How To Medically Treat Nail Fungus

Warning: This article is for information only and can not be used to supplement your doctor's advice. You should contact your doctor for nail fungus treatment.

Treatment Of Toe Nail Fungus

Medical Care:

Several years ago the medical management of OM was limited to topical therapy and 2 unreliable systemic drugs: griseofulvin and ketoconazole. Topical therapy is beneficial only for mild cases involving the very distal nail plate. The use of griseofulvin and ketoconazole is plagued by high relapse rates (70-85%), prolonged treatment regimens (10-18 mo for toenails), constant laboratory monitoring, and numerous adverse effects. The introduction of newer oral agents has revolutionized the medical treatment of OM and reduced potential adverse effects and drug interactions. As the rate of recurrence remains high, even with newer agents, the decision to treat should be made with a clear understanding of the cost and risks involved as well as the risk of recurrence..

Topical antifungals

The use of topical agents should be limited to cases involving less than half of the distal nail plate or for patients unable to tolerate systemic treatment. Agents include amorolfine (approved in other countries), ciclopirox olamine 8% nail lacquer solution, sodium pyrithione, bifonazole/urea (available outside the United States), propylene glycol-urea-lactic acid, the imidazoles, and the allylamines.

Topical treatments alone are generally unable to cure OM because of insufficient nail plate penetration. Ciclopirox solution has been reported to penetrate through all nail layers but has low efficacy when used as monotherapy. It may be useful as adjunctive therapy in combination with oral therapy or as prophylaxis to prevent recurrence in patients cured with systemic agents.

Oral therapy

The newer generation of oral antifungal agents (itraconazole and terbinafine) has replaced older therapies in the treatment of nail fungus. They offer shorter treatment regimens, higher cure rates, and fewer adverse effects. Fluconazole (not approved by the Food and Drug Administration [FDA] for treatment of nail fungus) offers an alternative to itraconazole and terbinafine. Derivatives of fluconazole may also be available soon. The efficacy of the newer antifungal agents lies in their ability to penetrate the nail plate within days of starting therapy. Recent evidence shows better efficacy with terbinafine than other oral agents.

To decrease the adverse effects and duration of oral therapy, topical and surgical treatments may be combined with oral antifungal management.

Surgical Care:

Surgical approaches to nail fungus treatment include surgical nail avulsion and matrixectomy by chemical or mechanical means. Chemical removal by using a 40-50% urea compound should be reserved for patients with very thick nails or for those who may not tolerate mechanical avulsion.

Removal of the nail plate should be considered an adjunctive treatment in patients undergoing oral therapy.

A combination of oral, topical, and surgical therapy can increase efficacy and reduce cost.

Activity: Activity does not need to be limited during treatment, but patients should be educated about avoiding direct contact with high-risk areas in public places.

Gregory Mburu is a medical professional and a marketer part time. He post info about nail fungus on his blog at http://nail-fungus-cure.blogspot.com


Free Quran in All Languages

Free Tafsir Books

Acetylcholinesterase Inhibitors (AChEIs)for the Treatment of Moderate and

Checklist of Treatments for Alzheimer's DiseasePart 1 of 8For approximately... Read More

Exposing the Miracle Cure

It was Saturday morning and while I was making breakfast,... Read More

Buy Lunesta Cheap By Comparing Prescription Prices Online

We all know that there's no such thing as cheap... Read More

Zyprexa - History of the Drug

Since the beginning of mankind, mental illness has played a... Read More

The Power of Ice

Using ice to treat injuries is one of the oldest... Read More

Chronic Headaches and Pain Often Can Be Eliminated By A Special Dentist

DENVER ? Sometimes as Freud once said a good cigar... Read More

Finally...Affordable Prescription Medication without Insurance.

If you are like many Americans, you are without health... Read More

10 Benefits of an Electronic Medical Record

Electronic Medical RecordAn Electronic Medical Record is a secured electronic... Read More

Meridia Lawyer: Meridia Diet Pill Side Effects

Following the recall of Fen-Phen and Redux in 1999 (two... Read More

Cold-Eeze Side Effects Lawyer: Zinc Destroys Sense of Smell!

Cold-Eeze is a homeopathic solution to the common cold. It... Read More

Taking The Sting Out Of Bug Bites

(NC)-In most cases insect bites are harmless and if left... Read More

Traditional Treatments for Back Pain... Which Ones Work and Which Ones Don?t?

When Dorothy followed the yellow brick road, she was told... Read More

Are You Suffering From Addiction?

Many researchers believe that addiction is a behavior that can... Read More

The Controversy of ViagraŽ (Sildenafil Citrate), Other ED Medications, and Their Generic Counterpart

There has definitely been a good deal of controversy over... Read More

Oral Chelation ? Is It Better Than Intravenous Chelation?

Intravenous Chelation was the most common practice until a few... Read More

Ingrown Toe Nails Medical Treatment

Medical Care:Treatment options depend on the stage of ingrown toenails,... Read More

Christopher Reeve To Have Promoted Basement Lab

Chrisopher Reeve has died. But his vision of a "Cure"... Read More

Bextra and Vioxx -- Alternative Medications Have Warnings, Too

At the urging of the Food and Drug Administration, the... Read More

Diagnosis and Treatments of Cerebral Palsy

Before a child can be appropriately diagnosed with cerebral palsy,... Read More

Give Me Accutane or Give Me Death: The Politics of Prescriptions

Any teenager will tell you that acne can drive you... Read More

You Are Getting Very Sleepy....The Truth about Hypnosis

A hypnotic "trance" is not something that is foreign to... Read More

?So? Which One Do I Use Doctor? Heat or Ice?

Heat has long been used to provide temporary relief of... Read More

Ambien Sleep Medication And Insomnia: What Is Insomnia And How Can Ambien Help?

What's Insomnia?Identifying insomnia is a little like the old joke... Read More

Bextra, Some Facts To Consider

For those who take Bextra, there are many warnings out... Read More

Redux Lawyer Discusses Fen-Phen Fad

In the early nineties, Redux was the original miracle diet... Read More

Medicine

 
The Web globalinx.ca