How to treat tinea versicolor

The condition involves an overgrowth of a yeast that lives on the skin surface. Treatment reduces that overgrowth; it does not instantly recolour the skin. Fine scale and itch may settle first, while lighter or darker areas gradually become less noticeable. Similar-looking changes can come from eczema, contact irritation, or other pigment conditions, so an assessment matters when the diagnosis is not clear.

For limited areas, a topical antifungal may be applied as directed. A medicated shampoo can sometimes be used over broader skin areas, with careful attention to contact time and washing instructions. Oral antifungal treatment may be considered by a clinician when topical care is unsuitable or the condition is extensive or recurrent. Do not share prescription medicines or apply strong products to sensitive skin without advice. See [Topical Antifungal Treatment](/treatments/medical-dermatology/topical-antifungal-therapy/) and [Oral Antifungal Treatment](/treatments/medical-dermatology/oral-antifungal-therapy/) for related options.

Book a review if there is no improvement after the recommended course, if the rash repeatedly returns, or if the diagnosis remains uncertain. Seek prompt care for pain, pus, fever, rapidly spreading redness, facial or eye involvement, or a strong reaction to a product. Recurrent episodes may need a prevention plan tailored to heat, sweating, and your skin.

Which antifungal fits the site and extent of my patches? Should I use a cream or a medicated shampoo? When should scale improve, and how will we tell active yeast from residual pigment?