Toenail Fungus Prescription Medications
Sometimes prescription medications are needed to treat a toenail infection that just wont go away with natural remedies or over-the-counter medication in a few months. In this case, prescription-strength antifungal medication can eradicate stubborn onychomycosis.
Topical medications often are effective in treating mild to moderate toenail fungus. Topical solutions may include medicated nail polishes or liquid medications. Loprox , Penlac , Kerydin , and Jublia are among the top prescription drugs for toenail fungus.
How To Get Rid Of Toe Fungus
This article was co-authored by . Dr. Mark Co is a Podiatrist who runs his own private practice in San Francisco, California. Dr. Co specializes in treatments for bunions, ingrown toenails, toenail fungus, warts, plantar fasciitis and other causes of foot pain. He also offers custom orthotics for the treatment and prevention of foot and ankle issues. Dr. Co completed a Master of Business Administration at New York University and an MA in Electrical Engineering and Computer Science at Johns Hopkins University. Dr. Co also completed his DPM at the California School of Podiatric Medicine and a residency and internship at the Kaiser Permanente Medical Center, Santa Clara, California. Dr. Co was awarded San Francisco’s “Top 3 Podiatrists” in 2018, 2019, and 2020. Dr. Co is also a member of the CPMA .There are 15 references cited in this article, which can be found at the bottom of the page.wikiHow marks an article as reader-approved once it receives enough positive feedback. In this case, 96% of readers who voted found the article helpful, earning it our reader-approved status. This article has been viewed 1,477,639 times.
What To Watch For When Taking Oral Medication For Toenail Fungus Treatment
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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Can I Prevent Toenail Fungus
Some people will struggle with toenail fungus for their entire lives. While you may not be able to completely avoid fungal infections, there are some steps you can take to limit your risk for toenail fungus, including:
- Use antifungal sprays or powders regularly, especially after engaging in exercise, swimming, or otherwise exposing feet to moisture.
- Make sure to wash feet thoroughly with warm soapy water at least once each day and always wash your hands after handling infected toenails to avoid spreading the fungal infection.
- Completely dry feet after showering and take special care to remove water between toes.
- Consider getting manicures from professionals who can help you to keep your toenails and cuticle beds clean and free from fungus.
- Wear moisture wicking socks and shoes.
- Always wear shoes or socks in public areas.
- Avoid painting toenails or using artificial nails when you have a fungal infection.
How To Use It
Apply mentholated ointment directly to the affected nail. Do this about once a day for several weeks or until the nail shows noticeable improvements.
Vinegar is a common household product found in cooking and some home cleaning solutions. Though no clinical evidence exists to date, there is anecdotal evidence to suggest that vinegar is an effective tool to help treat toenail fungus.
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Visit Us Dermatology Partners
If you are struggling with toenail fungus, you dont have to deal with this concern on your own. The skilled team of professionals at U.S. Dermatology Partners, including Dr. Wagenseller and the Fairfax, Virginia team, are here to help. With locations across the U.S., we make it find a dermatologist for toenail fungus near you. When youre ready to begin treatment for toenail fungus with the help of one of our professionals, its easy to get started. Simply take a few moments to complete our online appointment request form. In just a few minutes, the U.S. Dermatology Partners team will have all of the information we need to schedule an appointment for you at your local office.
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What Is Toenail Fungus
Toenail fungus is an infection that gets in through cracks in your nail or cuts in your skin. It can make your toenail change color or get thicker. It can also hurt. Because toes are often warm and damp, fungus grows well there. Different kinds of fungi and sometimes yeast affect different parts of the nail. Left untreated, an infection could spread to other toenails, skin, or even your fingernails.
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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:
What Are The Most Effective Treatments For Toenail Fungus
The experts at Easton Dermatology Associates offer treatment customized to your exact situation, whether youve just noticed an irregularity with your toenail or youve been battling fungus for a while. Treatment options include:
- Prescription oral antifungal medications
- Topical nail cream
- Special antifungal nail polish that allows your nails to breathe
No matter what treatment you adopt, patience is key. It can take several months to clear up toenail fungus because even nails that grow at an average rate dont grow rapidly. We treat your fungus until its a thing of the past, and we also advise you on how to prevent a recurrence.
Its much easier to solve the problem when youre in the early stages of infection, before it becomes too advanced.
Do at either of our locations in Easton or Salisbury, Maryland, so we can start helping you eliminate embarrassing and persistent nail fungus problems ASAP. When next summer rolls around, you can be back in those oh-so-chic sandals!
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How To Prevent Toenail Fungus
Because fungi are everywhere , they can be present months before they find opportunities to strike and before signs of infection appear. By following certain precautions, including proper hygiene and regular inspection of the feet and toes, chances of the problem occurring can be significantly reduced.
- Regularly clean and dry feet to resist disease. Follow a strict regimen of washing the feet with soap and water.
- Change socks and hosiery daily and change out shoes on a regular basis.
- Clip toenails straight across so the nail doesnt extend beyond the tip of your finger or toenails.
- Wear socks that are made of synthetic fiber to wick away moisture. Cotton and wool socks dont wick away moisture as fast as synthetic fiber does. This can be helpful in denying a hospitable environment for the fungi to grow in.
Tips To Prevent Fungal Nail Infections
Making a few simple lifestyle changes can help prevent a fungal infection of the nails. Taking good care of your nails by keeping them well trimmed and clean is a good way to prevent infections.
Also avoid injuring the skin around your nails. If youre going to have damp or wet hands for an extended amount of time, you may want to wear rubber gloves.
Other ways to prevent fungal infections of the nails include:
- washing your hands after touching infected nails
- drying your feet well after showering, especially between your toes
- getting manicures or pedicures from trustworthy salons
- avoiding being barefoot in public places
- reducing your use of artificial nails and nail polish
Products to help you avoid nail fungus
If youre prone to excessive moisture around your fingernails or toenails, consider buying:
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How Apple Cider Vinegar May Help Treat Toenail Fungus
If you notice that your toenails are starting to thicken or change color, there is a chance you may have onychomycosis. Onychomycosis is the medical term for the condition commonly known as toenail fungus. If you are in the early stages of developing toenail fungus, you may notice a white or yellow spot under the tip of your toenail. Afterward, you may notice that the fungus will travel deeper and start to discolor, thicken, or distort the edge of the nail. Nevertheless, there are items you likely have in your kitchen cabinet that can aid in fighting toenail fungus. Apple cider vinegar is a popular remedy for toenail fungus due to its antifungal properties. If you want to treat your fungus using ACV, you can soak your feet in a mixture of warm water and the vinegar for about 15 minutes, twice a day. When purchasing the ACV, you should make sure it is raw, unpasteurized, and organic. For further assistance with treating toenail fungus, please consider scheduling a consultation with a podiatrist.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Gordon Fosdick of Affiliated Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
- Warped or oddly shaped nails
- Yellowish nails
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.
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Treatment Options For Nail Fungus
Most of my conversation is usually discussing medical therapy, so things that are available by prescription only. And those come in two main forms, which are topical antifungal medications, and then oral antifungal medications. There are other surgical or procedural options, so you can remove nails as well. And then there’s starting to be more interest in technologies like lasers for nail fungus.
How Can I Tell If I Have Toenail Fungus
Toenail fungus usually starts subtly, so you might not notice anything different with your nail immediately. After a while, though, you see some noticeable differences that indicate a fungal condition. Nails become:
Because a nail infected with a fungus is compromised, it can also break or split easily. As the condition progresses, itchiness and pain can occur, and the nail becomes separated from the nail bed.
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How To Prevent Both Foot And Toenail Fungus
While toenail fungus and foot fungus arent the same condition, the following tips can help you prevent both, says Sundling:
- Practice good hygiene, such as keeping your feet clean.
- Alternate your shoes during the week. Your feet sweat all day long. Alternating your shoes allows them to dry out, so the fungus cant survive.
- Wear moisture-wicking socks that help dry out shoes and kill fungus. You can find these at running stores and athletic stores. If your socks are exceptionally sweaty, changing them more than once per day can help.
- Wear shoes in public places like locker rooms, pools, and gyms to limit exposure to fungus.
Your Options For Treating Toenail Fungus
If you think you may have toenail fungus, you should see a podiatrist or dermatologist, who will send a specimen or a piece of your nail to a lab. Different types of fungus are treated slightly differently, so its important to know which type you have, says Sundling.
Also, sometimes the root of the problem is not a fungus at all, but rather another condition, or some kind of trauma to the nail bed for instance, if you dropped something on your toe. There is no treatment for toenail trauma, but removing the nail may be an option if the nail is painful.
If you do have a toenail fungus, your doctor will likely recommend one or more of the following treatment options:
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What About Prescription Topical Solutions
Compared with over the counter topical creams, Dr. Wagenseller said, Prescription topical solutions have shown some benefit, but they may require up to a year of daily treatment to be effective. Unlike over the counter topical creams, prescription strength solutions may show long-term improvement even after patients have completed their course of treatment and ceased daily applications.
How Do I Know If My Toenail Fungus Is Healing
Nail fungus can be resistant to treatment and nails take a long time to grow out, so it can take several weeks or months for an infection to be fully resolved. You will know that the treatment is working and the infection is clearing up when you see growth of a new, healthy nail from the base of the nail bed.
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Causes Of Toenail Fungus
Your toenails are frequently being exposed to the pathogen that causes fungal infections.
In fact, fungus and bacteria can be found almost anywhere, from public pools and locker rooms to the inside of your own shoes warm, damp, and dark places are the perfect environment for fungus to thrive. And when it finds a home in which to fester, the fungus begins to damage the keratin in the nail and, in severe cases, even cause debilitating pain.
However, fungal toenails can also develop in other ways in some cases, the fungus is contracted after an initial injury to the nail bed. Something as simple as a stubbed toe or an ingrown toenail can make the area more susceptible to the development of this condition.
In other cases, toenail fungus is the result of other underlying conditions that may contribute to a person developing infections in general. A good example of this is diabetes if you are living with diabetes, then you are already at a higher risk of infection, so when fungi comes into the picture, it is likely to take hold of the nail quite quickly.
Who Gets Toenail Fungus
Men are more likely to get it than women. The older you are, the better your chances are, too. People who have diabetes, athlete’s foot, or a weak immune system, who smoke, or whose family members have it are also at a higher risk. If you spend a lot of time in the water or you’ve injured your toenail, your odds for getting toenail fungus go up.
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What Causes Toenail Fungus And How To Prevent It
Unfortunately, the warm and moist environment inside your shoe can make you vulnerable to fungal infections. When these occur on the toenail, doctors call the condition onychomycosis. Fungal skin infections commonly called athletes foot can often affect the foot as well.
One of the you get a fungal toenail infection is when fungus invades small cracks in your toenail. Some people are at greater risk for this occurring, including those with:
- circulation problems, especially related to the feet
- history of injury, surgery, or damage to the nail
- impacted immune system function
When Should I Call The Doctor
In rare cases, toenail fungus can cause an infection called cellulitis. Without prompt treatment, cellulitis may pose a serious danger to your health.
You should seek treatment guidance from a trusted healthcare provider if you have:
- Circulation problems.
- Redness, pain or pus near the toenail.
- Weakened immune system.
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When To See A Doctor About Toenail Fungus
If you are experiencing persistent toenail fungus or pain is present, you may need to see a specialist. A dermatologist or podiatrist may be able to assess your symptoms and send a small sample of the affected toenail or flesh to a laboratory to be analyzed as there are various types of fungi and yeasts that cause onychomycosis. Knowing the specific cause of your foot fungus can help identify what route to take to treat your condition.
Nail changes can also be caused by underlying conditions, like psoriasis and diabetes, so its important to seek professional medical advice if your condition persists or worsens. Bacterial and fungal infection of skin in diabetes patients often result in hospital admissions, and in severe cases, can result in amputations. If you are at a higher risk for infection, you should skip home remedies and seek professional medical treatment.
There Is A Wide Range Of Options With Varying Success Rates
Other than keeping your toenails trimmed and perhaps painted, you may not pay much attention to them unless a problem develops. Healthy toenails are pink, shiny and smooth, but a fungal infection can cause them to become discolored, thick, brittle and even painful.
Toenail fungal infection, known as onychomycosis, is a common but challenging condition toenail fungus treatments include a wide range of options with varying success rates.
Causes of toenail fungus
Fungal nail infections are usually caused by fungi called dermatophytes that infect the skin beneath the nail yeast is another common culprit. Toenails are especially vulnerable to infection when your bare feet contact damp surfaces such as showers, swimming pools and locker rooms. If you have athletes foot, the infection can spread to the nails.
Wearing closed shoes such as athletic shoes for extended periods also can contribute to infection if your shoes and/or socks are damp from perspiration or heat. Moreover, if your shoes fit snugly enough to put pressure on your toes, they can damage the nail bed, making it more susceptible to infection.
People with chronic diseases, such as diabetes or circulatory problems, also may be more prone to toenail infections.
Symptoms of toenail fungus
Toenail fungus symptoms can develop slowly over time and may go unnoticed at first. Symptoms can include:
Toenail fungus treatments
When to see a doctor for toenail fungus
Preventing toenail fungus
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