Ongoing foot fungus

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Ongoing foot fungus,[link widoczny dla zalogowanych]
My son (13 y/o) has had athletes feet since the beginning of summer,[link widoczny dla zalogowanych], perhaps earlier than that. He was first treated with lamisil cream which helped a bit at first,[link widoczny dla zalogowanych], but then came back. So we went back and he was put on oral meds and the cream (about 2 months worth of both). He takes the pill every morning,[link widoczny dla zalogowanych], but his feet just won't heal. They are cracked,[link widoczny dla zalogowanych], itchy and sometimes bleed. His feet don't smell and he takes his shoes and socks off when he's home to give them some air. The doctor took a skin sample and verified fungus. What else is there to do?
Thank you for your reply. To answer your questions,[link widoczny dla zalogowanych], my son is taking Terbinafine (Lamisil) 250 mg once a day for 3 months. We are near completing our second month and have 1 more to go. We currently live in northern Italy with a pretty mild climate,[link widoczny dla zalogowanych], humidity is not high here. Perhaps the Guamanian air will do his feet some good.
Tinea pedis tends to be chronic,[link widoczny dla zalogowanych], with exacerbations in hot,[link widoczny dla zalogowanych], humid weather. Other predisposing factors are occlusive footwear and excessive sweating. The combination of topical and oral terbinafine prescribed by your doctor is very effective when there is failure of topical treatment alone. Two to six weeks treatment with the oral preparation is adequate. Without secondary prophylaxis however,[link widoczny dla zalogowanych], recurrence is the rule. Use of shower shoes while bathing at home or in public showering facilities
2,[link widoczny dla zalogowanych]. Washing feet with benzoyl peroxide after shower,[link widoczny dla zalogowanych].
In this response,[link widoczny dla zalogowanych], I have assumed that the condition you described as athlete's feet is the interdigital type of tinea pedis (affecting only the spaces between the toes). If it is the moccasin type (affecting the toe web spaces and plantar aspect of the feet),[link widoczny dla zalogowanych], it is the most difficult to eradicate because many affected persons have a minor defect in cell-mediated immune response.
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