An excellent alternative is a generic topical ointment combining an antibiotic and a corticosteroid. You can ask your pharmacist for a formulation containing an antibiotic like neomycin or framycetin, paired with a mild-to-moderate corticosteroid like betamethasone or dexamethasone. This combination will effectively target bacterial infection while reducing redness and itching on your back, shoulders, and chest. Please do not worry, as these generic alternatives are highly effective and widely available. I recommend consulting your doctor or pharmacist to choose the exact strength and formulation best suited for your skin.