESULTS FROM TREATMENT. Repeat up to 3 times daily. If you might have ringworm on your skin, your dermatologist will scrape off a bit of the infected skin. Don't cover ringworm with a bandage or other dressing. You can search by location, condition, and procedure to find the dermatologist thats right for you. Involvement of the plantar and lateral aspects of the foot with erythema and hyperkeratosis is referred to as the moccasin pattern of tinea pedis.4, Tinea corporis, tinea cruris, and tinea pedis can often be diagnosed based on appearance, but a KOH preparation or culture should be performed when the appearance is atypical.2, Tinea corporis, tinea cruris, and tinea pedis are generally responsive to topical creams such as terbinafine (Lamisil) and butenafine (Lotrimin Ultra), but oral antifungal agents may be indicated for extensive disease, failed topical treatment, immunocompromised patients, or severe moccasin-type tinea pedis. Often it's caught from puppies or kittens that have it. Avoid boiling the KOH, but the slide should be hot enough to be uncomfortable to the dorsum of the hand, usually three to four seconds over the flame. However, there are things you can do to relieve symptoms until the medication starts to work. Treatment length varies depending on the fungal infection. Ringworm: diagnosis and treatment. To prevent the spread of scalp ringworm, never wear someone else's hat or cap. Lotrimin AF Ringworm Cream delivers an antifungal cream treatment in a greaseless, odorless and non-staining cream that's easy to apply. Some forms of ringworm can be treated with non-prescription (over-the-counter) medications, but other forms of ringworm need treatment with prescription antifungal medication. Early disease can be limited to itching and scaling, but the more classic presentation involves one or more scaly patches of alopecia with hairs broken at the skin line (black dots) and crusting. Fungal diseases: treatment for ringworm. A 1999 study found that a gel containing ajoene helped treat tinea cruris (jock itch) and tinea corporis (ringworm on the skin). The child with tinea capitis will generally have cervical and suboccipital lymphadenopathy, and the physician may need to broaden the differential diagnosis if lymphadenopathy is absent.7 However, lymphadenopathy can also occur in nonfungal scalp disease, and the absence of lymphadenopathy in an otherwise typical presentation should not delay aggressive treatment for tinea capitis.9. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. At the end of the study, nearly three-quarters of the people who used the 25% solution had a significant improvement in their infection. Read our, Ringworm: Causes, Symptoms, and Treatment, Ringworm That Doesnt Respond to OTC Treatment. These products are often found in the foot care aisle and marketed for athletes foot. In fact, everyone with whom the infected person lives needs to use an antifungal shampoo. Itching and other symptoms tend to get better in a few days. Ringworm of the skin. It will also provide a list of home remedies that can help ease symptoms and prevent it from spreading to other people. Fungi love warmth and moisture, so keep areas affected by ringworm clean and dry. 2 Pack Lotrimin AF For Jock Itch Cream, Antifungal, 0.42 Oz Each. Don't prescribe oral antifungal therapy for suspected nail fungus without confirmation of fungal infection. Sometimes, the infection spreads to one or more nails. People use miconazole (Desenex, Micatin) to treat ringworm, jock itch, and athlete's foot. Tick bite within the last month and new onset of "ringworm", Rash gets bigger or spreads after 1 week on treatment. Black dot, caused by Trichophyton tonsurans, is most common in the United States (Figure 4). Do you know which one? . If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. Natalie tried many acne products without success. In many cases, your doctor may recommend a drug you can buy over the counter (OTC) at your local drugstore. Wash everything youve touched or worn in hot water and laundry detergent. Follow these key tips to manage ringworm: Ringworm is highly contagious, therefore it is very important to do everything you can to prevent it from spreading to another person. Find out what may be causing the itch and what can bring relief. Dermatophytosis. Everyone's at risk for skin cancer. Look for over-the-counter antifungal creams such as Tinactin (tolnaftate topical) or Lotramin (clotrimazole). Also searched were Essential Evidence Plus, the Cochrane Database of Systematic Reviews, and UpToDate. Lotrimin AF Ringworm Cream, Clotrimazole 1%, Clinically Proven Effective Antifungal Treatment of Most Ringworm. It needs direct skin contact to be passed this way. Save with. Get relief from the itching and redness irritation of ringworm with Lotrimin AF Ringworm Antifungal Cream. With treatment, a ringworm infection on a part of the body without hair (glabrous skin) is likely to clear up within two to four weeks of the start of treatment. The ringworm may fail to clear if you stop taking it sooner than prescribed. Its common to have athletes foot and ringworm on one or both hands. Thank you for taking the time to confirm your preferences. When the ringworm starts to clear, youll likely see the scale clear before the redness. KOH can damage microscope lenses. miconozole . Conversely, if a nonfungal lesion is treated with an antifungal cream, the lesion will likely not improve or will worsen. Find many great new & used options and get the best deals for Creobic Scabies Treatment Cream Cure Skin Ringworm Parasites Itching Anti Fungus at the best online prices at eBay! Iowa State University. Ringworm on the scalp needs to be treated with prescription antifungal medication. Untreated ringworm can cause skin to become cracked and open to bacterial infection, so it's best to treat it. OTC and prescription medications are tried-and-true ringworm treatment options. Your dermatologist may also examine other areas of your body. Others need a prescription. Griseofulvin (Grifulvin V, Gris-PEG), terbinafine, anditraconazole are the oral medicines doctors prescribe most often for ringworm. Heres how long botox tends to last. Put the cream or gel on the infected area once or twice a day for 1 to 2 weeks. Ringworm: diagnosis, treatment, and outcome. After 48 hours of treatment, ringworm does not spread to others at all. Fungal diseases. In: Bolognia JL, et al. False-negative KOH preparations often result from inadequate scrapings. RSV: What parents need to know and when to seek medical attention. American Academy of Dermatology. Dermatologists care for people of all ages. Apply enough ketoconazole gel to cover the affected and surrounding skin areas, and rub in gently with your fingertips. For the study, researchers divided 70 subjects into three groups. Rarely, can be spread human-to-human. Wear shower shoes. You can review and change the way we collect information below. Athlete's foot can usually be treated with non-prescription medication applied to the skin. was $49.99 $49.99. Free to everyone, these materials teach young people about common skin conditions, which can prevent misunderstanding and bullying. You should only use tea tree oil topically as it is toxic if ingested. But it can strike anyone of any The rash is usually a little itchy but not always. These products are often found in the foot care aisle and marketed for athlete's foot. Topical therapy is usually ineffective except in the treatment of the white superficial form. See permissionsforcopyrightquestions and/or permission requests. And those itchy red patches are all too common. ", : "Antifungal activity of tea tree oil from Melaleuca alternifolia against Trichophyton equinum: an in vivo assay. If the ringworm is on your skin, an OTC antifungal cream, lotion, or powder may work. It is important to take an antifungal medicine exactly as prescribed, and for as long as prescribed. When it looks like you have ringworm on your scalp or beard area, your dermatologist may remove some hair. Fungal diseases: ringworm. Sometimes, ringworm of the skin can be passed on to others. 9.3. You, the reader, assume full responsibility for how you choose to use it. See your doctor if you dont see any improvement in your symptoms or infection after youve finished your treatment. Often it's caught from puppies or kittens that have it. Most of the time, ringworm treatment involves an over-the-counter (OTC) or prescription cream, ointment, or other topical medication that's applied directly to the rash. ", J Prosthodont: "Antifungal Activity of Apple Cider Vinegar on Candida Species Involved in Denture Stomatitis. Centers for Disease Control and Prevention. Griseofulvin can causebirth defects, so you cant take it if yourepregnant, plan to become pregnant, or arebreastfeeding. 2023. Pet rodents also can carry it. However, a doctor may prescribe prescription antifungals. For example, tinea corporis can be confused with eczema, tinea capitis can be confused with alopecia areata, and onychomycosis can be confused with dystrophic toe-nails from repeated low-level trauma. Finally, we performed multiple targeted searches in PubMed and reference lists of previously retrieved studies to fill in remaining information gaps, such as the performance characteristics of laboratory tests used to diagnose fungal infections. If you have ringworm of the scalp, use a shampoo with selenium sulfide, such as Selsun Blue. Wash your hands each time you touch your rash and before you touch anyone else. They come in different formulations, but all work by killing the spores that allow fungi to reproduce. Terbinafine is used to treat infections caused by a fungus. If the ringworm has spread to a fingernail, you will need to take an antifungal medicine to get rid of the infection. Anti-Fungal Cream: Use an anti-fungal cream (such as Lotrimin) 2 times per day. It can also show up anywhere on the body. Hautarzt. Use another clean towel to dry the other parts of your body. Before giving you the diagnosis, your dermatologist may send a bit of the infected skin, hair, or nail to a laboratory. But you may end up with open sores, Dr. Vij says. But tinea can also infiltrate the feet (where its known as athletes foot) or the groin (hello, jock itch). American Academy of Dermatology. False-negative results on KOH preparations are common and are usually caused by inadequate material on the slide. Wash your clothes regularly and keep them dry when not in use. ", Mayo Clinic: "Ringworm (body)", Tea tree oil., Phytomedicine: "Antifungal activity of tea tree oil from Melaleuca alternifolia against Trichophyton equinum: an in vivo assay.". The scraped scale should fall onto a microscope slide or into a test tube. The pimples slowly spread and form a round or oval ring, typically to 1 inch (12 to 25 mm) in size. All rights reserved. Why does my skin still itch even though the ringworm rash is gone? Always wash your hands thoroughly after touching an area affected by ringworm. infection spreads through skin-to-skin contact, so it often affects kids (who Many physicians treat tinea capitis without a confirmatory culture or KOH preparation if the presentation is typical (i.e., urban setting and child presents with scaling, alopecia, and adenopathy).2,7,8 The most common mimics include seborrheic dermatitis and alopecia areata (Table 2).2,3 In atypical cases, a KOH preparation can be performed by scraping the black dots (broken hairs) and looking for fungal spores. For most cases that affect the skin, the first ringworm treatment option is a non-prescription antifungal medicine. If the ringworm covers a large area of skin, you may need to take a prescription antifungal medicine. Ringworm of the scalp or beard. Place two drops of 10% or 20% KOH on the scrapings, followed by a coverslip. Do not treat tinea capitis solely with topical agents, but do combine oral therapy with sporicidal shampoos, such as selenium sulfide (Selsun) or ketoconazole. For a mild case of ringworm, try these self-care tips. with a bandage. Ringworm is not contagious after 2-3 days of treatment. Lotrimin cream, Cruex spray powder, Mycelex, Pedesil (, Desenex topical powder, Fungoid cream, Micatin cream, Lotrimin AF athlete's foot spray or powder, Lotrimin AF Jock Itch spray powder (. Keep your hands clean. A second treatment course with the same or a different agent is reasonable if the diagnosis is confirmed. Some sources suggest treating ringworm with apple cider vinegar by rubbing some on the infected area and covering it with a bandage.