Q: I am a 42 years old man having fungal infection between the toes for the last 4 years. I have tried both allopathic and homeopathic treatments but got only temporary relief. How can it be treated?

A:You are suffering from Tinea pedis. Tinea pedis affects all ages but is more common in adults than in children. The fungal spores can persist for months or years in bathrooms, changing rooms and swimming pools. Walking bare foot on a communal floor or sharing a towel can result in infection. Some people are particularly prone to troublesome tinea pedis. This may be because:

• They are more exposed to the spores at home or during recreational activities.
• Their skin produces less fatty acid (a natural antifungal agent).
• They wear occlusive footwear.
• They wear the same pair of socks or shoes for long periods.
• They sweat excessively.
• They have some form of immune deficiency e.g. medication such as azathioprine, or infection with HIV.
• They have poor circulation resulting in cold feet e.g. due to lymphoedema.

• Nizral cream
• Tab.Fluconazole 150 mg one tab/week.