Treatment of Ringworm Under the Axilla

First-Line Treatment Options

• Clotrimazole 1% cream applied twice daily for 2-4 weeks is an effective alternative for patients with ringworm under the axilla, according to the Infectious Diseases Society of America 1
• Miconazole 2% cream applied twice daily for 2-4 weeks is another effective option for treating ringworm under the axilla, with evidence from Clinical Infectious Diseases 1, 2

Alternative Treatment Options

• Oral fluconazole 150-200 mg weekly for 2-4 weeks may be considered for extensive or resistant cases of ringworm under the axilla, as recommended by the Infectious Diseases Society of America 3, 4

Monitoring and Follow-up

• If no improvement after 2 weeks of appropriate therapy, switching to a different class of antifungal agent may be necessary, according to the Infectious Diseases Society of America 3