It’s been
estimated that as much as 11 percent of the North American population has a nail
fungus, also known as Tinea Pedis or Onychomycosis. Although not dangerous, it’s
a definite cosmetic problem, often causing considerable discomfort and pain to
the individual inflicted with it.
Treatment by
a Physician
- Having extra thick toenail material trimmed
and removed is the first step. Doctors have instruments that enable them to cut
off more, and sometimes trimming the nails is the only treatment needed. - Surgery is no longer performed
routinely, but instead only when all other options have failed and the nail is
creating a significant problem because of its size and/or shape.
Topical
Medications
- Currently only one topical medication
is approved for use in the U.S.— Ciclopirox Olamine 8% (Penlac)—which is a
lacquer. It’s applied to the surface of the nail and the skin surrounding it daily.
Once a week it’s removed, along with debris and unattached nail. - Naftin, Loprox , and Lamisil creams
may also be used to treat nail fungus, however, there have only been small studies done using these
creams. - Additional topical medications are currently
available in other countries that may eventually become available in the U.S.
There is only
a small chance of curing nail fungus with topical medications, and they must be
used for anywhere from months to years.
Oral
Medication
- The most commonly used oral
medication for fungal nail infections is Terbenafine (Lamisil®). Taken for six
weeks to treat fingernails, and 12 to 16 weeks to treat toenails, the dosage is
250 mg a day. - Itraconazole (Sporonox®) is also commonly used
to treat fungal nail infections. 200 mg a day is taken for 12 weeks. “Pulse
therapy” is also used, where 200 mg is taken twice a day for one week out of a
month, for two months to treat fingernails and three months to treat toenails. - Fluconazole may also be used as an
oral treatment for fungal nail infections. It only needs to be taken once a
week, for a total of 3 months for fingernails or 6 months for toenails.
At one point in time it was thought that oral medications may
be the answer to curing fungal nail infections. However, oral medications don’t
work as well as expected, and their accompanying side effects may make the cure
worse than the disease.
Alternative
Treatments/Home Remedies
- Two alternative treatments whose
active ingredients contain tea tree oil are Zetaclear & Funginix - Soaking nails in vinegar, water with
baking soda, strong tea, or water with bleach - Vicks VapoRub
- Photodynamic therapy, or light, as a
way to cure fungal nail infections - There are a number of different
lasers capable of treating nail fungus. One, called the “Noveon”, is a
dual-wavelength, near-infrared diode laser, and kills fungi without damaging
normal tissue.
Tips to
Prevent Toenail Fungus
- Don’t share towels/wash cloths with
others– you may collect or spread spores - Wear breathable or “open-toed” footwear
if you can. - Don’t go barefoot in public places.
Wear shoes when at public pools, locker rooms, and showers. - Wear socks made with synthetic materials—they’ll
wick away moisture, and can keep feet dryer than cotton or wool socks. If
needed, cotton socks can be worn over top of the synthetic to absorb excess
moisture/sweat. - Keep nails short, clean, and dry, trim
them straight across, and file down any areas that have thickened. - After bathing thoroughly dry your feet,
including between the toes. - Select a reputable manicure/pedicure
salon, and make sure they sterilize the instruments. Even better, bring your
own.
Considering the
variety of treatment options now available, nail fungus isn’t something a
person have to live with.