Fungal Nails (cont.)

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Are oral medications for nail fungus toxic?

The newer drugs are unlikely to cause any liver problems in patients without known liver disease. Blood tests are not needed for once weekly treatment with fluconazole; however, people taking longer courses often have their liver function tested before starting the medicine and then retested during the course of treatment.

What about the cost of oral medications?

A further consideration is cost. Because newer oral antifungal agents are very expensive, some insurance companies balk at paying for what they consider a "cosmetic issue," unless nail fungus causes pain or other functional symptoms. Terbinafine and fluconazole are now available as generic drugs and are quite inexpensive.

How do you prevent fungal nails?

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No one knows where a specific person catches the fungus, as it is everywhere. However, since the fungus does thrive in warm moist areas (like sweaty feet), there are certain areas one should avoid or use with caution. Shower floors, locker rooms, and swimming pools are suspected of being sources of the fungus, although there are no studies proving this fact. Nail polish and acrylic nails also make the nail less "breathable" and make the nail more susceptible to fungal infection. Fungi are everywhere -- in the air, the dust, and the soil. Hygienic measures such as spraying socks and footgear sound sensible, and perhaps these measures can even help a little bit. However, avoiding tight, nonbreathing shoes or steering clear of athletic facility floors may very well be the best prevention available. Daily washing of the feet and drying between the toes can help to prevent nail fungus. The fungi carried on the coats of pets, like cats and dogs, don't often cause nail fungus. Wearing white socks does not help.

Medically Reviewed by a Doctor on 3/26/2014

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Fungal Nails - Treatments Question: What treatment did you use for your fungal nails?
Fungal Nails - Signs and Symptoms Question: What did your nails look like when you had a nail fungus? What were your signs and symptoms?
Fungal Nails - Prevention Question: If you've had a toenail fungus, how do you try to prevent it from recurring?
Fungal Nails - Diagnosis Question: Why did you go to a doctor for your nail fungus? How was the condition diagnosed?

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