Overview
Pityriasis versicolor is a common fungal skin infection. It's sometimes also called tinea versicolor. A pharmacist can advise on treatment for it, but it can keep coming back.
Pityriasis versicolor is different to pityriasis rosea.
Symptoms of pityriasis versicolor
Pityriasis versicolor causes patches of skin to change colour.
If you're not sure it's pityriasis versicolor
Other conditions can have similar symptoms to pityriasis versicolor.
For example, discoloured patches could be vitiligo, and flaky, raised patches could be psoriasis.
Do not try to diagnose the problem yourself - see a GP or pharmacist if you're worried.
Non-urgent advice: See a GP if:
- patches of your skin have changed colour - if it's pityriasis versicolor, it will usually only go away if treated
- you have any other changes to your skin you're worried about
Treatment for pityriasis versicolor from a GP
A GP or pharmacist can prescribe treatment for pityriasis versicolor or tell you which antifungal medicines to buy.
The main treatments are:
- antifungal shampoo (such as ketoconazole) that you use on the affected skin and rinse off after 10 to 15 minutes
- antifungal cream
If pityriasis versicolor covers a large area, or shampoos and creams do not work, a GP may prescribe antifungal tablets.
It can take a few months for the skin to return to its usual colour after treatment, and the patches can come back.
If they come back, you may need the same treatment again or your GP may suggest long-term treatment, such as using antifungal shampoo every few weeks.
How you get pityriasis versicolor
Pityriasis versicolor is caused by a type of fungus that lives on the skin.
Most people have this fungus on their skin without it causing any problems. But sometimes it can grow and spread more than usual, causing pityriasis versicolor.
It's not always clear why this happens. It's not caused by not washing your skin, and most people who have it are otherwise healthy.
Pityriasis versicolor cannot spread from person to person.
Page last reviewed: 11 March 2026
Next review due: 11 March 2029
Information sourced from the NHS. If you have concerns about your medication or symptoms, pop in or call Hedon Pharmacy - we're here to help.
Read on nhs.uk