It sounds like the Tenovate-M cream has not been effective for your fungal infection despite long-term use, which is concerning and needs careful evaluation.

🩺 Possible reasons for ineffectiveness

• Tenovate-M contains both a corticosteroid (Clobetasol) and an antifungal (Miconazole), but prolonged use of steroids can sometimes worsen fungal infections or mask symptoms, making treatment less effective.
• The fungal strain might be resistant to the antifungal component, or the diagnosis might need reassessment to confirm the infection type.
• Incorrect application or insufficient duration of antifungal treatment alone could also contribute to poor response.

⚠️ Risks of prolonged use

• Long-term use of steroid creams like Tenovate-M can cause skin thinning, discoloration, and increased susceptibility to infections.
• Steroids may suppress local immunity, potentially worsening fungal infections or causing side effects such as adrenal suppression if overused.
• Using this cream for years is not recommended due to these risks.

🩺 Recommended next steps

• Stop using the steroid-containing cream unless specifically advised by a doctor.
• Get a thorough skin evaluation, possibly including fungal culture or biopsy, to confirm the diagnosis and identify the exact fungus.
• Consider treatment with a dedicated antifungal medication prescribed by a dermatologist, which may include oral antifungals if topical treatment has failed.

🩺 Specialty referral

• It is important to consult a dermatologist who can reassess your condition, perform necessary tests, and tailor a safer, more effective treatment plan.
• Avoid self-medicating further with steroid creams without specialist guidance.

If you want, I can explain more about safer antifungal treatments or the risks of steroid misuse.