Table of Contents
- Introduction to Fungal Nails (Onychomycosis, Tinea Unguium)
- What other conditions can be mistaken for fungal nails?
- What causes fungal nails, and what are some of the risk factors?
- Is nail fungus contagious?
- What are the symptoms and signs of fungal nails?
- How are fungal nails diagnosed?
- How is nail fungus treated?
- How is nail fungus treated? (Continued)
- Are oral medications for nail fungus toxic?
- What about the cost of oral medications?
- How do you prevent fungal nails?
- What is the prognosis of fungal nails?
How is nail fungus treated?
Keeping nails trimmed and filed can help to reduce that amount of fungus in the nails and is highly recommended. A podiatrist or dermatologist may shave the top layer of the nail off or even remove part of the nail.
Creams and other topical medications have traditionally been less effective against nail fungus that oral medications. This is because nails are too hard for external applications to penetrate. A medicated nail lacquer, ciclopirox (Penlac) topical solution 8%, has been approved to treat finger or toenail fungus that does not involve the white portion of the nail (lunula) in people with normal immune systems. It only works about 7% of the time. There is some evidence that using an antifungal nail lacquer containing amorlfine can prevent reinfection after a cure, with a success rate of about 70%.
Efinaconazole (Jublia) is a medication approved in 2014. It is a topical (applied to the skin) antifungal used for the local treatment of fungal infections of the toenails. Daily application is required for 48 weeks.
Tavaborole (Kerydin) is another new medication that is indicated for onychomycosis of the toenails due to Trichophyton rubrum or Trichophyton mentagrophytes. Daily use for 48 weeks is also required. Continue Reading