Minor ailments

Jock itch (tinea cruris)

Clinical basis & sources

Sources used

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Allowable drugs under Schedule 4 (7)

Drugs an Ontario pharmacist may prescribe for Jock itch (tinea cruris) under O. Reg. 256/24, Schedule 4. Choice still depends on the assessment, contraindications, allergies, and product availability — this is the eligible list, not a recommendation.

  • Ciclopirox
  • Clotrimazole
  • Ketoconazole
  • Miconazole
  • Terbinafine
  • Tolnaftate
  • Undecylenic acid

Symptoms this assessment screens

  • Itching in the groin / inner-thigh folds
  • Red, ring-shaped rash with a raised scaly edge
  • Worse with heat, sweat, or tight clothing

Red flags — any positive means refer

  • Weeping, pustular, or rapidly spreading rash
  • Scalp or nail involvement
  • Immunocompromised or poorly controlled diabetes
  • No improvement after 2 weeks of OTC antifungal

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