Why Trust Verywell Health
As a seasoned health writer, Danielle Zoellner knows the importance of finding just the right product to fit your medical needs. Throughout her career, Danielle has interviewed a variety of experts in the medical and health fields while reviewing dozens of products. Her experience and knowledge in the field work together to help readers like yourself find the best products for your daily life.
Additional reporting for this story by Jennifer Nied and Sarah Bradley
For over 10 years, Jennifer Nied has reviewed products, interviewed experts, scrutinized ingredients, and pored over research studies and claims, to help readers like you understand what works for your specific conditions. Every product in this piece was selected taking into account recommendations from doctors, published research, and real customer reviews.
Sarah Bradley has been writing health content since 2017everything from product roundups and illness FAQs to nutrition explainers and the dish on diet trends. She knows how important it is to receive trustworthy and expert-approved advice about over-the-counter products that manage everyday health conditions, from GI issues and allergies to chronic headaches and joint pain.
What Are The Risk Factors Of Toenail Fungus
While toenail fungus can affect people at any age, it is most likely in older adults. You are more likely to get a fungal infection if you have reduced circulation due to diabetes or an autoimmune condition. Your risk is also heightened if your feet sweat a lot, or if you often get athletes foot. Sores or wounds on the feet may make you more prone to developing a severe fungal infection
What Are The Symptoms Of A Fungal Toenail
Toenail fungus is usually easy to identify visually because it causes obvious changes in the nail. Common symptoms of toenail fungus include:
- Discolored nails
- Foul odor coming from nail
- White or yellow marks on the nail plate
Sometimes, toenail fungus can cause your nail to crack, split, or lift away from the nail plate. If you’ve got toenail fungus symptoms, see your Central Jersey Ankle & Foot Care Specialists podiatrist as soon as possible for treatment.
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What Is Clarus Antifungal
Tolnaftate is an antifungal medication that fights infections caused by fungus.
Clarus Antifungal is used to treat infections such as athlete’s foot , jock itch , and ringworm . Tolnaftate is also used with other antifungals to treat infections of the nails, scalp, palms, and soles of the feet.
Clarus Antifungal may also be used for purposes not listed in this medication guide.
What Other Drugs Will Affect Clarus Antifungal
It is not likely that other drugs you take orally or inject will have an effect on topically applied tolnaftate. But many drugs can interact with each other. Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.
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Combining Oral Medication And Laser Therapy
A 2014 study published in Dermatologic Surgery noted that using both laser and oral medication may work better than either treatment alone1.
In this study of 53 patients who were treated with either oral terbinafine, laser or both, the group that received both treatments had significantly higher rates of clearance than those of the terbinfine group or the laser group at at Weeks 4, 8, 12, 16, and 24. So far this is the only study we have found that evaluates the combined treatment of laser and oral terbinafine . We hope to see additional studies in the future that will back up this information.
Getting A Jublia Prescription
If you cant get a prescription now, this is our recommended OTC anti-fungal
If you are interested in getting a prescription for Jublia, ciclopirox or Kerydin, contact us for an appointment. If you are not in the Seattle area and want to try an over-the-counter topical, our recommended OTC topical anti-fungal for nail fungus is Pedifix Anti-fungal Solution. It is not as effective as the prescription anti-fungals, but is our recommended one if you cant get a prescription right now.
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What Is Tolnaftate Topical
Tolnaftate is an antifungal medication that fights infections caused by fungus.
Tolnaftate topical is used to treat infections such as athlete’s foot , jock itch , and ringworm . Tolnaftate is also used with other antifungals to treat infections of the nails, scalp, palms, and soles of the feet.
Tolnaftate topical may also be used for purposes not listed in this medication guide.
What Other Drugs Will Affect Tolnaftate Topical
It is not likely that other drugs you take orally or inject will have an effect on topically applied tolnaftate. But many drugs can interact with each other. Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.
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Topical Skin & Nail Treatments
There are many treatments for fungal nails, it is important to find the right treatment for you. Treatments for fungal nails range from various topical treatment to prescription oral medication. Discuss with your doctor what option is best for your treatment. Treatments are not sold on-line or in retail stores such as pharmacies. Family Footcare supplies all of the products in all three of our convenient locations.
Are There Preventative Steps Or Measures To Avoid Toenail Fungus
Proper foot hygiene is an important component of preventing fungal infections from taking place. Wash your feet regularly with soap and water, drying thoroughly afterward. You can minimize potential contact with fungi and bacteria by keeping your shower and toenail clippers clean and by wearing flip flops in communal showers, pool areas, and similar public spaces. You shouldalso wear appropriate, well-fitted footwear in order to avoid blisters and other foot injuries.
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Dosage: How Much Jublia Should I Use
The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
- For topical dosage form :
- For treatment of fungal infection of the toenails:
- Adults and children 6 years of age and olderApply to the affected toenail once a day for 48 weeks.
- Children younger than 6 years of ageUse and dose must be determined by your doctor.
Verrustat Liquid Wart Remover
Salicylic Acid 17% in a vehicle containing Retinyl Palmitate and
penetration-enhancer MSM
Unique wart removing formulation with added Vitamin A derivative, Retinyl
Palmitate, and permeation-enhancing agents
VerruStatT has been specially formulated for the topical management and
removal of clinically or histopathologically proven common and palmoplantar
warts. VerruStatTM is dispensed only by physicians.
VerruStatT is the first physician-dispensed product to employ retinyl
palmitate , and penetration-enhancer MSM in the
product vehicle. This unique product has been designed specifically for
physicians of the lower extremity.
Salicylic Acid 40% in a vehicle containing Retinyl Palmitate and
penetration-enhancer MSM
Unique wart removing formulation with added Vitamin A derivative, Retinyl
Palmitate, and permeation-enhancing agents
VerruStatT has been specially formulated for the topical management and
removal of clinically or histopathologically proven common and palmoplantar
warts. VerruStatTM is dispensed only by physicians.
VerruStatT is the first physician-dispensed product to employ retinyl
palmitate , and penetration-enhancer MSM in the
product vehicle. This unique product has been designed specifically for
physicians of the lower extremity.
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What Is Out There In The Marketplace:
There are tons and tons of fungus under and around the toenail products out there, and unfortunately, most seem to be merely copycats of each other, and the companies that stand behind them donât always make us confident eitherâ¦
What we found is that there are a number of good choices for fungus under and around the toenail, but we believe that our formulations were certainly better than the others. For us, this was the clear winnerâ¦
Top 5 Ranked Support Products This Year
A Breakdown of Better Nail
A Closer Look At The Troublesome Fungus
Toenail fungus is one of the main reasons people come to her office, and Vlahovic has studied the condition for years. Viewed through a microscope, her enemy appears rather meek. It looks like thin straws with little compartments in it but its part of an aggressive fungus family. The fungus that affects the foot in general, they are called dermatophytes. They love hair, nails and skin, so actually the same organisms that cause athletes foot can cause nail fungus.
If it gets into the nail bed, the fungus eats and digests the keratin in the nail, and that causes discoloration and thickening of the nail. Its a cosmetic condition that can become painful, but even if its not, Vlahovic argues that it is an infection that should be treated.
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How Does Clarus Antifungal Solution Work
Clarus Antifungal Solution active ingredient is 1% Tolnaftate. Tolnaftate is an antifungal agent used to treat fungal infections on the skin and foot. Tolnaftate is a safe and effective ingredient in treating fungal nails and athletes foot. The proprietary vehicle contains a menthol derivative combined with essential oils designed to enhance the penetration of tolnaftate.
Here’s What You Should Value In A Product:
Strength of Active Ingredient: After comparing several products, weâve found that those with an active ingredient – typically with a concentration greater than 10% – work best for toenail fungus. A product that includes very little active ingredient, or none at all, is not as reliable in our opinion.
Vitamins and Oils: We think itâs important to include essential oils, vitamins, and minerals to any product that comes into contact with your skin. These include, but are not limited to, Tea Tree oil, Jojoba Seed oil, Rosehip oil, and Vitamin E.
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Insurance Coverage For Fungal And Thick Nail Treatment
If you have thick, fungal or painful toenails, your evaluation visit is usually a covered benefit under most traditional insurance plans. At that visit, we can let you know if there are any services or treatments for your nails that would likely not be covered.
Laser treatment cost and coverage information can be found on ourGuide to Laser Treatment page.
Coverage of lab testing to see if you have a fungal infection is between the lab and your insurance company. If you would like to check ahead of time, contact your insurance carrier and ask if they cover billing code 88312 and 88305 . You will also want to find out how much of your deductible has been met.
Disadvantages Of Hydrogen Peroxide For Nail Fungus
Like all other untreated chemicals, the 3% Hydrogen peroxide is also risky in one or other way. So, here are a few disadvantages and cons of using Hydrogen peroxide to treat toenail fungus.
Takes too long to work
If you are experiencing too much pain, then it is time to skip this method. As the Hydrogen peroxide will take almost 4 months to work.
Moreover, you also need to prepare a lot of things to do this .
It can be harsh for sensitive skins
It is not recommended for people with diabetes or sensitive skins, who cannot bear a slight wound.
So, you cannot trust this solution as the ultimate solution for the fixing your nail fungus.
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Instructions For Jublia And Ciclopirox Use
Apply like you would nail polish to the entire nail including the underside at the end of the nail and the skin around the toenail. Apply daily. Once each week remove the lacquer build up using isopropyl alcohol, nail polish remover or a Pedinova nail grinder, trim the tip of the nail of any debris and apply new lacquer.
Evaluation And Diagnosis Of Fungal Nails
We will first examine your feet and nails and take a history. This can help determine if you have a fungal infection or nail dystrophy. After doing a history and examination to help determine the cause of your nail changes, we may get a lab test. This involves taking a small sample of the nail and having it examined in the lab under the microscope.
The test is called a Periodic Acid-Shiff test which involves a stain that turns any fungi red. This will also help identify the exact type of fungi present so that we can offer you the most effective treatment. This is often the only way to determine the difference between fungus and dystrophy as they can look exactly the same.
This is a critical step as we see many patients who have spent hundreds of dollars on laser treatment for nail fungus or have taken oral anti-fungal medications only to find that there is no fungus present and that there was no reason to even consider these treatments. Sometimes visual examination of the nail is adequate to diagnose toenail fungus, but many times it is not.
During your first visit with us we will provide you with a plan of action for treating the dystrophic or fungal nails. We may be able to provide you with recommendations on the first visit but we often have to wait for lab tests to be completed. Thus, we cannot guarantee that any specific treatment will be performed during your first visit.
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Over The Counter Orthotics
The over counter orthotics feature a new and improved increased rigidity shell encsed in a tri-laminar EVA/poron outer casing. The polypropylene shell is anatomically designed to provide maximum control and support without sacrificing volume in the shoe.
Our over the counter orthotics are exclusive to our office and not sold online or in stores which give you a better quality over the counter orthotic.
How Do You Separate The Fungus Under & Around The Toenail Products From The Junk
We at Rejuvica Health have a passion for health remedies of all kinds and many of us have used alternative remedies to improve our lives and help get rid of similar embarrassing issues with great success. But through our experience in the industry weâve found there is certainly a difference in the quality of products that we think everyone should consider before buying.
Next, we went out and compared some of the top products to our own in order to see which ones stack up and which ones donât make the cut. Here is our report:
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Essential Oxygen Food Grade Hydrogen Peroxide 3%
It is a diluted solution of Hydrogen peroxide. Ideal to use as a ready-made disinfectant, mouth cleaner, and nail fungus killer. All you have to do is take a cotton bud and pour this all-set solution of Hydrogen peroxide on it. It will be a time saving treatment.
Moreover, you can use it to kill fungus and algae, in aquariums, and on other surfaces as well. It is equally good to kill plant fungus. It is a solution for all, even your pet can have it to tackle allergies, and bacterial infections.
Pros
- Safe on skin, does not burn.
- Best to kill fungus, and oral hygiene.
- Can be used for plants and pets as well.
- Can be used for plants and pets as well.
Cons
Toenail Fungus Home Care
Sometimes itâs possible to treat your toenail fungus at home. You can try:
- Over the counter antifungal creams or ointments. File or cut off any white markings on your nails. Soak your nails in water and dry off before you put on the medicated cream.
- Special nail care. If you keep your nails trimmed, it can reduce the pressure and pain you feel. You can also thin your nail bed by filing it down. This can help antifungal creams get to the problem easier.
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Here’s What You Should Value In A Brand:
Strength of Money-Back Guarantee: A money-back guarantee shows the manufacturer is so confident in the product that theyâre willing to put their money where their mouth is. Thereâs simply no reason to trust a product that doesnât offer a money-back-guarantee.
Donât get tricked! Many companies advertise a money-back guarantee ONLY IF the bottle is unopened and unused…We think this is pointless, and itâs why we offer a money back guarantee even if the product has been completely used.
Important: Rejuvica Thinks thereâs simply no reason to try a product that doesnât offer a money-back guarantee that allows you to open the product, try it for at least 30 days, and return it for a full refund if youâre not satisfied.
24 Hour Customer Support: A 24-hour customer-support service shows a manufacturerâs commitment to its customers because 24-hour support is expensive. With any product, youâre likely to have questions related to the product or your order and those questions can arise at any time of the day or night. Rejuvica doesn’t want to leave you feeling like you are on your own. 24-hour customer service gives our customers peace-of-mind knowing that the answers they need are only a phone call away.
Toenail Conditions & Treatments
Outside of aesthetic value, the care you give your toenails can also prevent painful ingrown nails, discomfort with shoe gear and even nail fungus. Count on the podiatrists at Central Carolina Foot & Ankle Associates for quality nail care services in Durham, NC. We offer products to keep your nails beautiful and treatments designed to keel nails healthy.Contact ustoday to schedule your initial consultation
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