From the Research
Breast intertrigo treatment should prioritize keeping the affected area clean and dry, using antifungal creams such as clotrimazole 1% or miconazole 2% twice daily for 2-3 weeks, and addressing inflammation with low-potency topical steroids like hydrocortisone 1% for 5-7 days, as recommended by the most recent and highest quality study 1. To manage breast intertrigo effectively, consider the following key points:
- Keep the affected area clean and dry by washing gently with mild soap and water, then thoroughly drying it.
- Apply an antifungal cream such as clotrimazole 1% or miconazole 2% twice daily for 2-3 weeks, as fungal infections commonly complicate intertrigo, with clotrimazole being one of the most studied and effective topical treatments 2.
- For inflammation, use a low-potency topical steroid like hydrocortisone 1% applied twice daily for 5-7 days.
- Utilize absorbent powders containing miconazole or zinc oxide to help keep the area dry.
- Wear a supportive, cotton bra and change it daily to reduce moisture and friction.
- Consider using moisture-wicking fabrics and placing a clean cotton cloth or specialized intertrigo pad between skin folds to reduce friction and moisture, as suggested by recent reviews 1, 3.
- For severe cases with bacterial infection, consult a doctor for potential antibiotic prescription.
- Prevention is crucial, involving maintaining good hygiene, avoiding tight clothing, and using antiperspirants under the breasts if one sweats heavily. It's also important to be aware of the potential allergenic ingredients in antifungal creams, with propylene glycol being a common cause of allergic contact dermatitis, found in ketoconazole 2% and miconazole nitrate 2% creams, making terbinafine hydrochloride 1% and clotrimazole 1% preferable due to fewer potential allergens 4.