
Nizoral for Dogs (UK Guide): Safety, Dosage & Legal Alternatives
Thinking of using Nizoral on your dog? Read our UK guide on safety, dosage, and why ketoconazole is prescription-only. Discover safe, legal alternatives for groomers.

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Ringworm in dogs is a highly contagious fungal infection that spreads easily to humans, especially children and vulnerable people. It's not a worm—it's a fungus that attacks the skin, hair, and nails, and it requires immediate action because the spores can survive in your home for up to 18 months.
Here's what makes ringworm particularly challenging: even if your dog only has small patches of hair loss, they're shedding infectious spores onto every surface they touch. Your carpets, sofa, bedding, and even your clothes can harbour the fungus for months. Treatment needs to tackle both the infection on your dog and the contamination in your environment, or you'll be fighting a losing battle with re-infection.
This guide covers everything you need to know about treating ringworm at home, from the correct way to use medicated shampoo (spoiler: most people don't leave it on long enough) to the proper decontamination protocol that actually works. We'll also explain why your vet's diagnosis is essential before you start treatment, and what "cure" really means when it comes to ringworm.
Medical Disclaimer
This article provides general information and educational guidance only. It is not veterinary medical advice. Ringworm requires professional veterinary diagnosis and treatment. The information here is designed to help you understand the condition and work effectively with your vet's prescribed treatment plan. Always follow your vet's specific instructions, and contact them immediately if your dog's condition worsens or if you suspect ringworm. If you or family members develop skin symptoms, consult your GP.
Ringworm is a fungal infection officially called dermatophytosis. The most common culprit in dogs is a fungus called Microsporum canis, which causes about 70% of cases.[1] It targets the outer layers of skin, hair shafts, and sometimes the nails.
The "worm" part of the name comes from the circular rash it causes in humans, but there's no parasite involved—just a stubborn fungus that's extremely good at spreading. Dogs and cats are the main carriers, but the infection readily jumps to humans through direct contact or by touching contaminated surfaces.
Ringworm has nothing to do with how clean your home is or how well you care for your dog. Fungal spores are everywhere in the environment, and infection happens when your dog comes into contact with them at the wrong time. Even immaculately kept homes can have ringworm outbreaks if a dog brings the fungus in from outside.
Puppies, elderly dogs, and those with weakened immune systems are most vulnerable because their bodies can't fight off the infection as effectively.[2] Long-haired breeds may also be more prone simply because the fungus has more hair to attach to.
Ringworm is zoonotic, which means it passes from animals to people, and it does so readily. Children are particularly at risk because they tend to have closer contact with pets and may not be as careful about washing their hands afterwards.[3]
Vulnerable groups—including the elderly, pregnant women, and anyone with a weakened immune system—can develop more severe infections. In humans, ringworm typically appears as circular, red, itchy patches with raised, scaly edges. If it gets onto the scalp, it can cause hair loss.
This is why immediate action matters. It's not just about treating your dog—it's about protecting your family from a condition that can spread through your entire household.
The most frustrating thing about ringworm is the sheer resilience of its spores. Fungal spores can remain infectious in your home environment for 18 to 24 months, clinging to carpets, furniture, bedding, and even floating in the air.[4]
This means that treating your dog alone isn't enough. If you don't simultaneously tackle environmental contamination, your dog will keep getting re-infected from the spores they shed weeks ago. You'll think the treatment isn't working when actually, you're just dealing with re-infection from your own carpets.
The classic sign of ringworm is patchy hair loss, often starting as small, scaly bald spots that expand over time. These patches are commonly found on the face, ears, paws, and limbs, though they can appear anywhere on the body.[5]
Here's what to look for:
Despite the name, ringworm in dogs doesn't always form the neat circular "ring" pattern you see in human cases. The lesions can be patchy, irregular, or scattered across different parts of the body. This is why visual diagnosis alone doesn't work—you need proper testing.
If you suspect ringworm, contact your vet immediately—don't wait to see if it clears up on its own. Many skin conditions look similar to ringworm (bacterial infections, allergies, mites), and using the wrong treatment wastes time while the infection spreads.
Vets use several diagnostic methods to confirm ringworm:[6]
Your vet will prescribe a combination of treatments based on the diagnosis. Don't try to treat ringworm with over-the-counter products or home remedies—you'll likely make things worse or prolong the infection.
Groomers have a legal and professional responsibility to protect their staff and other clients' pets from contagious conditions. If your dog is suspected of having ringworm, reputable groomers will refuse service until you provide veterinary clearance confirming the infection has been successfully treated.
This isn't personal—it's about biosecurity. One infected dog in a grooming salon can contaminate the entire facility and spread the fungus to dozens of other pets. Be honest with your groomer about your dog's health status, and they'll work with you to reschedule once treatment is complete.
Treating ringworm successfully requires both oral medication (prescribed by your vet) and topical treatment with medicated shampoo. The oral medication fights the infection from the inside, while the shampoo tackles it from the outside and—crucially—reduces the number of infectious spores your dog sheds into your home.
This combination therapy typically runs for 6 to 12 weeks, and you must not stop early just because the visible lesions have healed. Stopping prematurely almost guarantees the infection will come back.
Vet-prescribed medicated shampoos for ringworm typically contain a combination of miconazole nitrate (2%) and chlorhexidine (2%). Miconazole is the antifungal agent that kills the dermatophyte fungus, while chlorhexidine provides additional antimicrobial action and helps clean the skin.[7]
Products like Malaseb are commonly prescribed in the UK. These are prescription-only (POM-V), which means you can't buy them over the counter—your vet must provide or recommend them after confirming the diagnosis.
Critical: Don't Skip This Step
Chlorhexidine alone is not effective against ringworm. You need a product that specifically contains antifungal ingredients like miconazole or ketoconazole. Using the wrong shampoo wastes time and allows the infection to spread.
For effective antifungal treatment, consider Pet MD Antiseptic and Antifungal Medicated Shampoo - formulated with miconazole nitrate and chlorhexidine to treat fungal and bacterial skin infections. Available without prescription for home treatment alongside vet-prescribed oral medication.
Here's where most people go wrong: medicated shampoo must stay on your dog's coat and skin for a full 10 minutes before rinsing.[8] If you rinse it off sooner, the active ingredients don't have time to work, and you're essentially just giving your dog a regular bath.
This contact time isn't a suggestion—it's the difference between effective treatment and wasted effort. Set a timer, keep your dog calm (easier said than done), and make sure the lather stays on for the full duration.
Follow these steps for each treatment:
Treatment frequency is typically twice weekly, but follow your vet's specific instructions. Some cases need more frequent bathing, particularly in the early weeks.
For dogs with widespread or severe infections, your vet may recommend clipping the coat short before starting shampoo treatment. This serves two purposes: it removes infected hair shafts that act as reservoirs for the fungus, and it allows the medicated shampoo to reach the skin more effectively.
If clipping is recommended, have it done by your vet or under veterinary supervision—don't attempt this at home unless instructed. Clipping spreads spores everywhere, so it needs to be done in a way that minimizes environmental contamination.
Every time you handle your infected dog or apply treatment:
The shampoo treatment isn't just about curing your dog—it's about preventing the infection from spreading to you and your family.
Protect yourself during treatment with Aurelia Bold Disposable Nitrile Gloves (100-pack) - powder-free, latex-free, and ideal for pet care. These medical-grade gloves offer superior protection against ringworm spores during bathing and handling.
Treating your dog without decontaminating your home is like bailing water from a sinking boat without fixing the hole. The spores your dog has been shedding for days or weeks are embedded in carpets, furniture, bedding, and every surface they've touched. If you don't tackle this contamination, re-infection is almost guaranteed.
Environmental decontamination requires a systematic approach. There are no shortcuts, and regular household cleaners won't do the job.
Until the infection is cured, restrict your dog to areas that are easy to clean—ideally rooms with hard floors like tile, vinyl, or laminate. Keep them out of carpeted rooms, off soft furnishings, and away from communal bedding areas.
This containment strategy has two benefits: it limits the spread of new spores, and it makes your decontamination job manageable. You can't effectively clean an entire house, but you can thoroughly decontaminate a utility room and kitchen.
Effective decontamination requires two distinct steps, in this order:
Step 1: Physical Removal (Most Important)
Before you use any chemical disinfectant, you must physically remove as much contaminated material as possible. Dirt and organic matter neutralize disinfectants, so cleaning before disinfecting is essential.[9]
Here's what physical removal looks like:
For effective spore removal, the Bissell SpotClean Pet Pro Portable Carpet Cleaner tackles embedded ringworm spores from carpets and upholstery. Features powerful suction, heated cleaning, and specialized pet stain tools to deep clean contaminated surfaces.
Step 2: Chemical Disinfection
Only after mechanical cleaning should you move to chemical disinfection. Standard household cleaners don't kill ringworm spores—you need sporicidal products.
You have two main options for disinfecting hard surfaces:
Household Bleach (Sodium Hypochlorite): Effective on bleach-safe hard surfaces when diluted correctly. Use a ratio of 1 part bleach to 10 parts water (or a more dilute 1:32 for surfaces that might be damaged by stronger concentrations).[11]
The critical part is contact time: leave the bleach solution on the surface for at least 10 minutes before wiping. Bleach also corrodes metal and can discolour fabrics, so use it carefully and only on appropriate surfaces.
Veterinary-Grade Sporicidal Disinfectants: Products like F10 SC Veterinary Disinfectant are specifically designed to kill resistant pathogens including ringworm spores. For ringworm, use the high-level disinfection dilution rate of 1:100 (10ml per litre of water) with a contact time of at least 15 minutes.[12]
F10 is available through veterinary suppliers and some pet retailers in the UK. It's more expensive than bleach but safer for a wider range of surfaces and less likely to cause irritation.
Veterinary-grade sporicidal disinfectant proven effective against ringworm spores. Use at 1:100 dilution for high-level surface disinfection.
During active treatment, clean and disinfect at least weekly, or more often if you have time:
Yes, this is exhausting. But it's the only way to break the re-infection cycle and ensure your dog actually gets better.
Protect your dog's bedding with Waterproof Dog Bed Liners (Large Size) - machine washable, fully waterproof protection that prevents spores from contaminating the foam core. Essential for maintaining hygiene during ringworm treatment and recovery.
Here's the hardest part: visible lesions clearing up does not mean your dog is cured. The skin might look normal and the hair might be growing back, but your dog could still be carrying viable fungal spores that will re-infect them or spread to family members.
This is called "clinical cure" (the symptoms are gone) versus "mycological cure" (the fungus is actually dead). You need mycological cure, not just clinical cure.
The only reliable way to confirm cure is through two consecutive negative fungal cultures taken several weeks apart.[13] Your vet will take hair and skin samples and grow them to check for fungal growth.
The typical protocol is:
This process usually means treatment runs for 6-12 weeks total, sometimes longer for severe cases. It feels excessive when your dog looks healthy, but cutting corners leads to relapse. Given the cost of treatment including multiple fungal cultures and extended medication, having proper pet insurance can help ensure you complete the full treatment course.
Don't Stop Early
Stopping treatment when the lesions heal but before negative cultures are confirmed is the most common reason for ringworm relapse. Follow through with the testing even if it takes months and costs more than you expected.
Once you've finally cleared ringworm, the last thing you want is to go through it again. Here's how to minimise the risk:
Ringworm is frustrating and time-consuming to treat, but with systematic treatment, thorough environmental control, and patience, you will get through it.
Treatment typically takes 6-12 weeks, but it's not finished until you have two consecutive negative fungal cultures. Many owners stop too early when they see visible lesions healing, but the fungus can still be present and will cause relapse if treatment stops prematurely.
The timeline depends on severity, your dog's immune system, how thoroughly you decontaminate the environment, and whether you follow through with the full treatment course including oral medication and medicated shampoo.
Technically yes, but you should never rely on this happening. Ringworm can eventually clear in healthy dogs with strong immune systems, but this can take many months and isn't guaranteed. During this time, your dog is shedding infectious spores throughout your home and putting your family at risk of infection.
Puppies, elderly dogs, and those with weakened immunity won't clear the infection without treatment. Even healthy dogs need medical treatment to speed up recovery and prevent spread to humans.
Very contagious. Ringworm spreads readily from infected dogs to humans through direct contact or by touching contaminated surfaces. Children, elderly people, and those with weakened immune systems are particularly vulnerable and may develop more severe infections.
You don't need prolonged exposure—brief contact with your dog's infected skin or hair can transfer the fungus. The spores also survive on surfaces for up to 18 months, so indirect transmission from carpets, furniture, or bedding is common.
Household bleach diluted 1:10 with water, or veterinary-grade sporicidal disinfectants like F10. Regular household cleaners don't work—you need products specifically designed to kill fungal spores.
The key is contact time: bleach needs at least 10 minutes on the surface before wiping, while F10 requires 15 minutes at the 1:100 dilution. You must also mechanically clean (vacuum, sweep, wipe) before disinfecting, as dirt and organic matter neutralise disinfectants.
Don't attempt to treat ringworm with over-the-counter human products. Effective ringworm treatment requires both systemic oral medication (prescription-only) and veterinary-prescribed topical products formulated for the whole-body application needed in dogs.
Human antifungal creams aren't designed for use on pets, won't reach the infected hair shafts properly, and can be toxic if licked. You'll waste time while the infection spreads and becomes harder to treat. Always consult your vet for proper diagnosis and treatment.
Yes, absolutely. Keep your infected dog completely separated from other pets until your vet confirms cure through negative fungal cultures. Ringworm spreads extremely easily between animals sharing the same space.
If you have multiple pets and one is diagnosed with ringworm, your vet may recommend testing and treating all of them, even if the others show no symptoms. Some animals can carry the fungus without visible lesions but still shed infectious spores.
This guide is based on verified veterinary and medical sources:
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