Using oral antifungals for otomycosis for a month,but sometimes i am getting some pain in ear.sgpt level is 59,is it good to use in the long term.

Stop and see another: You fail to indicate the name of the antifungal(s) or dose. These details are important. Do you have some very important underlying disease causing systemic fungus or yeast problem???? If you are not ill except for something on or in your ear, seek another opinion. Is it a skin problem or inner ear??? These details mean everything. Diagnosis? Which med or meds? Dosing?

Long term- not!: depending on the type of anti fungal agent you use, your other comorbidities, and other meds used, you should be followed by your prescribing physician closely, and have your liver function tests followed closely. Extended anti fungal therapy is used rarely because of possible liver issues, side effects (eg. Neuropathy, hair thinning, others), and drug-drug interactions.

Unusal: The standard treatment of otomycosis in the US is the use of topical anti-fungal drops along with cleaning out any accumulated debris from the affected ear. It is unusual to need oral antifungals for localized disease. Long term use of antifungals is not recommended. If you are still experiencing ear pain, you should see an ear specialist (ENT) for evaluation. In the meantime, keep your ears dry.