Hello doctor,I am looking to get a prescription for Clotrimazole-Betamethasone. I currently have one, but I am almost out. I have been dealing with anal yeast for around 10 years. Now it goes away with the cream but comes back when I run out. I do not wish to see any more doctors.
Hello. I presume that this recurrent anal yeast infection is candidiasis, and you have been using a topical mixture of antifungal and corticosteroid cream over it. Have you checked for immune statuses like HIV, and blood sugar level to rule out diabetes? Then if you have been using a steroid medicine for a very long time, that can also depress your immunity. If all these tests have been done and are negative, and you are not on prolonged use of the steroid, then I will prescribe an enteral antifungal together with the topical cream. Get Fluconazole tablet 200 mg daily for two weeks that will kill the candida from inside. You may also continue your Clotrimazole-Betamethasone cream till the yeast disappears. I want you to run a test for HIV and blood sugar.  Take care.