Skin & Antifungals treatments
Explore information about Skin & Antifungals. An independent doctor decides whether a prescription is appropriate. Dispensing and delivery depend on a valid prescription, the available route and an independent licensed pharmacy.
Choose a treatment to review
Pricing is indicative where shown. Final route, fulfilment, and whether treatment is clinically appropriate remain subject to independent doctor review. Check platform, independent doctor, pharmacy and delivery charges before payment. A listed medicine amount is not a complete route quotation.
Canesten Gyno (Clotrimazole)
Learn about Canesten Gyno (Clotrimazole) for vaginal yeast infections. Dosage, side effects, alternatives. Independent medical assessment required.
Diflucan (Fluconazole)
Diflucan (Fluconazole) for thrush: dosage, side effects, and alternatives. Independent medical assessment required.
Nystan (Nystatin)
Nystan (Nystatin) for thrush and fungal infections: dosage, side effects, and alternatives. Independent medical assessment required.
Terbinafine
Learn about Terbinafine for nail and skin fungal infections. Dosage, side effects, alternatives. Independent medical assessment required.
About skin and antifungal treatments
Superficial fungal infections — affecting the skin, nails, and scalp — are among the most common dermatological conditions seen in European primary care. Onychomycosis (fungal nail infection) alone affects an estimated 5–10% of adults, with prevalence rising significantly with age. Tinea pedis (athlete’s foot), tinea corporis (ringworm), and tinea cruris (jock itch) are seen across all age groups.
Most superficial infections are caused by dermatophyte fungi (Trichophyton, Microsporum, Epidermophyton) or, less commonly, by yeast species such as Candida. Treatment selection depends on the location, extent, and species involved: topical agents are first-line for localised skin infections; oral agents are reserved for nail involvement, widespread skin involvement, or treatment-resistant cases.
The main antifungal drug classes used in primary care are allylamines (terbinafine), azoles (fluconazole, clotrimazole, itraconazole), and polyenes (nystatin). These classes act on fungal cell membranes through different mechanisms, which affect both efficacy and side effects. Terbinafine is used for dermatophyte nail infections. Systemic Candida infections require specialist assessment; fluconazole is not the preferred initial treatment for every patient.
All oral antifungal treatment decisions must be made by a qualified, independent doctor following a thorough assessment of relevant medical history including liver function, current medications, and pregnancy status.
Prescrivia is a technology intermediary. It does not provide medical services, prescribe, employ doctors, or sell or dispense medicines. Licensed pharmacies are responsible for dispensing. An assessment does not guarantee a prescription.
Availability, dispensing and delivery depend on the country, clinical assessment, pharmacy and applicable law. A Spanish-language page does not establish eligibility for supply in Spain.
Frequently asked questions
- What conditions are covered under skin and antifungal treatments?
- This category covers fungal infections of the nails (onychomycosis), athlete's foot (tinea pedis), ringworm (tinea corporis), jock itch (tinea cruris), and superficial yeast infections of the skin. Vaginal candidiasis is also covered where oral or topical antifungals are clinically appropriate.
- Are antifungal treatments available without a prescription in Europe?
- Some topical antifungals are available over-the-counter for short courses, but oral antifungals such as terbinafine and fluconazole are prescription-only across EU member states because of liver-function and drug-interaction considerations. An independent doctor reviews each assessment to determine whether oral treatment is appropriate.
- How long does antifungal treatment typically take?
- Course length depends on the infection. Topical creams for skin infections often run 1–2 weeks; oral terbinafine for fingernail onychomycosis runs 6 weeks; toenail onychomycosis typically requires 12 weeks of oral treatment, with full nail clearance taking several additional months as the healthy nail grows out.
- When should I see a doctor in person rather than use an online assessment?
- If the affected area is rapidly spreading, painful, ulcerated, weeping, or accompanied by fever, in-person evaluation is required. Patients with diabetes, immunosuppression, or known liver disease should also be evaluated in person before any oral antifungal is started.
Intermediary notice: Prescrivia connects patients with independent doctors and licensed pharmacies. We do not provide medical advice, employ doctors, or sell medicines. All medical decisions are made by independent healthcare professionals, and prescription-only medicines require a valid prescription. Treatment is not guaranteed — whether a prescription is issued depends on an independent doctor's clinical assessment.
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Prescrivia is not a doctor or pharmacy — it is a technology platform. Any prescription decision is made by an independent doctor; medicines are dispensed by licensed pharmacies only where available.