Topical Prescription For Nail Fungus

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How To Get Rid Of Toenail Fungus

It is natural to wonder how to get rid of toenail fungus. Some people have heard that home remedies such as apple cider vinegar, Vicks VapoRub, tea tree oil or bleach can cure toenail fungus. While some home remedies are relatively harmless when used as directed, there have been few to no good studies demonstrating that any such home remedy is actually effective in curing toenail fungus symptoms. On the other hand, several prescription medications for toenail fungus exist which have demonstrated results as a cure for toenail fungus.

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New Topical Medications For Fungal Nails Jublia And Kerydin

There are two new medications on the market that are used topically to kill nail fungus. Both of these medications, Kerydin® and Jublia®, work better than Ciclopirox and also work better than OTC medicines. But again, the fact that they work better doesnt mean they work well.

Kerydin® and Jublia® both work about 15% of the time. So again, better, but not great.

The other problem with Kerydin® and Jublia® is that they are very, very expensive. Close to $500 per month and you will need at least a 12 month supply for best results.

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Topical Nail Fungus Medicines

Topical nail fungus medicines are available in several forms, including nail polishes and solutions applied by dropper. Prescription topicals include ciclopirox , efinaconazole , amorolfine and tavaborole . Youll have to you use them every day or every week for up to a year.

Using topical anti-fungal products alone isnt always effective, however, because nails are thick and difficult to penetrate. Unless your infection is mild, your dermatologist may suggest you combine a topical medicine with a prescription oral anti-fungal medication.

There are some exceptions. Topicals alone may be prescribed if you have a fungal nail infection caused by a mold, or if you have a less common form of nail fungus called white superficial onychomycosis, which affects only the surface of the nail and causes white spots that eventually become powdery.

How To Use Terbinafine

• Before you start this treatment, read the manufacturer’s printed information leaflet from inside your pack. The leaflet will give you more information about terbinafine and how to apply it.
• Wash and dry the infected area of skin before you apply terbinafine.
• If you are using cream or gel, apply a thin layer once or twice daily and then rub it in gently. You will need to use it regularly for one to two weeks. Once all signs of your infection have gone, continue to use it for a further two or three days to prevent the infection from coming back.
• If you are using spray, use it once each day for a week and be careful to make sure that all of the infected area has been covered by the spray.
• If you are using solution, this is applied once only. Treat both of your feet at the same time by applying a thin layer of solution, making sure you apply it between your toes, on the soles of your feet and up the sides of your feet for about 1.5 cm. The solution will dry to form a film. Do not wash your feet for 24 hours after you’ve applied the solution.

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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 Is The Prognosis Of Fungal Nails

Curing fungal nails can be difficult and treatment can take up to 18 months. Relapse and reinfection are common. Trying to remove or modify your risk factors, if possible, is essential to preventing reinfection. People who have medical illnesses that predispose them to fungal nails can have an even more difficult time eradicating the fungus.

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When Are The Different Treatments Considered

Most doctors recommend treating nail fungus with nail polish or cream if

• not much more than half of the nail is affected by the fungus,
• the base of the nail is not infected, and
• only some nails are affected.

Topical treatment is also usually recommended for children. One reason for this is that most oral medications arent suitable for children. Another reason is that children have thinner nails that grow more quickly, so its assumed that treatment with nail polish or creams is more likely to work in children than in adults. White superficial onychomycosis is also often treated with a nail polish or cream.

If several nails are infected by the fungus, or if the infection has spread out more on the affected nails, its usually necessary to take oral medication. And if the infection started at the base of the nail, its highly likely that only tablets will help.

What Is The Best Medication For Toenail Fungus

Below is a list of the most recommended prescription treatment for toenail fungus.

Dosage is determined by your doctor based on your medical condition, response to treatment, and age. Other possible side effects exist. This is not a complete list. A very rare side effect can be trouble breathing if this occurs, seek immediate emergency medical attention.

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How Fungi Infect The Nail

Onychomycosis, or toenail fungal infection, is an invasion by a microscopic organism that thrives in warm, damp environments. Fungal spores are in the air, and they will grow if they land on a receptive surface like your toenail. They feed off the nail tissues, burrowing into the skin under the nail. Over time the nail thickens and may lift off the nail bed as fungal debris accumulates. Once your nail is raised off the nail bed, it won’t reattach, and a new nail won’t grow from that part of the nail bed. However, your nail will continue to grow from the root at the base.

Getting The Most From Your Treatment

• Remember to wash your hands carefully after using terbinafine, as this will help to prevent the infection from spreading to other parts of your body. Also, use a separate towel to other people until your infection clears up.
• Fungal infections often occur in warm, moist areas of the body. After washing or showering, make sure that all areas of your skin are dried well, particularly areas such as skin folds and between your toes.
• As a guide, athlete’s foot usually clears up within a week of treatment, and infections affecting the groin area within two weeks of treatment. If there are no signs of improvement after these times, you should make an appointment to see your doctor for further advice.

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What Other Conditions Can Be Mistaken For Fungal Nails

Here are some other conditions you may have instead of fungal nails:

Trichophyton

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How Should I Take Terbinafine

Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

You may take the terbinafine tablet with or without food.

Terbinafine granules should be sprinkled into a spoonful of pudding or mashed potatoes . Swallow this mixture right away without chewing. Do not save the mixture for later use.

Terbinafine is usually taken for 6 weeks to treat scalp or fingernail infections, and for 12 weeks to treat a toenail infection.

Use this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antifungal medicine. Terbinafine will not treat a viral infection such as the flu or a common cold.

While using terbinafine, you may need frequent blood tests.

It may take several months for your nails to return to their normal appearance after your treatment with terbinafine.

Store at room temperature away from moisture, heat, and light. Keep the terbinafine oral granules in their sealed packet until you are ready to use.

Nail Fungus: Polish Cream Or Tablets

Nail fungus can be very persistent. Topical treatment with nail polish may take up to one year. Tablets for treating fungal nail infections usually have to be taken for several weeks or months. They are much more effective than topical treatments, but they have more side effects.

Brittle nails and a whitish-yellowish or brownish discoloration are typical signs of nail fungus. The nails may also become thicker and change shape. The affected part of the nail sometimes detaches from the nail bed. The treatment options for nail fungus include nail polishes and creams as well as tablets. Nail polishes and creams are available in pharmacies without a prescription.

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Topical Prescription Toenail Fungus Treatment

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Which Treatment Is Right For Me

Nail fungus is usually harmless. But many people find discolored or thickened nails unpleasant to look at and want to get rid of the fungus as soon as possible. Fungal nail infections can also spread, and may infect other people. Regardless of the treatment you choose, it will take a while until the nail looks normal again. Its especially important to be patient where toenails are concerned. It can take a year for a healthy big toenail to grow back. Nail fungus can sometimes be very persistent despite treatment. It can also come back after successful treatment.

Topical treatment isnt likely to get rid of a fungal nail infection. Treatment with tablets is considerably more effective and takes less time. But some people cant take tablets because of the very rare, yet serious risks. How you feel about the pros and cons of the different treatment options is a personal matter. You can also discuss the options with your doctor.

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Some Side Effects Can Be Serious The Following Symptoms Are Uncommon But If You Experience Any Of Them Call Your Doctor Immediately:

• irritation, itching, burning, blistering, swelling, or oozing at the place where you applied ciclopirox
• pain at the affected nail or surrounding area
• discoloration or change in shape of nail
• ingrown nail

Ciclopirox topical solution may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s MedWatch Adverse Event Reporting program online or by phone .

Sets With Creams And A Nail Scraper

Treatment sets that contain two creams and a nail scraper can also be used for the topical treatment of nail fungus:

• One cream has urea in it, which softens the nail so it can be removed.
• The other cream contains bifonazole, which has an antifungal effect.

For this treatment, the affected toe or finger first has to be soaked in warm water for ten minutes and then dried. After that, the urea-based cream is applied to the nail, and the nail is covered with an adhesive bandage. After 24 hours, the bandage is removed and the toe or finger is held in warm water again. The softened layer of the nail is then scraped off using a spatula, the cream is applied again and the nail is covered with a new bandage. This treatment is carried out over 14 days. Once the infected part of the nail has been scraped away completely, the skin beneath is treated for another four weeks with a bifonazole cream.

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The Lamisil Terbinafine Antifungal Cream Treats Fungus All Over The Body

Sarah is a freelance writer with a focus on health and wellness. She has written for publications like Women’s Health, Healthline, and Parents. She taught creative writing for five years, and has a bachelor’s degree in English from Southern Connecticut State University.

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Verywell Health / Peter Ardito

Toenail fungus is a common fungal condition that often starts after a rash on the foot spreads to the nails. When mild, it looks like white and yellow spots growing under the nail beds. If left untreated, the fungus can grow severely by hardening the nails and spreading to other toes.

What Are Treatments For Toenail Fungus

Do you need to treat your nail fungus? Maybe it doesnât hurt, and the yellow, thick nails donât bother you.

But nail fungus doesnât go away by itself. And if you donât treat it, thereâs a chance it could get worse. It could spread to other nails or through your body. It could cause pain when you walk.

There are a number of ways to take care of it, including:

Nonprescription options. You can buy antifungal creams, gels, and nail polish at the store and online without a prescription. You might want to try one of them first if the infection doesnât look bad. Some people also swear by home remedies like menthol rub, tea tree oil, mouthwash, or snakeroot extract â but studies show mixed results.

Prescription polish and creams. Your foot doctor will likely trim your nail and file away its dead layers. They may also take a piece of your nail and send it to the lab to make sure itâs really a fungus and to find out what type it is.

The doctor might suggest an antifungal drug that you paint on your nails. This may work on its own, or they may suggest you take it with antifungal pills.

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