How To Cure Severe Nail 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.

Laser Treatment For Fungal Nail Infections

Laser Treatment for fungal nail infections is now available at Podiatry Care. The team at Podiatry Care are the first to incorporate leading German laser technology to deal with fungus affecting toe nails and have over 5 years experience in administering laser treatment.

You may have spoken with your Podiatrist in the past about treating fungal nail infections. Without doubt it is one of the more difficult conditions to successfully treat. Until now messy and ineffective topical creams and ointments along with hazardous oral anti-fungal medications have been the only treatment available.

Often the side effects of the drugs and the inability of the medication to penetrate the nail and nail beds have meant poor compliance and subsequently very poor outcomes. The introduction of the 1064 Diode laser has meant we can now treat this embarrassing and often extremely stubborn condition with a success rate of up to 80%.

The treatment is safe, requires no anesthesia, there are no side effects and is a walk in, walk out procedure.

The patients love the ease of the procedure. The technology is so advanced that the only perceivable sensation is a slight warming effect. Even the most affected nails can be treated, with a great improvement in the appearance of the nails in 3 to 4 months following laser treatment.

Call Podiatry Care and ask about our special GAP FREE* assessment to see if you qualify for Laser treatment of your toe nail fungus.

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.

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What Kills Toenail Fungus Fast

The best way to figure out how to get rid of your toenail fungus as quickly as possible is to see your healthcare provider at the first sign of changes in the nails. Your healthcare provider can examine the affected toenail and take a sample if necessary, then make a recommendation on the best treatment for you. Even though treatments can help, the nail may take up to 18 months to grow out. Unfortunately, although there are many remedies to try, whether natural, over-the-counter, or prescription, it can take a while for the affected toenail to return to normal.

What Is Tinea Unguium

When a dermatophyte causes toenail fungus, the condition is called tinea unguium. A dermatophyte is a mold that needs a protein called keratin to grow. Keratin is the main structural material of your nails that makes them hard. Dermatophytes cause 90% of toenail fungal infections. Tinea unguium is also known as onychomycosis.

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Treatment Options For Nail Fungus

Interviewer:

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.

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.

You shouldnt use home remedies for toenail fungus if you have diabetes or a weakened immune system. Contact your doctor for the appropriate course of action.

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Facts About Fungal Nail Infection

The infection can affect any part of your nail, including your nail plate, bed and root.

Changing rooms, public showers and unsterilized equipment in nail salons all put you at increased risk of fungal nail infection.

Remember to wash your hands! Contact with a person suffering from fungal nail infection can be enough to develop the condition.

Nail Fungal Infection Treatment

Prescription medicines can treat a fungal nail infection. Oral antifungal medicines help a new nail grow. This will replace the infected nail. You may need to take antifungal medicine for 6 to 12 weeks. Some oral medicines are not safe for people who have liver problems. They are not safe for people who have a history of congestive heart failure. Tell your doctor if you have one of these conditions. Your doctor will decide which medicine is right for you.

Apply topical treatments to the top of your nail. Topical medicines usually do not cure fungal nail infections.

In severe cases, a doctor might remove the nail completely. It can take several months to a year for the infection to go away.

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What Can I Expect If I Have A Toenail Fungus

While toenail fungus is common, its usually not harmful. Symptoms mostly affect the look of your toenail.

Toenail fungus may spread to the skin between your toes or other areas of your body. When getting dressed, put your socks on first to reduce the chance of spread.

Treating toenail fungus takes a long time, and it doesnt always work. Even then, toenail fungus often returns. Discuss the pros and cons of treating toenail fungus with your healthcare provider to determine whats best for you.

Practicing good hygiene and foot care reduces the chance toenail fungus will come back. If you have diabetes, getting regular foot exams may help you address foot problems before they get serious.

How Is Toenail Fungus Treated

Toenail fungus is notoriously tricky to treat. You may need to treat tinea unguium for several months to get rid of the fungus. Still, toenail fungus often comes back.

A skin specialist or foot doctor can explain your treatment options. If you have a mild case that doesnt bother you, your healthcare provider may recommend no treatment.

Tinea unguium treatment options include:

Oral antifungal medication

You can take a prescribed oral antifungal medication to treat the fungus. Options include terbinafine , itraconazole or fluconazole . Youll need to take the medication every day for several months . Your healthcare provider may use blood tests to check for potential medication side effects. These medications can affect your liver and interact with other medications, so oral antifungals arent for everyone.

Topical medication

You can regularly apply a topical medication right onto your nail. The medication treats the fungus over time. Topical medications are most effective when paired with oral medications.

Laser treatments

Your healthcare provider will direct a high-tech laser beam and special lights at your toenail to treat the fungus. Lasers are U.S. Food and Drug Administration approved for temporary increase of clear nail in nail fungus, but theyre not a cure. Cure rates for laser treatment are lower than oral and topical mediations. Your healthcare provider wont typically use lasers as first-line treatments for nail fungus.

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Clean Socks And Shoes

Regularly changing your socks and shoes can also cut down on the growth of unwanted foot fungus. Both socks and athletic shoes can be washed to rid the growth of yeasts and fungi that may be growing on the fabric. Adding a half-cup of baking soda or one cup of vinegar to the washing machine can help eliminate bacteria or fungus on socks or shoes. Some shoes can be machine dried. Drying shoes in the sun is another option when cleaning footwear, but make sure they are completely dry before wearing them again.

Boots and other footwear that are not machine washable could be wiped out with a vinegar and water solution or sprayed with an over-the-counter antifungal spray. Medicated powders are also helpful in treating shoes for foot fungus.

Allowing the feet to breathe by taking off shoes and socks when possible can prevent fungal growth. Protect your feet by wearing breathable footwear and clean, dry socks. Antimicrobial socks and shoes made from bamboo, copper, or specialty fabrics are also available. They can help reduce unwanted bacteria and yeast from growing in your footwear.

A proactive approach to keeping your feet clean and dry can prevent the spread of toenail fungus. You can wash or soak feet with warm soapy water or a foot bath using everyday household items. Soaking your feet in an all-natural, homeopathic concoction can be beneficial in reducing or eliminating toenail fungus.

How Can I Identify Fungal Nail Infections

Symptoms of nail fungus include:

• Nail discolouration
• White markings on nail

If the infection is left ignored, the toenails can become thickened and difficult to trim, making walking painful. Patients may need to avoid footwear that feels tight around the toes and could experience discomfort or embarrassment when their feet are uncovered due to an ugly appearance. Fungal infections can also spread easily to other toenails, fingernails, and even the skin around the nails.

Any delay in treatment can cause significant or even permanent damage especially to individuals that have weakened immune systems from cancer treatments, rheumatological conditions, neurological conditions, or diabetes. Underlying biomechanical conditions such as hallux limitus could also impact your healing rate or worsen the fungal infection.

In some cases, nail infections can be missed or ignored due to the absence of symptoms or pain. At-risk individuals should undergo routine nail and skin care from their podiatrist. This is so any changes to the nails will not be missed, and prompt treatment can be applied upon the discovery of nail conditions.

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What Is Toenail Fungus

Toenail fungus, also known as onychomycosis or tinea unguium, is a common nail condition affecting millions of people in the United States. Fungal nail infections can develop on the nail from various organisms such as molds, yeasts, and fungi. This usually occurs after these organisms come into contact with a cracked nail or skin surrounding the nail as the opening provides a portal of entry for these organisms.

Best Home Remedies For Toenail Fungus

A variety of treatment options for toenail fungus are available, including drug-free alternatives, over-the-counter medicine, prescription drugs, laser treatment, or even surgical removal for those severe cases. Many people would rather start with items they have around the house before purchasing medication or visiting their doctors office. These treatments are most effective in mild fungal cases.

Unfortunately, there are no quick fixes when it comes to treating nail fungus. This is because a new toenail must grow to replace the old, damaged toenail. This can take up to 18 months to regrow the toenail. This time frame varies on how fast or slow your toenails grow and how severe the fungal infection is. Many home remedies quickly improve the appearance of the nail, but the actual fungus is not gone until the new, healthy nail has replaced the old, damaged one.

Try some of these effective home remedies for toenail fungus:

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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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Can I Wear Nail Polish If I Have Toenail Fungus

You may feel tempted to cover up a discolored toenail with nail polish. But if youre using a topical antifungal, you probably shouldnt use polish. Your healthcare provider may tell you not to wear it in any case.

Nail polish traps in moisture from your nailbed . Because fungi thrive in moist environments, wearing nail polish may make a fungal infection worse. However, your nail continues to grow with or without polish.

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Can I Hide Nail Psoriasis

If a person wants to hide the effects of nail psoriasis, they should talk with their dermatologist about the best options. Sometimes using nail polish or having a professional manicure might help, though a person should take care not to touch the cuticles and tell their nail technician about their condition. Certain types of nail polish and nail polish remover for people with sensitive skin do not contain the harsh chemicals that regular products do.

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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Nail Anatomy And Onychomycosis Infection

Figure 1 shows the composition of the nail, including the nail plate , nail bed and nail matrix.

Figure 1: Nail anatomy and physiology

The nail plate and nail bed are joined by layers of hard, translucent, keratinised cells. The nail bed and nail matrix are vascular components of the nail, with nail cells located within the nail matrix where the nail plate is formed. The thickness of the nail plate determines the length of the matrix

• Apply cosmetic nail varnishes or artificial nails
• Walk without footwear in public areas
• Cut nails too short.

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What The Experts Say

The most common presentation of toenail fungus is a white/yellow discoloration of the nail that is thick and filled with yellow/white keratin debris. 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.âOrit Markowitz, MD, founder and CEO of OptiSkin treatment center in New York City.

Remedies And Treatments For Toenail Fungus

Over-the-Counter Antifungals

Antifungal remedies help to stop the growth of the fungus. Over-the-counter options do not claim to cure toenail fungus, but they can help to improve the look of the affected nail. These products do not work as well as prescription medications. To cure toenail fungus, a remedy has to penetrate the nail and nail bed. Most over-the-counter remedies for nail fungus are topical and do not penetrate deeply enough.

Trim, Buff, and Thin the Affected Nail

Keeping your nails trim, buffed, and clean helps to prevent the spread of the fungus to other nails. Additionally, buffing the nail can allow topical antifungals to penetrate more deeply. Make sure to wash your hands promptly after touching the affected nail, especially before touching other nails.

Vicks VapoRub

Vicks VapoRub is a product marketed for people with coughs. However, it may also be effective against toenail fungus. One small study showed that after applying it topically each day for 48 weeks, 27.8% of participants fully cured their nail fungus â and 55.6% of participants saw partial improvement. However, more study is needed.

Tea Tree Oil

Tea tree oil comes from the Australian tea tree. It is an essential oil traditionally used as an antibacterial and antifungal treatment. Early research shows that it may help with nail fungus when used topically. However, more research is needed. If you do use tea tree oil for toenail fungus, only use it topically.

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