Skin creams, lotions, or shampoo
|clotrimazole/betamethasone (an azole cream with corticosteroid)
Pills or liquid (oral)
Azoles are a class of antifungals used to treat
Clotrimazole/betamethasone (Lotrisone), a combination antifungal
corticosteroid, is sometimes used to treat ringworm
that is burning, itchy, and inflamed. Use this prescription medicine with
caution, because complications can arise with long-term use of
How It Works
Azoles inhibit the growth of fungi.
Why It Is Used
Azoles are used to treat ringworm.
For ringworm of the skin, creams are usually
used first. You can get some azole creams, such as Micatin, without a prescription. If an antifungal cream does not clear up the
infection or if the infection is severe and widespread, then your doctor may
prescribe antifungal pills.
For ringworm of the scalp and beard, azole pills and ketoconazole shampoo may be used.
How Well It Works
Azoles are effective for treatment of ringworm.
For better absorption into the body, take azole pills with cola or
All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.
Here are some important things to think about:
- Usually the benefits of the medicine are more important than any minor side effects.
- Side effects may go away after you take the medicine for a while.
- If side effects still bother you and you wonder if you should keep taking the medicine, call your doctor. He or she may be able to lower your dose or change your medicine. Do not suddenly quit taking your medicine unless your doctor tells you to.
Call911or other emergency services right away if you have:
- Trouble breathing.
- Swelling of your face, lips, tongue, or throat.
Creams, lotions, or shampoo
Side effects are rare when you use azole creams to treat ringworm
of the skin. But some people have noticed mild stinging.
Call your doctor right away if you have:
- Hives, or red, swollen, blistered, or peeling skin.
- Burning, numbness, or tingling.
- Fever, chills, or a sore throat that won't go away.
- Irregular heartbeat.
- Yellowing of your eyes or skin.
- Dark urine or pale stools.
Common side effects of this medicine include:
- Changes in taste.
- Dizziness or headaches.
upset or belly pain.
- Nausea or vomiting.
See Drug Reference for a full list of side effects. (Drug Reference
is not available in all systems.)
What To Think About
People taking antifungal pills may have their blood counts and
liver and kidney function monitored during treatment to watch for any bad side
effects. This may not be needed in healthy children.
Do not drink alcohol
while taking azole pills, because this may increase the risk of liver
Azole pills should not be taken with some other medicines.
Let your doctor know what other medicines you are taking.
Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health (and perhaps your life) at risk.
There are many reasons why people have trouble taking their medicine. But in most cases, there is something you can do. For suggestions on how to work around common problems, see the topic Taking Medicines as Prescribed.
Advice for women
Do not use this medicine if you are pregnant, breast-feeding, or planning to get pregnant. If you need to use this medicine, talk to your doctor about how you can prevent pregnancy.
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 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.
Complete the new medication information form (PDF)(What is a PDF document?) to help you understand this medication.
Primary Medical Reviewer
||Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer
||John Pope, MD - Pediatrics
Current as of
||March 12, 2014