Banishing the Bacteria: Effective Treatments for Erythrasma
Published: Sep 18, 2024
Erythrasma might be stubborn, but it's not invincible. From creams to pills, there are several ways to kick this bacterial infection to the curb.
Contents
Topical Treatments: The First Line of Defense
For most cases of erythrasma, topical antibiotics are the go-to treatment. Creams or gels containing clindamycin or erythromycin are usually applied twice daily for about two weeks. These work by directly attacking the bacteria on your skin.
When Creams Aren't Enough: Oral Antibiotics
For more extensive cases or when topical treatments aren't cutting it, doctors might prescribe oral antibiotics. A single dose of clarithromycin or a two-week course of erythromycin are common choices. These medications work from the inside out to clear the infection.

Alternative Approaches
Some studies suggest that antifungal creams might also be effective against erythrasma. In rare cases, doctors might consider photodynamic therapy, which uses light to activate bacteria-killing compounds naturally present in the skin.
Preventing Recurrence
After treatment, keeping the affected areas dry and using antiperspirants can help prevent erythrasma from coming back. Some doctors recommend using antibacterial soaps as a preventive measure for those prone to recurrent infections.
Frequently Asked Questions
Typically 2-3 weeks for topical treatments.
Topical treatments rarely cause side effects; oral antibiotics may cause stomach upset.
It's unlikely; treatment is usually necessary for clearance.
Your doctor might switch to a different antibiotic or treatment approach.
The Road to Clear Skin
With the right treatment and preventive measures, you can say goodbye to erythrasma and hello to healthier skin.
References
- Avci O, et al. J Dermatolog Treat 2013; 24:70.
- Holdiness MR. Drugs 2002; 62:1131.
- Darras-Vercambre S, et al. Photodermatol Photoimmunol Photomed 2006; 22:153.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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