Doctor insights on:
Naftin Allergy Drugs
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
Nizoral (ketoconazole): Nizoral has a broader spectrum of antifungal coverage than naftin (naftifine). Naftin (naftifine) indicated for trichophyton fungal infections (athlete's foot, jock rash) whereas Nizoral also covers candida (yeast) fungal infections which is commonly associated with balanitis. ...Read more
I have this terrible itch on my balls & been prescribed fluconazole 150mg 6 months ago & now naftin (naftifine) for the past month. Nothing helps. Itches nonstop!
Itchy scrotum: Did the dermatologist do a skin scraping or a biopsy? Maybe you need a scrotal ultrasound. And it looks like you have an IgA deficiency so are they making sure it isn't an infection? If nothing else buy some Benadryl (diphenhydramine) cream and 1% Hydrocortisone cream...Mix together...And apply three to four times daily. ...Read more
Big toenails removed. Dr prescribed naftin (naftifine) 2% 45g for 8 months on the nail bed. That seems way too long. Box says 2 weeks. Thoughts?
Mycotic nails: Actually 8 months of therapy for a fungus nail involving the great toes is not a long time since it takes about a year for the nail to completely regrow. Topical treatments however have limited benefit. Oral antifungals like Lamisil (terbinafine) have produced better outcomes. Current literature supports pulse dosing over the course of a year. ...Read moreSee 1 more doctor answer
No: Most topicals do not work well on nail fungus. There are a few that are specifically for nail fungus, but even these don't work as often as anyone would like. If you try a topical, it is important to use as often as suggested and keep the nail trimmed as short and thin as possible to give the medicine a chance to work. It may take the nail 6 months to grow out. Dr l. ...Read moreSee 1 more doctor answer
For nail fungus in one toe which has lost nail, my dr prescribed naftin (naftifine). everything I read says topicals don't work. should I ask for oral med?
Not yet.: I think it is best to start with a topical as they can work, if not then the oral meds are the next step. Those meds can have lots of side effects, so be sure to discuss those with your physician if you do need to start the oral anti fungal medication. ...Read moreSee 1 more doctor answer
Great question!: We don't know "why" people develop drug allergies, as there are many potential causes. Frequent exposure or prolonged use is one trigger - and this is seen with certain types of chemotherapy. Many factors, including genetic risks, other medications, and propensity for allergy probably play a role as well. ...Read more
#1:STOP DRUG FIRST: Stop the drug immediately and consider benadryl (diphenhydramine). Observe for symptoms of airway difficulty: lip or tongue swelling which should prompt you to call 911 if this should occur. Consider a medalert bracelet identifying the allergy or seeking an allergist for desensitization. ...Read moreSee 1 more doctor answer
Epinephrine: For severe shellfish allergy, only injectable Epinephrine for reactions is a reliable treatment. Some people with very mild allergies can use antihistamines alone, but everyone should have Epinephrine available. Unfortunately, there are no drugs that will prevent or resolve a food allergy so you can eat the food without risk, although this is an active area of research. ...Read moreSee 1 more doctor answer
Subtle: hives can occur as part of an allergy syndrome. people with chronic hives or who have an inborn low threshold for hives have difficulty differentiating simple hives from drug allergy. If the drug reaction is IgE-mediated, or occurs via a similar pathway without IgE, then one would expect additional symptoms other than hives (breathing problem, dizzy, nausea, swelling, headache, etc) ...Read more
What is the context: Depends on what you are looking for. No simple test. There are specific tests for certain things (penicillin). There are a few tests done to determine if an individual can tolerate a certain med (G6PD). Mostly, though, it comes down to trial of a med and knowledge of what to look for. For example if you get a cough with ACE inhib (lisinopril) your DR will change you to ARB (valsartan) ...Read more
Can't test for drugs: Penicillin is the only antibiotic that can be reliably skin tested. There are only a few other drugs for which skin testing has been shown to be reliable. By taking a detailed history, an allergist can often reliably determine if a person has experienced an allergic reaction to a particular drug. ...Read more