A well-done study showed sertraline to be effective in reducing tinnitus severity as well as loudness among people with severe, refractory tinnitus. for writing, as I was unaware that sertraline had been useful against tinnitus. I have never been depressed in my life, but I am happy to be rid of the tinnitus. The literature provided with the pills said sertraline is for depression. Sometimes the tinnitus returns for short periods, but it soon disappears. The pill worked for me, reducing noise by 70% at first. Ten years ago, my doctor prescribed sertraline. I am 91 years old and suffered from tinnitus for years, but as I write this I hear no noises. Roach: I read your recent column on tinnitus. Oral antifungal medicines can rarely cause liver damage.ĭear Dr. I would not consider oral medicines unless the diagnosis was certain and if no topical treatments were working. Occasionally, people need an oral medication like terbinafine or fluconazole to treat this. Resistance to ketoconazole is possible, so you could try a different type of antifungal cream. Topical antihistamines and a pair of cotton gloves at night can help. Stopping scratching is critical, but steroid cream (cortisone) can sometimes make treatment of the underlying fungus less effective. Constant scratching can worsen itching and lead to bacterial infection. However, if the diagnosis is correct, it sounds like the scratching may be a big part of the problem. I would consider doing a diagnostic laboratory test, such as a fungal preparation, or refer you to a dermatologist. Jock itch is a fungal infection caused by tinea cruris, but it can be confused for other conditions - for example, inverse psoriasis, seborrheic dermatitis, erythrasma or a different fungal infection, Candida, among other possibilities. In general, when a treatment isn’t working, the first thing to re-evaluate is whether your diagnosis is correct. Is there any advice that you can offer to help me? My doctor prescribed generic Claritin (loratadine) and I use a cortisone cream to reduce the itching, but these effect no cure. In addition to the ketoconazole I’ve been prescribed, I have tried several over-the-counter sprays and ointments, to no avail. The resulting scratching leaves my groin area and thighs abraded and oftentimes bleeding. Roach: I have been suffering for some time with jock itch.
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