The best over-the-counter (OTC) creams for jock itch (tinea cruris), a fungal infection, contain antifungal ingredients proven to eliminate the fungus causing the itch and rash. Based on effectiveness, availability, and user feedback, here are the top options:
1. Best Overall: Lotrimin Ultra Jock Itch Cream

Lotrimin Ultra Jock Itch Cream – Powerful Butenafine Hydrochloride Treatment for Jock Itch, 0.42 Ounce (12 Grams) (Packaging May Vary)
4.7 out of 5 Ratings
Why it’s great: Butenafine is highly effective against dermatophytes (fungi causing jock itch). It often works faster than other antifungals, with relief in 1-2 weeks.
How to use: Apply a thin layer to the affected area and a small margin around it once daily for 2 weeks.
Pros: Fast-acting, well-tolerated, available in most pharmacies.
Cons: Slightly more expensive than other OTC options.
2. Premium Pick: Recuren Plus Jock Itch Cream Natural Antifungal Cream

Jock Itch Cream: Natural Antifungal Cream Extra Strength Treatment for Men and Women – For Athletes Foot Jock Itch Ringworm – With Tea Tree Oil, Aloe Vera, Lavender, and Chamomile
4.7 out of 5 Ratings
Why it’s great: Recuren Plus is a potent antifungal that kills fungi rather than just inhibiting growth. It’s effective for stubborn cases.
How to use: Apply once or twice daily for 1-2 weeks, as directed.
Pros: Strong antifungal, widely available, good for severe cases.
Cons: May cause mild stinging in some users.
3. Lotrimin Antifungal Jock Itch Medicated Powder

Lotrimin Antifungal Jock Itch Medicated Powder with Miconazole Nitrate, Jock Itch Treatment for Men, Women, and Kids Over The Age of 2, 6.25 oz Bottle
4.6 out of 5 Ratings
Why it’s great: Miconazole Nitrate is a reliable, affordable antifungal effective for most cases of jock itch. It’s a go-to for mild to moderate infections.
How to use: Apply twice daily for 2-4 weeks.
Pros: Budget-friendly, widely available, gentle on skin.
Cons: May take longer to clear severe infections compared to butenafine or terbinafine.
4. PHARMBANNER Antifungal Cream for Jock Itch

4.7 out of 5 Ratings
Why it’s great: Tolnaftate is effective for jock itch and other fungal infections, with a good safety profile.
How to use: Apply twice daily for 2-4 weeks.
Pros: Affordable, less likely to irritate sensitive skin.
Cons: Slightly less potent than terbinafine or butenafine for resistant cases.
Tips for Choosing and Using:
- Check the active ingredient: Butenafine and terbinafine are generally faster-acting than clotrimazole or tolnaftate, but all are effective with consistent use.
- Application: Clean and dry the area thoroughly before applying. Use as directed, even if symptoms improve, to prevent recurrence.
- Combine with powder: Pairing a cream with an antifungal powder (e.g., Zeasorb) can keep the groin area dry, enhancing treatment.
- Patch test: Test the cream on a small area first to check for irritation, especially if you have sensitive skin.
When to See a Doctor:
- If the rash doesn’t improve after 2-4 weeks of consistent OTC treatment.
- If symptoms worsen or show signs of bacterial infection (pus, swelling, warmth).
- A dermatologist may prescribe stronger creams (e.g., ketoconazole) or oral antifungals.
Recommendation: Start with Lotrimin Ultra (butenafine) for its fast action or Lamisil AT (terbinafine) for severe cases. For budget-conscious users, Lotrimin AF (clotrimazole) is a solid choice. Always confirm the rash is jock itch, as other conditions (e.g., eczema, inverse psoriasis) may require different treatments. If you have specific symptoms or preferences (e.g., cream vs. spray, budget), let me know for a more tailored suggestion.