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February 10, 2012

Jock Itch (cont.)

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How do I treat bacterial jock itch?

Mild bacterial jock itch may be treated with:

  • antibacterial skin washes like Lever 2000 soap or chlorhexidine (Hibiclens) soap twice daily.

Moderate bacterial jock itch may be treated with:

  • antibacterial skin washes like chlorhexidine soap twice daily and


  • twice-daily application of a topical antibiotic like clindamycin lotion or metronidazole (Flagyl) lotion.

Severe bacterial jock itch may be treated with:

  • antibacterial skin washes like chlorhexidine soap twice daily,


  • twice-daily application of a topical antibiotic like clindamycin lotion or metronidazole lotion, and


  • a five- to 14-day course of an oral antibiotic like cephalexin (Keflex), dicloxacillin, doxycyline, minocycline (Dynacin, Minocin), tetracycline (Sumycin), ciprofloxacin (Cipro, Cipro XR, Proquin XR), or levofloxacin (Levaquin) for more resistant situations.

How is itching from jock itch treated?

Inflammatory itching from jock itch can be treated with a short course of one of the following:

  • Use a short five- to seven-day course of a mild to medium potency, topical steroid cream like prescription triamcinolone 0.025% once or twice a day for inflamed or itchy areas.


  • Use a short five- to seven-day course of a mild over-the-counter topical steroid cream like hydrocortisone (Cortaid) one to three times a day for itching.


  • Use a topical immunomodulator such as pimecrolimus (Elidel) cream or tacrolimus (Protopic) ointment twice a day. Although these creams are approved for atopic dermatitis and eczema, their use would be considered "off label" (non-FDA labeled use) for jock itch.

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