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What Is The Best Fungal Nail Treatment

What To Watch For When Taking Oral Medication For Toenail Fungus Treatment

What are the Best Treatments for Fungal Toenails – Seattle Podiatrist Larry Huppin

All of the pills for toenail fungus can cause liver toxicity. This is rare and is reversible after the medication is stopped. Still, liver function blood testing will be done before you start your treatment and again midway through your treatment.

Medications like Terbinafine and Itraconazole can also interact with certain drugs. Your healthcare provider will look at your medication list to make sure there arent any drug interactions.

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How Is Toenail Fungus Treated

Toenail fungus is notoriously tricky to treat. You may need to treat the condition for several months to get rid of the fungus. Still, toenail fungus often comes back.

A dermatologist or podiatrist can explain your treatment options. If you have a mild case that doesnt bother you, your provider may recommend no treatment.

Toenail fungus treatment options include:

  • Oral antifungal medication: You take prescribed medication, such terbinafine , itraconazole and fluconazole , to treat the fungi. You will need to take this medication every day for several months . Your provider may use blood tests to check for potential medication side effects. These medications can affect the liver and interact with other medications, so oral antifungals are not for everyone.
  • Topical medication: You regularly apply a medication right on the nail. The medication treats the fungi over time. Topical medications are most effective when paired with oral medications.
  • Laser treatments: Your provider directs a high-tech laser beam and special lights at the toenail to treat the fungus. Lasers are FDA approved for temporary increase of clear nail in nail fungus but is not a cure. Cure rates for laser treatment are lower than oral and topical mediations so they are not typically used as first line treatments for nail fungus.
  • Surgery:

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What Is The Best Home Remedy For Toenail Fungus

Self-care and body awareness can be key in keeping toenail fungus at bay. Wash feet with warm soapy water and pat completely dry to reduce the spread or growth of fungus on the feet. Allow feet to breathe when possible. Protect your feet and wear breathable shoes and clean socks. Change socks regularly and wash in hot water if you are struggling with toenail fungus. Over-the-counter antifungal powders used for treating athlete’s foot can also be used for treating mild cases of toenail fungus.

Avoid nail polish and pedicures that use polish or nail plate coatings. Even though you may want to conceal the discolored or warped look of an infected toenail, allowing maximum air circulation to the nail and skin of the toes is best.

Toenail Fungus Treatment Options

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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.

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How Should This Medicine Be Used

Ciclopirox comes as a solution to apply to nails and the skin immediately surrounding and under the nails. It is usually applied once a day. To help you remember to use ciclopirox, apply it around the same time every day, usually at bedtime. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use ciclopirox exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.

Ciclopirox is used to improve the condition of nails, but may not completely cure nail fungus. It may take 6 months or longer before you notice that your nails are getting better. Continue to use ciclopirox daily as directed. Do not stop using ciclopirox without talking to your doctor.

Ciclopirox topical solution will work best if you trim your nails regularly during your treatment. You should remove all loose nail or nail material using a nail clipper or nail file before you begin treatment and every week during your treatment. Your doctor will show you how to do this. Your doctor will also trim your nails once each month during your treatment.

Only apply ciclopirox topical solution to your nails and the skin under and around your nails. Be careful not to get the solution on any other areas of the skin or parts of your body, especially in or near your eyes, nose, mouth, or vagina.

Do not use nail polish or other nail cosmetic products on nails treated with ciclopirox topical solution.

What Is The Outlook For Someone With Toenail Fungus

While toenail fungus is common, its usually not harmful. Symptoms mostly affect the look of your toenail.

Toenail fungus may spread to the skin between your toes or other areas of your body. When getting dressed, put your socks on first to reduce the chance of spread.

Treating toenail fungus takes a long time, and it doesnt always work. Even then, toenail fungus often returns. Discuss the pros and cons of treating toenail fungus with your provider to determine whats best for you.

Practicing good hygiene and foot care reduces the chance toenail fungus will come back. If you have diabetes, getting regular foot exams may help you address foot problems before they get serious.

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Ranking The Best Toenail Fungus Treatments Of 2021

A toenail fungus treatment provides a simple, convenient way for people to address fungal infections of the toenail.

Nearly 35 million American adults suffer from fungal infections of the toenail, with many convinced there is nothing they can do about it.

Fortunately, medical science has made impressive leaps in understanding this vexing condition, and there are now numerous OTC toenail fungus treatments that can provide relief.

We put dozens of the most popular brands to the test and concluded that the following represent the 10 best toenail fungus treatment options of 2021.

The Best 5 Nail Fungus Treatments

The Best Treatment For Toenail Fungus – Get Rid Of Nail Fungus In 60 Days Or Less

What are the best treatment options you can buy?

If youre dealing with a fungal nail infection, youll want a treatment thats fast and effective and that gets to the root of the problem. Over the counter medications arent always the most reliable, so why not take a look at our guide to the best nail fungus treatments?

Weve tested nail fungus treatments for the qualities youre going to look for. Effectiveness is a top priority, but weve also thought about other concerns like the cost of the treatment and where its available to buy. The best nail fungus treatments should be ones that are fairly priced and work as they should, but also one that you can find online or in your local pharmacy.

All the products in our Top 5 list are ones you can buy over the counter. Improve the health and condition of your nails without booking to visit your doctor.

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Nail Fungal Infection Treatment

Prescription medicines can treat a fungal nail infection. Oral antifungal medicines help a new nail grow. This will replace the infected nail. You may need to take antifungal medicine for 6 to 12 weeks. Some oral medicines are not safe for people who have liver problems. They are not safe for people who have a history of congestive heart failure. Tell your doctor if you have one of these conditions. Your doctor will decide which medicine is right for you.

Apply topical treatments to the top of your nail. Topical medicines usually do not cure fungal nail infections.

In severe cases, a doctor might remove the nail completely. It can take several months to a year for the infection to go away.

Facts You Should Know About Fungal Nails

Many changes in fingernails or toenails may cause people to think they have a fungal infection of the nails, medically known as onychomycosis or tinea unguium.

Fungal infection of the nails sometimes makes the condition sound contagious or related to poor hygiene. In fact, up to 10% of all adults in Western countries have fungal infection of the nails. This percentage increases to 20% of adults who are age 60 or older. Toenail fungus is much more common than fingernail fungus.

In reality, abnormal-looking nails may be caused by a number of conditions including, but not limited to, fungal infection. There are many other reasons why your nails may look different.

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A Pharmacist Can Help With Fungal Nail Infections

Speak to a pharmacist if the look of your nail bothers you or it’s painful.

They may suggest:

  • antifungal nail cream it can take up to 12 months to cure the infection and does not always work
  • nail-softening cream it’s used for 2 weeks to soften the nail so the infected part can be scraped off

The infection is cured when you see healthy nail growing back at the base.

How Do Dermatologists Treat A Fungal Nail Infection

Best Toenail Fungus Treatment : Toenail Fungus Treatment ...

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:

  • Amorolfine

  • Efinaconazole

  • 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:

  • Fluconazole

  • Itraconazole

  • Terbinafine

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Hywean Toenail Fungus Nail Treatment

The Hywean Toenail Fungus Nail Treatment uses a four-step method to ensure effective treatment of nail fungus and complete recovery of the affected tissue.

What we like: The Hywean Nail Treatment system is very easy to use and often starts to show results in as little as two or three weeks. If the infection is not severe, your nail may be completely clear in eight weeks.

Flaws: Does a good job on less serious cases. Not so great on long-simmering cases.

What Other Information Should I Know

Keep all appointments with your doctor.

Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.

It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

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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.

Best Fungal Treatments For Toenails

Fungal Nail Treatment Options Chart

No matter how strong we are, still we all are vulnerable, even to the tiniest micro-organism. Among all the micro-organisms the most powerful one is the fungus.

Fungus can survive at almost every surface, and once it settles somewhere, it will only grow. And so, the common reason why we all are afraid of toenail fungus is the strength of fungus to eat away every particle on a body, be it a human body or a non-living object. And secondly, the ugly look that it gives to the nails.

The cell-wall of fungus is extremely thick and resistant to different chemicals and treatments. It would take ages to kill the toenail fungus, that is why a lot of home remedies do not work quickly.

As far as the skin infections are concerned, the body has to be super powerful in this regard. Otherwise, the toenail fungus would not go away.

In market, we have various treatments for toenail fungus, and in this article we will divide these treatments for nail fungus as the external and internal treatments. This will make it more understandable.

To be honest, both the internal and external treatments for nail fungus are effective but except for the laser treatment which is an external treatment all external nail fungus treatments can take more than 3 months to show results.

And in the external treatments, the common ones are the Home remedies, while for the internal treatments, these are pills or supplements that we intake.

This article will help you find the most effective treatments for nail fungus.

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Onychomycosis: Current Trends In Diagnosis And Treatment

DYANNE P. WESTERBERG, DO, and MICHAEL J. VOYACK, DO, Cooper Medical School of Rowan University, Camden, New Jersey

Am Fam Physician. 2013 Dec 1 88:762-770.

This version of the article contains supplmental content.

Patient information: See related handout on onychomycosis, written by the authors of this article.

Onychomycosis is a fungal infection of the fingernails or toenails that causes discoloration, thickening, and separation from the nail bed. Onychomycosis occurs in 10% of the general population but is more common in older adults the prevalence is 20% in those older than 60 years and 50% in those older than 70 years.1 The increased prevalence in older adults is related to peripheral vascular disease, immunologic disorders, and diabetes mellitus. The risk of onychomycosis is 1.9 to 2.8 times higher in persons with diabetes compared with the general population.2 In patients with human immunodeficiency virus infection, the prevalence ranges from 15% to 40%.3

Onychomycosis affects toenails more often than fingernails because of their slower growth, reduced blood supply, and frequent confinement in dark, moist environments. It may occur in patients with distorted nails, a history of nail trauma, genetic predisposition, hyperhidrosis, concurrent fungal infections, and psoriasis. It is also more common in smokers and in those who use occlusive footwear and shared bathing facilities.1,4

Are There Home Remedies For Toenail Fungus

The Internet is filled with anecdotal information on how to cure toenail fungus using home remedies. Vinegar is a commonly recommended home remedy. Some people apply various oils such as tea tree oil, coconut oil, essential oils, and oil of cedar leaf to their nails as well. The effectiveness of these home remedies is highly doubtful. Application of household bleach and hydrogen peroxide is also not recommended due to lack of evidence that these treatments work. These agents can also cause unwanted skin irritation. Thickened nails that have been affected by fungus can be difficult to trim. Using topical urea cream will soften the nail and make it easier to trim. These creams do not require a prescription.

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Signs And Symptoms Of A Fungal Nail Infection

A fungal nail infection may not cause any obvious symptoms at first.

As it progresses, the infection can cause:

  • discolouration of the nail it may turn white, black, yellow or green
  • thickening and distortion of the nail it may become an unusual shape or texture and be difficult to trim
  • pain or discomfort particularly when using or placing pressure on the affected toe or finger
  • brittle or crumbly nails pieces may break off and come away completely

Sometimes the skin nearby may also become infected and be itchy and cracked or red and swollen.

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