instruction: hi doctor I have a fungal infection for years now I believe I have been trying to treat it back and forth since the medicines being prescribed are so expensive every time I see my skin healed I stop the medication the fungal infection I first had was ringworm recently my infection started acting up again then I did the same routine taking medication and putting cream but this time my doctor told me to use vinegar instead cause my skin was not healing well and instead make it worst but this time I plan on finishing the medication so that I will finally be gone for good the couple of weeks I have my skin treated well and it was healing just right until this quarantine happened my skin was still good the first week of the quarantine then the second week my grandma showed me some vitamin that I believe would be good since it is just vitamin but after a few days my skin started showing some bumps in arms also feet they are very small bumps but also so itchy I am still taking the same medicine prescribed to but why did bumps like this start showing up was this done by the vitamin while I was taking medications why was my skin healing when there was still school before and now is not healing properly and is looking a lot worse I am honestly so insecure about my skin now I hope you can help me since I cannot go out and go to a near hospital the medicine I am currently taking is itraconazole the cream I used to use clotrimazole to now just pure vinegar I drink apple cider every morning use a sulfur soap these are all prescribed by my doctor
output: hi fungal infections are very difficult to treat and your case is resistant fungal infection in such cases I give itraconazole as last resort only some patient respond to itraconazole some patient respond to terbinafine and in some both have to be given take ketoconazole bath soap wash your clothes undergarments especially daily dry them in sun wear clothes after drying the body only after drying your body properly avoid sweating and moist conditions keep your room dry and well ventilated do not wear much clothes during the night so that is sweating may promote the growth of fungus keep your body clean the bumps are actually bacterial infection not fungal do not use any over the counter steroid in ever they also increase fungal infection follow the following treatment given below and revert me back after three weeks take tablet terbinaforce 250 my twice daily after meals for three weeks terbinafine cream twice daily for three weeks tablet citizen once daily for itch tablet medicine 200 my twice daily for five days review after three weeks