What Causes A Nail Fungal Infection
The infection is usually caused by exposure to a fungus. The fungus grows in wet, dark conditions. The fungus grows when your feet are in warm, sweaty environment . It enters your nail through a crack in the nail.
Nail fungal infections happen at any age. They are more common in adults older than 60 years of age. They are common in people who have diabetes or circulation problems. They also are common in people with a weakened immune system. Men are more likely than women to get fungal nail infections.
Can I Wear Nail Polish If I Have Toenail Fungus
You may feel tempted to cover up a discolored toenail with nail polish. If you are using a topical antifungal, you probably should not use polish. Some providers may tell you not to wear it in any case. Polish traps in moisture from the nailbed . Because fungi thrive in moist environments, wearing nail polish may make a fungal infection worse. However, the nail continues to grow with or without polish.
Other Oral Medications That Are Available To Treat Toenail Fungus
Oral fluconazole for toenail fungus treatment
Oral fluconazole is another pill sometimes used to treat toenail fungus. But its not a great alternative to terbinafine and itraconazole. Its not approved by the Food and Drug Administration for this use, and it doesnt work as well in head-to-head comparisons. Not only that, it needs to be taken once a week for at least 3 to 6 months.
Noxafil for toenail fungus treatment
A new medication used in the treatment of toenail fungus is posaconazole , a liquid taken by mouth. Noxafil appears to be an effective option, but the cost makes it difficult for anyone to afford.
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Side Effects Of Toenail Fungus Medication
One of the many benefits of using a homeopathic remedy is that there are little to no adverse side effects. Topical treatments often prescribed to treat toenail fungus can potentially burn or blister the skin. Oral medications for treating onychomycosis can cause liver or gastrointestinal damage. Be sure to read your medications list of potential side effects. Consult your pharmacist, physician, or specialist if you are concerned about side effects of prescription drugs.
Why Use An At Home Laser For Nail Fungus
Nail fungus, also known as Onychomycosis, is a fungal infection of the nail. It is caused when microscopic spores of fungus infect the skin. As it gets deeper into the nail, it may cause thickening, discoloration, and crumbling edges of the nail. It can lead to nails that change colors to white, black, yellow or green. Often it will become inflamed and painful, and in some cases, the fungus can make it difficult to walk. It will not go away on its own and must be treated to get rid of it.
There are many great reasons to use a laser to treat fungus.
- It is a non-invasive treatment- You can use the product in the privacy of your own home, with no need to go to time-consuming doctors appointments.
- Easy to use
- No side effects
- Effective results
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When To Refer To Podiatry
Before initiating topical or oral therapy, patients should ideally be referred to a podiatrist for nail trimming and debridement. This assists with removing as much fungus as possible and improves topical drug penetration. Debridement alone cannot be recommended for the treatment of OM patients using a combination of debridement and topical nail lacquer have shown a significant improvement in mycological cure compared with debridement only. Patients with nail trauma owing to footwear, dystrophic toenails affecting other toes or who describe discomfort when walking owing to thickened toenails should also be referred.
When there is treatment failure with topical, oral and combination therapies, a podiatrist may be able to carry out a chemical or surgical nail avulsion .
If there is doubt over the original diagnosis, or where no improvement has been seen with treatment, pharmacists should refer patients to a podiatrist or their GP.
Supported by RB
RB provided financial support in the production of this content.
The authors were paid by The Pharmaceutical Journal to write this article and full editorial control was maintained by the journal at all times.
Does Tea Tree Oil Kill Nail Fungus
tea tree oilnail fungusNail fungustreattea tree oilBut over time, your nails may:
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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.
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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Stop This Skin Infection In Its Tracks With These Over
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Verywell / Sabrina Jiang
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. But if left untreated, the fungus can grow severely by hardening the nails and spreading to other toes.
The fungus often begins in the form of athlete’s foot between the toes or on the soles of the feet. At this stage, the fungal infection is easier to treat with over-the-counter medication. But Shari Lipner, MD, a board-certified dermatologist at New York-Presbyterian Hospital/Weill Cornell Medicine, told Verywell Health toenail fungus can be difficult to treat because of how slow the nails grow. The more severe the toenail fungus, the thicker the nail, and the more nails involved makes it that much harder to treat the nails even with effective therapies, she says.
Diagnosing the fungal infection early is key to make treatments effective. Dr. Lipner recommends visiting a board-certified dermatologist to properly treat the infection if it grows to be too severe.
Here are a few of the best over-the-counter toenail fungus treatments on the market.
How Long Does It Take To Cure Nail Fungus
When it comes to nail fungus, its important to differentiate between the time it take to treat or cure it versus the time it takes for a new, healthy nail to fully emerge.
It usually takes a few weeks to a few months to eradicate the underlying infection. This is most frequently accomplished by a combination of topical and oral antifungal medications. Because the fungus is protected from topical medications via the nail plate, and semi-protected from oral medications due to toes receiving limited circulation, the process is a bit slower than it might be for other areas of the body.
However, its important to remember that killing the fungus wont repair a nail that has already been damaged by it. Unfortunately, youll have to wait for it to grow out naturally, which could take several months.
While the full recovery period may be lengthy, it shouldnt discourage you! In time, a healthy and clear nail may grow in and return, bringing long-awaited relief and peace of mind. Get started on your treatment by calling Family Foot & Ankle Center at 689-3317 today.
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Are There Any Side Effects Or Issues To Consider With At Home Treatments
At home laser treatments are considered a safe and effective way to help treat onychomycosis. These products are painless and do not harm or affect the surrounding tissues of the treated area. There is also no noticeable side effect or complications with at home laser treatment for fungus.
The biggest problem with at home devices is that they take time to work. While you can do them in the comfort of your own home and each treatment only takes 7 minutes , you will have to do the procedures for 3 to 4 months to determine their effectiveness. Some people may find this to be too much of a time investment.
Softening And Scraping Away The Nail
As it can take a long time for antifungal medication to work, some people may prefer to use a treatment that involves softening and removing infected parts of nail over a few weeks.
Treatment kits are available from pharmacies that contain a 40% urea paste, plasters and a scraping device. The paste softens the infected parts of the nail, allowing them to be scraped away so they can be gradually replaced with healthy nail.
To use the treatment:
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How Effective Are Tablets In Treating Nail Fungus
Tablets for the treatment of nail fungus have been tested in several studies. All participants had an infection on their toenails caused by a skin fungus. Overall, the study results showed that tablets are considerably more effective than nail polishes or creams.
One year after a three-month treatment with terbinafine:
- About 17 out of 100 people who didnt have this treatment no longer had a detectable fungal nail infection.
- About 76 out of 100 people who had this treatment no longer had a detectable fungal nail infection.
In other words, the treatment with terbinafine got rid of the fungal infection in about 59 out of 100 people.
Itraconazole also proved to be effective. After one year,
- 7 out of 100 people who didnt have this treatment no longer had a detectable fungal nail infection.
- About 43 out of 100 people who had this treatment no longer had a detectable fungal nail infection.
In other words, the treatment with itraconazole got rid of the fungal infection in about 36 out of 100 people.
Some studies directly compared itraconazole and terbinafine with each other. They confirm that terbinafine is somewhat more effective than itraconazole.
Treatment with breaks is thought to be about as effective as continuous treatment. But that has only been looked into in a few studies.
How Do I Know If I Have Toenail Fungus
A toenail fungal infection has a slow, eroding effect on your toenail but usually takes a while to develop and spread so you might not notice it at first.
Here are some of the toenail symptoms you may encounter:
- Change in color often the toenail turns yellow, brown, white, or eve green
- Nails become thicksometimes so thick you cant get a toenail clipper to work
- Toenail shape becomes curved, twisted, or ingrown on the sides
- Initially, a white dot may show itself which then slowly grows larger
- Toenails become brittle and break easily, sometimes they seem to crumble or get chalky
- Toenails become flaky and break off
- Sometimes the toenail has a “cottage-cheese” type substance especially under the hard-outer shell
- Toenails may loosen and separate off the nail bed occasionally they may even fall of entirely
- You get pain around the toenail as the hard, curved nail digs down into the sides
- There is a bad-cheese smell coming from your toenails
- Eventually, the fungus spreads to your other toes and even out onto the skin on your feet
If left untreated, you can develop a secondary bacterial infection and even get ulcerations, which are extremely dangerous if you are diabetic or have poor circulation. For some people, toenail fungus has even ultimately led to the surgical amputation of toes or even leg amputations.
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What Should I Know About Storage And Disposal Of This Medication
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture . Keep the bottle of ciclopirox topical solution in the package it came in, away from light.
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.
It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.
Why Choose Fungusfree
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still not sure?
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When To See A Doctor
In most cases, toenail fungus is considered a cosmetic problem. Still, it may cause serious complications for some people.
If you have diabetes, toenail fungus may lead to foot ulcers or other foot problems. According to a 2012 study, chronic toenail fungus is a significant risk factor for bacterial cellulitis of the leg.
If you have diabetes or a weakened immune system, you shouldnt use home remedies for toenail fungus. Contact your doctor for the appropriate course of action.
What Is The Treatment For Fungal Nails
Oral antifungal therapy has a high cure rate, depending on the medication. It can take nine to 12 months to see if it has worked or not, because that is how long it takes for the nail to grow out. Even when therapy works, the fungus may come back. Currently, an oral antifungal therapy is considered the best treatment for toenail fungus because of higher cure rates and shorter treatment duration compared to topical therapy.
Prescription oral medications that are effective against nail fungus include the following:
There are several innovative treatments that are still being tested:
- Laser therapy or uses application of light-activated agents onto the nail followed by shining light of a proper wavelength on the nail.
- Use of electrical current to help absorption of topical antifungal medications into the nail: This is also called iontophoresis.
- Use of a special nail lacquer that changes the micro-climate of the nail to make it inhospitable for the fungus to grow: If this works, it may be an inexpensive way to treat this problem in the future.
One way to definitively get rid of toenail fungus is by surgery. Surgical treatment of onychomycosis involves nail removal. However, this often only provides temporary relief, and recurrence is common unless additional antifungal medication is simultaneously used. However, surgical removal may be warranted when the affected nail is associated with other factors such as trauma and or infection.
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