A fungal infection that keeps coming back even after taking itraconazole is often due to incomplete treatment, reinfection, or use of steroid-mixed creams like Dermikem OC Plus, which suppress symptoms but do not cure the fungus and can make it more resistant. The best long-term approach is to stop such combination creams and use a proper antifungal cream (such as terbinafine, luliconazole, or ketoconazole) regularly for several weeks and continue for 1-2 weeks after the skin looks normal, along with a full, adequate course of oral antifungal tablets as prescribed by a dermatologist. It is also very important to follow strict hygiene; keep the area dry, wear loose cotton clothes, change undergarments daily, wash clothes in hot water, and avoid sharing towels. Family members may also need treatment if infected. Do not stop medicines early, as this leads to recurrence. Since your infection has lasted for a year, consult a dermatologist for proper evaluation and a complete treatment plan to prevent further relapse.

Recurrent groin rashes that improve only briefly with Dermikem OC Plus are likely due to a fungal infection worsened by steroid-containing creams, which should be stopped, as they give temporary relief but cause recurrence. Instead, use a plain antifungal cream such as terbinafine, luliconazole, or ketoconazole regularly for 3-4 weeks and continue for 1-2 weeks after the rash clears, while keeping the area clean, dry, and using loose cotton clothing to prevent moisture buildup. Since the problem keeps coming back, you may also need oral antifungal medication prescribed by a dermatologist for a complete cure. For your scalp dryness with flakes and hair fall, this may be severe dandruff or seborrheic dermatitis; continue an antifungal shampoo, but use it correctly (leave it on the scalp for 5-10 minutes before washing) and consider adding a mild medicated lotion if prescribed. Avoid oiling excessively, harsh shampoos, and scratching. Because both issues are persistent, it is best to consult a dermatologist for a combined, long-term treatment plan.

Using Dermikem OC Plus cream for dark spots is not appropriate, as it contains a strong steroid combined with other medicines that can temporarily lighten the skin but may worsen pigmentation, cause acne, and damage the skin if used on the face for long periods. A safer and more effective approach is to use a gentle face wash, apply sunscreen daily to prevent further darkening, and use targeted treatments like vitamin C, niacinamide, azelaic acid, or a mild retinoid to gradually reduce dark spots. Avoid using steroid-containing creams without medical advice, and do not pick or irritate the skin. If the pigmentation is persistent or worsening, it is best to consult a dermatologist for proper evaluation and treatment.

Dermikem OC Plus is not suitable for acne, as it contains a strong steroid that may give temporary improvement but can worsen acne and damage the skin over time, so it is good that you are not continuing it. For long-term control of acne, use a gentle face wash twice daily, apply a treatment like adapalene (a retinoid) or benzoyl peroxide at night to prevent new pimples, and use a light, non-comedogenic moisturiser and daily sunscreen to protect your skin and reduce marks. Avoid picking or squeezing pimples, as this can cause scars. Since you have had acne for many years, you may need stronger treatments such as oral medications (like antibiotics or isotretinoin) prescribed by a dermatologist, depending on severity. A consistent routine and proper medical guidance will give the best and safest results.

Ringworm that lasts for months and improves only temporarily with creams like Dermikem OC Plus is usually due to steroid-containing combinations, which suppress the rash but allow the fungal infection to persist and spread. The correct treatment is to stop such creams and start a proper antifungal cream (such as clotrimazole, ketoconazole, or terbinafine) applied twice daily for at least 3-4 weeks and continued for 1-2 weeks after the skin looks normal. Keep the affected area clean and dry, wear loose cotton clothes, avoid sharing towels, and wash clothes regularly to prevent reinfection. Since your infection has been present for 6 months, you will likely need oral antifungal tablets prescribed by a dermatologist to clear it completely. Following the full treatment course and hygiene measures is essential to prevent recurrence.