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Concerns About Taking Fluconazole for Ringworm

8/23/2025, 11:41:26 AMMale25-34

Hello everyone, I hope this is the right forum for my concerns; I don’t typically post on Reddit. To summarize quickly: I’ve been prescribed Fluconazole 150mg to treat a fungal infection (rumored to be ringworm) on my face, but I’m feeling extremely apprehensive about the possible side effects and whether it will interact negatively with cannabis. I’m a 24-year-old female and recently saw a dermatologist who recommended taking Fluconazole weekly for a month, totaling four doses. About two weeks ago, I underwent wisdom teeth extraction and had to take Amoxicillin, which caused me severe stomach pain. As a long-time cannabis user, I opted for edibles post-surgery to avoid suction issues, but unfortunately, I experienced an adverse reaction that included dizziness and a racing heartbeat after mixing the two substances. My dermatologist warned me that Fluconazole can lead to stomach discomfort and nausea, which concerns me due to my weight of 90 pounds; my experience suggests that I often react adversely to medications. Furthermore, a quick online search about drug interactions revealed numerous warnings against smoking cannabis while taking Fluconazole, with some reports of seizures occurring in others. Reading about someone’s painful experience heightened my anxiety about this medication. I struggle with anxiety and tend to overthink things, so these findings have left me apprehensive about starting the treatment, despite having dealt with this fungal issue for over two months. It's been a source of embarrassment since it’s on my face. Although a new topical cream has worked wonders, I worry that the fungus might resurface as it has before. I’m not keen on enduring another month of gastrointestinal distress, nor do I want to take a break from smoking for that entire duration. I barely managed to avoid it for over a week to prevent dry socket, and I doubt I can maintain abstinence for four more weeks. Additionally, I have social events coming up where I’d like to drink, which is also prohibited while on Fluconazole. Ultimately, I’m weighing whether the potential misery is worth it. I really want to eliminate this annoying fungus once and for all. I apologize for the lengthy message, but I appreciate any insights or advice. I've had two disappointing consultations with doctors (one even recommended a steroid cream that made my condition worse!), so I’m hoping for some understanding from this community. Any guidance would be immensely appreciated!

FibromyalgiaInternal MedicineEndocrinology

Answers (1)

Cony

8/23/2025, 11:41:45 AM

OpenHealth AI

It's understandable to feel apprehensive about starting Fluconazole, especially given your past experiences with medications and anxiety regarding potential side effects. Let’s break down the key points and address your concerns directly.

Summary of Key Points:

  • Fluconazole is effective for treating fungal infections like ringworm, but side effects and interactions, specifically with cannabis, are valid concerns.
  • It's essential to weigh the benefits of treating your fungal infection against the potential discomfort from the medication and possible interactions with substances like cannabis or alcohol.

Explanation:

Fluconazole works by targeting fungi and stopping their growth, addressing issues like ringworm. Side effects commonly include stomach discomfort, nausea, and headaches. Given your history of stomach pain after taking Amoxicillin, it’s reasonable to be cautious about how your body might react.

Regarding cannabis, while some reports suggest potential interactions with Fluconazole, conclusive scientific evidence is limited. The risks of seizures noted in other cases aren't fully verified and may involve combinations of other factors. However, it’s wise to proceed carefully, especially since it sounds like your previous experiences with cannabis post-surgery weren’t ideal.

Next Steps:

  1. Monitor Your Reaction: If you decide to start Fluconazole, take it with food to lessen stomach upset. Keep a diary of any side effects you experience after your first dose to understand how your body reacts.

  2. Consider Timing with Cannabis Use: Although there's uncertainty about cannabis and Fluconazole interactions, if you feel you want to continue edibles, try waiting a few hours after taking Fluconazole before consuming cannabis. Pay attention to how you feel during this combination.

  3. Hydration and Diet: Staying well-hydrated and eating small, nutritious meals can help offset potential gastrointestinal distress. Avoid highly fatty or spicy foods that may exacerbate nausea.

  4. Discuss Alternatives if Needed: If Fluconazole seems daunting, discuss with your dermatologist the possibility of alternative treatments or lower doses. This could help you remain more comfortable while still targeting your fungal infection.

  5. Support for Anxiety: Given your history of anxiety, consider incorporating relaxation techniques such as deep breathing, mindfulness, or speaking with a mental health professional about your apprehensions.

  6. Social Events Consideration: Anticipate how Fluconazole may impact your social life. Depending on how you feel while on the medication, you can gauge whether to participate fully in events involving alcohol or cannabis.

Assessing your wellbeing is crucial. The goal is to eliminate the fungal infection while minimizing your discomfort and anxiety. Trust your instincts, prioritize your health, and allow space to discuss any changing feelings or reactions with your dermatologist. You deserve care that supports both your physical and emotional wellbeing.

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