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Solid,
As you are already taking PO meds and addressing the infection sytemicly. and are observing good hygiene, the only other thing I could suggest is using a cream rather than spray or powder.
You have already tried an allylmine which is a good product. Possibly another form will work for you. I am not a prescriber, nor can I truly endorse any product, but lamisil (terbinafine=synthetic allylimine) topical cream can be successful at treating persistant fungal infections from my own experience. Use it liberaly and more than long enough to tx the issue, then keep some around, when you start to see things crop back up do another course and nip it in the bud-
Don
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