Treat Ringworm That Won’t Go Away: 7 Treatments to Try

Ringworm can cling to your skin like an uninvited guest, refusing to leave no matter what you try. Should over-the-counter creams haven’t kicked it to the curb, don’t lose hope—there are stronger solutions to tackle stubborn fungal infections. From prescription meds to simple hygiene tweaks, finding the right approach can make all the difference. Let’s analyze the top strategies to finally clear up that persistent rash for good.

Confirm the Diagnosis With a Healthcare Professional

Even should your rash look like ringworm, don’t jump to conclusions—other skin conditions can mimic it. To confirm the diagnosis, see a healthcare professional. They’ll perform a visual examination, checking for telltale signs like red, scaly patches.

Should it be unclear, they may take skin scrapings to spot the fungal infection under a microscope. Be ready to describe your symptoms in detail—itchiness, how long it’s lasted, or whether it’s spread. Mention any household pets with similar rashes, since ringworm often spreads from animals.

Eczema or psoriasis can look alike, so an accurate diagnosis matters. Don’t self-treat without understanding—wrong creams could worsen it. Your provider’s expertise guarantees you tackle the right issue, saving time and frustration.

Trust their process—it’s the initial step to healing.

Use Prescription-Strength Antifungal Medications

Once your healthcare provider confirms ringworm, they could suggest stronger treatment options should over-the-counter remedies haven’t worked.

Prescription-strength antifungal medications like ketoconazole or itraconazole can tackle persistent ringworm more effectively. Topical treatments like ketoconazole cream or gel are applied daily, while severe cases could need oral medication such as itraconazole, which often clears infections within a week. ( Ask your doctor first about it )

Should your ringworm be widespread or keeps coming back, fluconazole could also be an option, taken just once weekly. For stubborn cases, especially in case you’re immunocompromised, longer treatment might be necessary.

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Always follow your doctor’s instructions closely to avoid reinfection. These medications work by attacking the fungus deeply, so stick with the full course even though symptoms improve soon.

Maintain Proper Hygiene and Skin Care

Wash the affected area daily with soap and water, and make sure you dry it completely to stop the fungus from thriving.

Change your clothes and towels often, and don’t share personal items like hats or brushes to avoid spreading the infection.

Wear loose, breathable fabrics to keep your skin dry and reduce irritation.

Keep Skin Clean

Since ringworm thrives in warm, damp places, keeping your skin clean and dry is one of the best ways to fight it.

Wash the affected area with mild soap and water daily to remove moisture and fungi. Always wash your hands after touching the infection to prevent re-infection or spreading it.

Shower promptly after sweating or workouts, since damp skin invites fungus. Use antifungal treatment as directed, but don’t skip basic hygiene—it’s your primary defense.

Change clothes and bedding often, especially if they’re damp, and wash them in hot water. Avoid sharing towels or personal items, as the fungus spreads easily.

Keeping the affected area clean and dry helps your treatment work faster. With good habits, you’ll speed up healing and stop the itch for good.

Dry Affected Areas

Because ringworm spreads easily in moisture, drying the affected areas thoroughly is just as essential as keeping them clean.

After washing with soap and water, pat your skin dry with a clean towel—don’t rub, as this can irritate the infection. Avoid moist environments by changing damp clothes or socks right away, especially in case you sweat a lot.

Use antifungal powder or sprays to help absorb excess moisture and boost the effects of antifungal creams. Wash bedding frequently in hot water to prevent spread, and don’t share towels or clothing.

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Should over-the-counter treatments fail, a prescription antifungal may be needed. Stay mindful of skin folds and between toes—these spots trap moisture, making healing harder.

Keeping the area dry speeds up recovery and stops reinfection.

Apply Antifungal Powders to Affected Areas

Keeping ringworm at bay starts with keeping your skin dry—and antifungal powders can help. These powders, like clotrimazole or miconazole, fight the fungus while absorbing moisture, which stops it from spreading.

Before applying, make sure the infected area is clean and dry. Gently dab the powder twice daily, covering the rash and a bit beyond it to prevent reinfection. Don’t stop once symptoms fade—keep using it for a few extra days to fully clear the ringworm.

Since sweat worsens the issue, powders work great in skin folds or areas prone to dampness. For stubborn cases, pair them with creams for an all-encompassing treatment. Just keep in mind, consistency is key to kicking ringworm for good.

Change Clothing and Bedding Regularly

You can stop ringworm from sticking around by washing infected fabrics daily and using hot water for laundry.

This kills the fungus and prevents it from spreading to other clothes or bedding.

Make sure you’re consistent—missing a wash could delay your recovery.

Wash Infected Fabrics Daily

Since ringworm spores cling to fabrics, washing clothes, bedding, and towels thoroughly is a must to stop the cycle of reinfection.

To eliminate infection, wash infected fabrics daily in hot water—this kills stubborn fungal spores hiding in fibers. Don’t forget to dry fabrics on high heat, as the heat helps finish the job.

Change clothing and bedding often, especially when they touch the rash, to avoid spreading spores back to your skin. Keep infected items separate from clean laundry to prevent cross-contamination.

Should you share a bed, wash your sheets more frequently to protect others. Stick with this routine until the infection clears, because skipping a day could let the fungus linger.

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Consistency is key to breaking free from reinfection.

Use Hot Water for Laundry

Hot water makes a big difference while tackling ringworm—it stops spores from sticking around and reinfecting you.

Wash clothes, bedding, and towels in water at least 130°F (54°C) to kill the fungi causing your skin infection. This simple step helps prevent the spread and keeps fungal growth in check. Change your clothes daily, especially after sweating, and switch out bedding every few days.

Should you be able to, add bleach to the wash for extra power, but skip it should your items aren’t color-safe. Dry everything completely—dampness invites more trouble. Don’t share personal items like towels or pajamas; reinfection happens easily.

Staying on top of laundry may feel like a chore, but it’s a small habit with big payoff.

Avoid Sharing Personal Items

Towels, combs, and even your favorite hat can turn into ringworm carriers whenever shared with others. This skin infection spreads easily through fungal spores lingering on personal items, so avoid sharing anything that touches infected areas. Good hygiene is key—sanitize items like hairbrushes, sports gear, and clothing to prevent spread. Should you live or work with others, remind them to use their own belongings until the infection clears.

ItemRisk LevelPrevention Tip
TowelsHighWash after each use
HairbrushesMediumSoak in bleach solution weekly
HatsHighAvoid sharing entirely
Gym EquipmentMediumWipe down before and after use
BeddingLowChange weekly, wash in hot water

Stick to your own stuff, and you’ll protect yourself and others.

Monitor for Secondary Infections and Complications

While ringworm itself isn’t usually dangerous, ignoring it or scratching too much can lead to bigger problems.

Keep an eye on the rash for signs of secondary infections, like increased redness, swelling, or pus. Should bacteria sneak in through broken skin, you could need antibiotic treatment to clear it up. Scratching too hard can make things worse, so resist the urge—itch creams can help.

People with weaker immune systems should be extra careful, as they’re more likely to face complications like painful, swollen lesions called kerions.

Should the area feel hot, look angrier, or won’t heal, see a doctor. Prompt action saves you from nastier skin infections.

Stay vigilant, and don’t let a simple ringworm turn into a bigger headache.

John Harvey
John Harvey

John Harvey, M.D., M.P.H., is an Internal Medicine physician and professor of public health. His work focuses on improving healthcare quality and cost efficiency through policy-driven research. He holds both a Doctor of Medicine and a Master of Public Health, and completed advanced fellowship training in health policy and healthcare delivery.