Jublia A New Nail Fungus Treatment
posted: Feb. 01, 2015.
Onchomycosis or nail fungus is a contagious fungus of the nails most commonly invading the toenails. Not only is this nail fungus unsightly, it is contagious as well, and derives from the same fungus that causes ringworm. Onchomycosis attacks the nail bed and the nail plate causing thickening, loosening and/or relocation of the toenails, weak and brittle nail tissue, erosion, deterioration, reshaping of the nail edges and/or nail discoloration. Approximately 35 million people in the USA are affected with a toenail fungal infection.
Home remedies for this condition consist of Australian tea tree oil and/or grapefruit seed extract, which contain anti-bacterial and anti-fungal properties.
Jublia is a topical solution applied to the toenails daily, designed to eliminate fungus on the toenail surface, the nail bed, around the nail and under the nail. You are a candidate for Jublia if you answer yes to any of these three questions, listed below:
If you are tired of fighting toenail fungus please schedule an appointment today at one of Our Offices. FIGHT IT, Dont HIDE ITwith Jublia Topical Solution, 10%.
Oral Medication For Treating Toenail Fungus
Oral medications are well studied and have a higher success rate than laser, but have potential side effects. Terbenafine , an oral medication, has been shown to clear up fungal nail infection 70% of the time. 59% of patients had better looking nails and 38% had great nails .
We check liver function on our patients before starting terbenafine treatment and then six weeks after treatment starts because about 3% of patients see an elevation in liver enzymes indicating the liver may be working too hard to remove the drugs from your body. Interestingly, 1.4% of those taking a placebo developed the same problem.
Stopping the treatment usually returns liver function to normal. Lamisil is safe for the vast majority of patients. Everyone must weigh the advantages and disadvantages and decide for themselves if they wish to take these drugs. For patient information on taking Lamisil . To find a LabCorp location .
Topical Treatment Of Nail Fungus
There are three topical medications on the market that are approved by the FDA for treatment of onychomycosis ciclopirox nail lacquer , tavaborole and efinaconazole . Topical treatments are safe but not very effective by themselves. In fact, when used alone, even the best topical medications only work 8 20% of the time. We do use these medications, however, to help prevent recurrence of nail fungus after treatment with laser or oral medications.
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Toenail Fungus Treatment Options
Treatment of onychomycosis will vary, depending on the severity of the infection and the type of fungus that initially triggered the infection. Topical treatments like antifungal creams and medicated nail lacquers are among the most effective treatment options for toenail fungus.
Laser treatment or the surgical removal of the toenail may be necessary in more severe cases of toenail fungus. Over-the-counter products and home remedies are also methods used alone or in conjunction with prescription drugs to treat nail fungus and prevent reinfection.
Does Jublia Work To Treat Toenail Fungus
Jublia, recently approved by the FDA to cure toenail fungus has been touted as the latest and greatest treatment for this stubborn condition, but does it really work? Jublia and another recently approved medication, Kerydin, are topical versions of a new class of antifungals called oxaboroles. They are believed to be better at penetrating the thick nail plate to reach the fungus growing beneath it. Current over-the-counter and prescription antifungals are not effective in penetrating the nail bed. Oral antifungals have been used for years but have potentially dangerous side effects and can interact with other medications.
Although a stronger and more localized treatment sounds promising, both Jublia and Kerydin have mediocre results at best. First of all, these medications need to be applied daily for 48 weeks, and can have potential side effects, such as ingrown toenails, redness, itching, swelling, burning or stinging, blisters and pain. Secondly the cost is prohibitive, a small bottle going for $560 dollars not covered by most insurance. Thirdly, during the entire year of using Jublia, you are prohibited from getting a pedicure or painting your toenails. Most importantly, however is the low efficacy rate. In clinical trials daily use of Jublia for 48 weeks resulted in complete cure of nail fungus in 15-18% of patients. Daily use of Kerydin resulted in cure for 6-9% or study subjects.
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How Does Laser Nail Fungus Removal Work
Laser nail fungus treatment involves the use of a 1064nm wavelength laser. Depending on the type of laser, light or carbon dioxide heats the nailbed, killing fungi and any spores present.
Why does laser nail fungus removal work better than other treatment methods?
This modern solution targets infections deep within the nail bed. During treatment, you can help recovery progress by keeping your feet as dry as possible, wearing protective footwear in public showers and locker rooms, not sharing nail clippers, and paying attention to your blood sugar levels.
How Do Dermatologists Treat A Fungal Nail Infection
Treatment usually begins with your dermatologist trimming your infected nail, cutting back each infected nail to the place where it attaches to your finger or toe. Your dermatologist may also scrape away debris under the nail. This helps get rid of some fungus.
To completely get rid of the infection, most people also need one or more of the following treatments:
Medicine you apply to the nail: If you have a mild infection, a medicine that you apply to your nails may get rid of the infection. This treatment helps keep new fungus out while the nails grow. Fingernails typically grow out in four to six months. Toenails take longer, usually takes 12 to 18 months.
Probably the most difficult part of this treatment is remembering to use it as often as prescribed. Some treatments must be applied every day. Others you apply once a week. To get the best results, its essential that you apply these medicines exactly as directed.
The US Food and Drug Administration has approved the following medicines that you apply to the nail to treat nail fungus:
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Amorolfine
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Efinaconazole
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Tavaborole
Side effects from these medicines are generally mild. Possible side effects include redness and swelling, an ingrown toenail, and stinging or burning when you apply the medicine. In clinical trials, none of these side effects caused patients to stop using the treatment.
The FDA has approved the following systemic medicines to treat nail fungus:
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Fluconazole
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Itraconazole
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Terbinafine
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Toenail Fungus Can Be Treated
Nail infections generally wonât go away on their own, but treatment options are available. Itâs important to see a doctor, who will suggest the treatment that best suits you.
Both prescription and non-prescription treatment options are available for treating toenail fungus infections.
A toenail fungus infection is a real health issue.
Related Resources For Toenail Fungus
* Prescription savings vary by prescription and by pharmacy, and may reach up to 80% off cash price.
Pharmacy names, logos, brands, and other trademarks are the property of their respective owners.
This article is not medical advice. It is intended for general informational purposes and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. If you think you may have a medical emergency, immediately call your physician or dial 911.
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What Are The Side Effects Of Jublia
This is not a complete list of side effects and others may occur. A healthcare provider can advise you on side effects. If you experience other effects, contact your pharmacist or a healthcare provider. You may report side effects to the Food and Drug Administration at fda.gov/medwatch or 1-800-FDA-1088.
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.
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Before Taking This Medicine
You should not use Jublia if you are allergic to efinaconazole.
It is not known whether efinaconazole will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.
It is not known whether efinaconazole topical passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breastfeeding a baby.
Jublia solution is not approved for use by anyone younger than 6 years old.
How Should I Use Jublia Solution
Use Jublia solution exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
Jublia is usually applied to affected toenails once daily for 48 weeks .
Before you apply this medicine, wash and thoroughly dry your toenails. Wait at least 10 minutes after showering, bathing, or washing the area before applying Jublia.
Apply this medicine over the entire toenail and under the tip of the nail. Allow the medicine to dry completely before putting on a sock or shoe.
After you apply Jublia solution, wait at least 10 minutes before you take a bath or shower.
Avoid getting this medicine on any other skin besides the cuticles or the skin around your toenail.
Use this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses can increase your risk of infection that is resistant to medication.
Store in an upright position at room temperature, away from moisture and heat. Do not freeze.
Store in an upright position at room temperature, away from moisture and heat. Keep the bottle tightly closed when not in use. Do not freeze.
Jublia solution is flammable. Do not use near high heat or open flame. Do not smoke until the solution has completely dried on your nail.
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How To Apply Jublia: A Step
Is There A Guarantee
The manufacturer has not provided any form of guarantee for customers who are not satisfied. The lack of guarantee is standard practice when it comes to prescription medications. We didnt come across any verified user comments or review to help us determine whether this product is cost effective or worth trying.
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How Is Toenail Fungus Diagnosed
Nearly 3 million people in the United States are diagnosed with toenail fungus each year. Men are up to three times more likely to develop toenail fungus than women. You are also at a higher risk for a toenail fungus infection if you smoke or have diabetes. Also, individuals with compromised immune systems may experience toenail fungus that can turn into an infection.
When feet remain moist or damp, the fungus can grow, causing discoloration and thickening of toenails. Infection can cause discomfort and pain. The spread of fungus and infection can go from toe to toe, hand, fingernails, or skin on other parts of the body.
The toenail may become warped, cracked, or loosen itself away from the nail bed. Often the nail appears yellowish and may have white spots. Your doctor will examine your feet and potentially take a small sample of skin or nail to be sent off to a laboratory for testing. Your doctor may refer you to a dermatologist, podiatrist, or other healthcare professional if your condition is unusual or needs special care. Other foot conditions such as psoriasis can look similar to a fungal infection. Lab reports can indicate if the problem is fungal, helping the doctor prescribe the best medication for effective treatment.
What Are The Most Effective Treatments For Toenail Fungus
The experts at Easton Dermatology Associates offer treatment customized to your exact situation, whether youve just noticed an irregularity with your toenail or youve been battling fungus for a while. Treatment options include:
- Prescription oral antifungal medications
- Topical nail cream
- Special antifungal nail polish that allows your nails to breathe
No matter what treatment you adopt, patience is key. It can take several months to clear up toenail fungus because even nails that grow at an average rate dont grow rapidly. We treat your fungus until its a thing of the past, and we also advise you on how to prevent a recurrence.
Its much easier to solve the problem when youre in the early stages of infection, before it becomes too advanced.
Do at either of our locations in Easton or Salisbury, Maryland, so we can start helping you eliminate embarrassing and persistent nail fungus problems ASAP. When next summer rolls around, you can be back in those oh-so-chic sandals!
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Cliclopirox Vs Kerydin Vs Jublia Which Topical Is Best
Our preferred topical is 8% ciclopirox lacquer for daily use for 12 months after laser or oral medication treatment then once or twice a week for maintenance. The advantages of ciclopirox are that its one of the most effective topical medications and inexpensive and may be covered by insurance if prescribed. The downside is that its a hassle to apply, must be removed weekly and you cant use nail polish or other nail products while in treatment.
Kerydin and Jublia and are newer topical medications for nail fungus and, in fact, work a little better than ciclopirox according to most studies. In addition, they are easier and cleaner to apply. Ciclopirox goes on kind of sticky as it is oil based. Kerydin and Jublia are alcohol based and so are much cleaner to put on. Unfortunately they are much, much more expensive . There are some coupons available for the Kerydin and Jublia that can lower the cost considerably. If you are paying for it out of pocket without a discount, however, we dont think that the the minor improvement in outcomes is worth the cost for most patients, but we do occasionally prescribe them to patients who want to avoid the mess of ciclopirox.
What the Studies Say about Topical Medications: Below are listed the three most effective topical medications with information on how well they work and how much they cost. Keep in mind you will be using them for about one year:
What You Need To Know About Onychomycosis
Onychomycosis is the scientific name for nail fungus. The condition can be caused by a number of things, such as an injury to the nail. A weakened immune system makes it difficult to fight off the fungi. Diabetes also increases the risk of fungal nail infections. These treatments are often painful and require several months of treatment. Usually, the best option for treating nail fungus is to consult a doctor and seek treatment.
One of the first things to do is visit your primary care physician, who can prescribe a prescription for an anti-fungal medication. The medication can be applied to the affected area and is designed to work on the infected area. However, it is recommended that people with a serious infection consult a medical practitioner before starting the treatment. Topical medications require daily application and can affect other medical conditions. The best treatment is a combination of oral and topical medications.
If you have a fungal infection, you must avoid wearing shoes or socks. While you should not walk while wearing shoes, you should avoid using artificial nails. If your toe is impacted, it is important to have your nail trimmed straight across. If possible, wear comfortable socks and change your shoes in public places. A doctor will often send the clippings to a lab for identification. Changing your socks and wearing sneakers is also recommended.
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