What Drugs And Food Should I Avoid While Taking Ciclopirox Topical
Avoid contact with the eyes, nose, and inside of the mouth. If this does happen, rinse with water.
Avoid using other medications on the areas you treat with ciclopirox topical unless your doctor tells you to.
Do not use nail polish, artificial nails, or other cosmetic nail products on the nails treated with ciclopirox nail lacquer.
Avoid wearing tight-fitting, synthetic clothing that doesn’t allow air circulation. Wear loose-fitting clothing made of cotton and other natural fibers until the infection is healed.
Jublia Vs Ciclopirox: Ease Of Use
One issue a lot of patients have with ciclopirox is that because it is oil-based, it goes on a bit sticky and takes a few minutes to dry. It will also build up and look yellowed. Jublia on the other hand has an alcohol base and goes on much cleaner and drys quicker. It also doesnt build up and look yellowed.
To summarize, the best topical medications work between 10% 20% of the time to make the nail look better. The new ones work a little better than the Ciclopirox, but are much more expensive, although discount coupons are currently available and they may be covered by insurance. Of the three, Jublia probably works the best and Ciclopirox is the most cost effective. While Jublia might work a bit better, we dont feel that it offers enough of an improvement to justify the cost so we usually prescribe Ciclopirox. If a patient wants to try it, however, we will provide the prescription. We dont generally prescribe Kerydin as it is just as expenive as Jublia and from the studies we have seen not quite as effective.
Laser Treatment Of Nail Fungus
Laser treatment is used by many of our patients because it is safe, painless and has no potential liver side effects. The downside of the laser is that it is more expensive than oral medications and, while the laser is effective, it is not as well studied as the oral medications and probably not as effective . We will make sure you have all the information you need to decide if this is the treatment you want to try. Our definitive Guide to Laser Treatment of Fungal Toenails can be found here. Be sure to read this completely before you have laser treatment for nail fungus no matter where you have it done.
Using a combination of laser and oral medication may work better than either treatment alone according to a 2014 study.
Read Also: How Do I Know If I Have Toe Fungus
What Side Effects And Drug
The possible side effects of itraconazole include headaches, dizziness, stomach and bowel problems, and rashes. Itraconazole can also interact with a number of other drugs. These include cholesterol-reducing and blood-sugar-lowering medications, as well as certain sleeping pills. It is therefore important to let your doctor know about any medication you take. Itraconazole is not an option for people with heart failure . It also isnt suitable for women who are pregnant or breastfeeding.
Terbinafine can cause gastrointestinal problems and a temporary loss of taste and smell. It can also interact with certain antidepressants and heart medications. Overall, terbinafine has far fewer drug-drug interactions than itraconazole. Nevertheless, its still important to tell your doctor if you are taking any other medication. As a precaution, this medication should not be taken during pregnancy or if you are breastfeeding.
The studies only rarely reported on how often the different side effects occurred. But most people tolerate nail fungus medications well. Only a few people in the studies stopped treatment because of side effects.
But there is a very small risk of liver damage from taking itraconazole or terbinafine. For this reason, people with a liver disease are only given these medications if its absolutely necessary.
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.
Don’t Miss: Will Vicks Help Toenail Fungus
What Other Drugs Will Affect Ciclopirox Topical
Tell your doctor about all your current medicines and any you start or stop using, especially:
an inhaled or topical steroid medicine or
It is not likely that other drugs you take orally or inject will have an effect on topically applied ciclopirox. But many drugs can interact with each other. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Cliclopirox Vs Kerydin Vs Jublia Which Topical Is Best
Our preferred topical is 8% ciclopirox lacquer for daily use for 12 months after laser or oral medication treatment then once or twice a week for maintenance. The advantages of ciclopirox are that its one of the most effective topical medications and inexpensive and may be covered by insurance if prescribed. The downside is that its a hassle to apply, must be removed weekly and you cant use nail polish or other nail products while in treatment.
Kerydin and Jublia and are newer topical medications for nail fungus and, in fact, work a little better than ciclopirox according to most studies. In addition, they are easier and cleaner to apply. Ciclopirox goes on kind of sticky as it is oil based. Kerydin and Jublia are alcohol based and so are much cleaner to put on. Unfortunately they are much, much more expensive . There are some coupons available for the Kerydin and Jublia that can lower the cost considerably. If you are paying for it out of pocket without a discount, however, we dont think that the the minor improvement in outcomes is worth the cost for most patients, but we do occasionally prescribe them to patients who want to avoid the mess of ciclopirox.
What the Studies Say about Topical Medications: Below are listed the three most effective topical medications with information on how well they work and how much they cost. Keep in mind you will be using them for about one year:
Don’t Miss: What Is Best Foot Soak For Toenail Fungus
Before Taking This Medicine
You should not use ciclopirox if you are allergic to it.
To make sure ciclopirox topical is safe for you, tell your doctor if you have:
epilepsy or other seizure disorder
a weak immune system or
a condition for which you use steroid medication .
Ciclopirox topical is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
It is not known whether ciclopirox topical passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
Do not use ciclopirox topical on a child without medical advice. Ciclopirox shampoo and gel are not approved for use by anyone younger than 16 years old. Ciclopirox nail laquer is not approved for use by anyone younger than 12 years old. Ciclopirox cream and lotion are not approved for use by anyone younger than 10 years old.
Tips For Good Reviews
- Only rate drugs or treatments you’ve tried.
- In your description, mention the brand, dose, and period of time that you used the drug or treatment.
- Please share your positive and negative experiences with the drug, and compare it with other treatments you have used.
- Do not include any personal information or links in your review.
Read Also: Is Toenail Fungus Bad For Your Health
Combining Oral Medication And Laser Therapy
A 2014 study published in Dermatologic Surgery noted that using both laser and oral medication may work better than either treatment alone1.
In this study of 53 patients who were treated with either oral terbinafine, laser or both, the group that received both treatments had significantly higher rates of clearance than those of the terbinfine group or the laser group at at Weeks 4, 8, 12, 16, and 24. So far this is the only study we have found that evaluates the combined treatment of laser and oral terbinafine . We hope to see additional studies in the future that will back up this information.
The Initial Causes Does Ciclopirox Work For Nail Fungus
If you suspect that your nails are infected with fungus, it is best to consult your doctor and get a diagnosis. Your doctor will ask you about the symptoms and conduct a thorough examination of your nails. A biopsy is required to determine the cause of the infection. Various types of fungus are found in the skin, including the toenails. Among the most common forms of nail fungus are yellow and black, with white patches surrounded by dark brown or white spots.
The infection is caused by fungus. It can spread to the skin and other parts of the body. It is very common to find a nail fungus on the foot in elderly people, and it is often not treated until the condition gets worse. The disease can even be spread to the skin. The afflicted person should see a doctor immediately if they notice any changes in the color of his or her nails.
Nail fungus can occur in the toenails. The infection occurs due to a variety of factors, including excessive moisture, soaking your hands in water, and a lack of hygiene. If the afflicted person is prone to infection, the fungus will grow in the toenails and may spread to other parts of the body. Consequently, it is essential to prevent the nail fungus from spreading to the skin
Recommended Reading: What Will Kill Foot Fungus
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 Dermatologists Treat A Fungal Nail Infection
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:
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:
Recommended Reading: How To Kill Athlete’s Foot Fungus
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.
So Should You Use Topical Otc Anti
In our opinion there are no OTC anti-fungals that work as well as the prescription medications and the prescription topicals dont work that well either. In particular, avoid any OTC topical medications if they make any of the following claims:
- They claim to have the most effective fungus treatment.
- They claim that they have the best ingredients
- They claim that their product will cure nail fungus
If you are going to try a topical medication for nail fungus, get a prescription from your doctor for Ciclopirox, Kerydin or Jublia. They are all more effective than any OTC topical. And Ciclopirox is both more effective and less expensive than OTC anti-fungals.
You May Like: How Does Tea Tree Oil Work On Toenail Fungus
Evaluation And Diagnosis Of Fungal Nails
We will first examine your feet and nails and take a history. This can help determine if you have a fungal infection or nail dystrophy. After doing a history and examination to help determine the cause of your nail changes, we may get a lab test. This involves taking a small sample of the nail and having it examined in the lab under the microscope.
The test is called a Periodic Acid-Shiff test which involves a stain that turns any fungi red. This will also help identify the exact type of fungi present so that we can offer you the most effective treatment. This is often the only way to determine the difference between fungus and dystrophy as they can look exactly the same.
This is a critical step as we see many patients who have spent hundreds of dollars on laser treatment for nail fungus or have taken oral anti-fungal medications only to find that there is no fungus present and that there was no reason to even consider these treatments. Sometimes visual examination of the nail is adequate to diagnose toenail fungus, but many times it is not.
During your first visit with us we will provide you with a plan of action for treating the dystrophic or fungal nails. We may be able to provide you with recommendations on the first visit but we often have to wait for lab tests to be completed. Thus, we cannot guarantee that any specific treatment will be performed during your first visit.
What Is Ciclopirox Topical
Ciclopirox is an antifungal medicine that prevents fungus from growing on your skin.
Ciclopirox shampoo is used to treat seborrheic dermatitis, an inflammatory skin condition of the scalp.
Ciclopirox nail lacquer is used to treat fungal infections of the toenails and fingernails.
Ciclopirox topical may also be used for purposes not listed in this medication guide.
Recommended Reading: How Common Is Toenail Fungus
How To Apply Ciclopirox Nail Lacquer
When you are prescribed Ciclopirox, you should receive instructions from your doctor on how to use it safely. If you do not receive one, ask your podiatrist or pharmacist how to use it correctly. When you are applying it, there are some important things to keep in mind:
- Make sure to clip your toenails before using this treatment. If you have any loose nail material that can come off quickly, gently cut or file it away. This will allow the treatment to penetrate the infected area more efficiently.
- Only apply ciclopirox on the nail and the skin surrounding the nail, unless instructed otherwise by your doctor.
- Use the lacquer once daily before bed.
- Use the included applicator to cover the nail and surrounding skin. If possible, use the applicator underneath the nail as well.
- Let the lacquer dry for thirty seconds before putting on socks/shoes.
- Do not wash your toes for at least eight hours after applying the medication.
- Remove the medication from the nail once every seven days. This can be done with rubbing alcohol. Clean away any loose nail material that may have come off.
Be sure to use the medication exactly as prescribed. Dont stop using it before the designated prescription is over. Stopping too quickly may allow the fungus to regrow.
Are There Any Side Effects?
Serious side effects are rare, but here are some of the possible allergic reactions: