<s>[INST] Good evening doctor I have dark patches under my armpits and between my thighs specially during summer when I sweat. I ve been using Ketoderm gel and pevaryl emulsion from time to time. The patches diminish but they come back after a certain time. Someone advised me to take terbifin tablets. Can i take them because I have stomach upset (acidity). Can u please help me . Thank you. From Anne [/INST] hi Anne..thanks for your query If you suspect fungal infection happening repeatedly, it is important to do a scraping and culture to confirm the diagnosis and know the exact type of fungus .Terbinafine is not effective on all types.Although not common, it might cause diarrhea, stomach upset, or temporary change or loss of taste.Possibility is of : -T.versicolor, also a fungal infection.This is more common in hot, humid climates or in those who sweat heavily, so it may recur each summer. -Intertrigo is a yeast infection of skin folds caused by Candida albicans. In areas of the body that have skin touching skin such as the armpits, groin and under breasts or fat folds the environment is warm and moist.Intertrigo is characterized by an  red, macerated patch with scaling on the edges.Repeated infection might give rise to brownish post inflammatory hyper pigmentation. Hope this is helpful to you..Take care. </s>