Treatment FAQ

what is the best treatment for toe fungus creams, sprays or gel?

by Dr. Giovanni Runte V Published 2 years ago Updated 2 years ago

Topical Therapy Best Toe Fungus Cream Topical therapies are much safer, but also much less effective and sometimes quite expensive. Popular prescription topicals include Ciclopirox laquer (Penlac ®), Carmol® 40 and Keralac® Nail Gel.

You may know this by its brand name, Lamisil. You can buy it over the counter as a cream, gel, spray, or powder. Or you can ask your doctor to prescribe the drug in pill form. Take one tablet each day for 12 weeks.Apr 19, 2022

Full Answer

What is the best treatment for toenail fungus?

Removal of the toenail is only used when just one nail is infected, but it does work. Light therapy and lasers are also being studied as possible toenail fungus treatments. Laser therapy has shown promise when combined with oral or topical antifungals.

Does clotrimazole cream work on toenail fungus?

Over-the-counter fungal creams like clotrimazole (Mycelex) don’t work well for treating toenail fungus. Prescription nail polishes are available, but they take longer to work and aren’t effective for severe cases.

Can you use antifungal cream on your nails?

They treat fungal infections that have affected the skin or nails and are not meant to be ingested or used internally. Fungal infections of the skin are much less severe than internal ones, which is why you can purchase antifungal creams over the counter.

Do new paint-on products for toenail fungus work?

When you shop through retailer links on our site, we may earn affiliate commissions. 100% of the fees we collect are used to support our nonprofit mission. Learn more. Q. Do the new paint-on products for toenail fungus work? A. Maybe. But some simpler, safer, less expensive options may be a better choice.

What is the most effective topical treatment for toenail fungus?

Best Overall: Lamisil Terbinafine Hydrochloride AntiFungal Cream 1% We chose the Terbinafine Hydrochloride AntiFungal Cream as our top pick because it works to address a variety of infections, including toenail fungus. The prescription-strength cream comes highly recommended by Dr.

What is the most effective treatment for toenail fungus 2020?

Options include terbinafine (Lamisil) and itraconazole (Sporanox). These drugs help a new nail grow free of infection, slowly replacing the infected part. You typically take this type of drug for six to 12 weeks.

What is the best product on the market for toenail fungus?

Terbinafine for toenail fungus treatment The best pill for toenail fungus is terbinafine. Evidence suggests it works better than the alternatives with the fewest side effects. Terbinafine results in resolution of toenail fungus 76% of the time. Common side effects may include headaches, skin rash, and vomiting.

What do podiatrist recommend for toenail fungus?

Oral antifungals, approved by the Food and Drug Administration, may be the most effective treatment. They offer a shorter treatment regimen of approximately three months and improved effectiveness. Your podiatrist may also prescribe a topical treatment, which can be an effective treatment modality for fungal nails.

How do you get rid of thick toenails?

Applying a small amount of melted coconut oil can help heal thick yellow toenails. You can purchase over-the-counter (OTC) antifungal nail creams and ointments. Be sure to clip and clean your nails before use to make sure the creams reach deeper layers. Laser therapy can be used to treat a fungal toenail infection.

Do any over-the-counter nail fungus treatments work?

by Drugs.com There really is no 'best' over-the-counter (OTC) treatment for nail fungus. OTC products are available to treat fungus on the skin around the nail bed, but are not very effective at treating the hard nail bed.

What kills foot fungus fast?

Hydrogen peroxide Hydrogen peroxide can effectively kill the fungus on the surface level of the foot, as well as any surface bacteria that could cause an infection. Pour hydrogen peroxide directly onto the affected area. Note that it may sting, and it should bubble, especially if you have open wounds.

Does anything cure toenail fungus?

Taking antifungal pills for two months can cure an infection under the fingernails. Usually three months of treatment cures a toenail fungal infection. Antifungal pills, however, can cause side effects. Your dermatologist will watch you closely.

Does Fungicure work on toenail fungus?

FUNGICURE kills exposed nail bed fungus by killing six types of common fungus on the exposed nail bed, curing the infection and allowing for re-growth of healthy tissue. So you can see visible results in as little as four weeks.

What kills toenail fungus instantly?

Hydrogen peroxide. Hydrogen peroxide can kill fungus that grows on toenails. You can directly wipe hydrogen peroxide on your infected toes or toenails with a clean cloth or cotton swab. Hydrogen peroxide can also be used in a foot soak.

How do I know if my toenail fungus is dying?

Top 5 signs your toenail fungus has gone nuclearNail color changes. If your nail turns white and chalky or yellow, it's not a good sign. ... Nail position changes. If your nail starts to curl downward or upward, it's time to be concerned. ... Nail texture changes. ... Nail smell changes. ... Nail sensation changes.

What is the white hard stuff under my toenails?

In medical terms this is called onychomycosis or tinea unguium,” says Batra. The fungal infection breaks down the keratin in the nail to form a white or yellow chalky substance under the nail plate. "As keratin debris spreads under the nail, the nail plate typically becomes lifted up off of the nail bed.

How long should I take toenail fungus medication?

They may recommend a prescription-strength topical medication, or an oral anti-fungal pill that you take for two or three months.

What oil is good for toenail fungus?

Tea tree oil or eucalyptus oil: Both oils have antifungal properties, and studies found they performed as well as some over-the-counter and prescription topical antifungal treatments. Ozonized sunflower oil: A Brazilian study found that sunflower oil worked to treat toenail fungus infection caused by yeast.

Why do I get a fungal infection on my toenail?

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.

How do you know if you have toenail fungus?

Symptoms can include: Yellowish discoloration at the top of the nail. Darkening or clouding of nails. White spots on nails. Nail thickening. Distorted nail shape.

How to keep toenails healthy?

Follow these guidelines to help keep your toenails healthy: 1 Wash your feet with soap and water and dry them thoroughly after swimming. 2 Wear shower shoes in locker rooms and public areas. 3 Wear shoes that fit well and are made of breathable materials. 4 Remove wet or damp socks or shoes as soon as possible and dry your feet. 5 Disinfect nail clippers and home pedicure tools. 6 If you get pedicures, ensure that your salon follows proper disinfection procedures, and wash and dry your feet when you return home. 7 Avoid applying polish to infected nails. 8 If you have athlete’s foot, treat the infection.

Why do shoes hurt toes?

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.

How to stop fungal growth on nails?

Baking soda: Researchers found that baking soda prevented fungal growth in 79 percent of the specimens tested. Apply a paste of baking soda and water directly to the affected nail and let it sit for at least 10 minutes before rinsing.

How to treat toenail fungus?

Sometimes it’s possible to treat your toenail fungus at home. You can try: 1 Over the counter antifungal creams or ointments. File or cut off any white markings on your nails. Soak your nails in water and dry off before you put on the medicated cream. 2 Special nail care. If you keep your nails trimmed, it can reduce the pressure and pain you feel. You can also thin your nail bed by filing it down. This can help antifungal creams get to the problem easier.

What to do if you have fungus on your toenails?

Your foot doctor will likely trim your nail and file away its dead layers. They may also take a piece of your nail and send it to the lab to make sure it’s really a fungus and to find out what type it is. The doctor might suggest an antifungal drug that you paint on your nails.

How long does it take for a nail to grow back after a fungus infection?

If the infection is deep and you’ve had it for a while, your doctor may want to remove all or part of your nail. A new nail usually grows back, but it might take a year or so.

How long does it take for fungus to grow out of your toenail?

Your doctor will call this a topical treatment. Be patient. Your nails may not look "normal" after treatment. It can take as long as a year to 18 months for your nail to grow out a fungus. Toenail Fungus Prevention. There's a chance the infection can come back -- even if you get rid of it.

What to do if you have a nail infection?

Some people also swear by home remedies like menthol rub, tea tree oil, mouthwash, or snakeroot extract -- but studies show mixed results. Prescription polish and creams. Your foot doctor will likely trim your nail and file away its dead layers.

How to get rid of fungus on your feet?

Keep your feet clean and dry. Wear shower shoes in public pools, bathrooms, and locker rooms -- and even in your own bathroom. Change your shoes and socks every day. Wear ones that breathe and don't fit too tight. Trim your nails short and straight across. See your doctor if you think your fungus has come back.

Does nail fungus go away?

But nail fungus doesn't go away by itself. And if you don't treat it, there's a chance it could get worse. It could spread to other nails or through your body. It could cause pain when you walk. There are a number of ways to take care of it, including: Nonprescription options.

What is the best treatment for nail fungus?

There are several home remedies that have been popularized as nail fungus cures. These include tea tree oil, coconut oil, and Vicks VapoRub. Each of these products has antifungal properties and an oily texture which facilitates easy absorption.

What is the best way to keep your nails covered?

While undergoing treatment, you will need to keep the nail covered with a water-tight bandage known as an occlusion dressing. It is a procedure that some people find cumbersome but helps ensure the urea penetrates the nail and doesn't rub off. 2 .

Why is onychomycosis so hard to treat?

Onychomycosis is notoriously difficult to treat, mostly because the fungus resides throughout the nail, including the nail bed. Moreover, the structure of the nail itself is not easily penetrated by topical agents. 1 .

Why do my toenails fail?

One of the main reasons why nail treatments fail is that people will typically self-diagnose and treat a bacterial infection as a fungal one .

Can antifungal pills help with fungus?

While oral antifungals can often eliminate the fungus systemically, they are not right for everyone, either because of cost, side effects, or a personal aversion to pills. To this end, there are some topical remedies that may help. This photo contains content that some people may find graphic or disturbing.

Is Jublia a topical antifungal?

Another notable topical antifungal is Jublia (efinaconazole ) approved for use by the U.S. Food and Drug Administration in 2014. Children tend to be more receptive to topical nail fungus treatment, due in part to the fact that their nails are thinner and more porous than adults.

Can you use OTC for thick nails?

If you have especially thick nails and/or advanced signs of fungal infection (such as discoloration and texture changes), these OTC agents are unlikely to be beneficial no matter how long you use them.

Why are my toenails thick?

Some 35 million people in the U.S. suffer from onychomycosis, or nail fungus, a hardy, microscopic organism that can cause thick, grayish, greenish toenails.

Does chest rub help with fungus?

Small studies suggest that the medicated chest rub, such as Vaporub, might knock out the fungus in up to 38% of people. Larger studies are needed to confirm it helps, but it’s not expected to have any serious side effects.

Do you need to treat toenail fungus?

While unpleasant to look at, the infections usually only require medical treatment when they strike people who have diabetes, and for those with compromised immune systems. Most people treat toenail fungus for cosmetic reasons.

Is terbinafine a good antifungal?

Oral prescription anti-fungals such as terbinafine (Lamisil and generic) are more effective (they cure 66 percent of fungal infections after 12 weeks) but pose risks, including digestive discomfort, headache, rash, loss of sense of smell, and in rare cases, liver problems.

Can you take fungus zapping lasers while pregnant?

Finally, it can’t be taken by women who are pregnant or breastfeeding due to risks it poses to the baby. In addition, there are now fungus-zapping lasers that are being pushed with Groupons and other discounts. But there’s no solid evidence those help—one small study found no benefit after 3 months.

Can paint on nails cause nail fungus?

But before you try a paint-on prescription medication, make sure that you truly have toenail fungus, says Marvin M. Lipman, M.D., Consumer Reports chief medical adviser. In some cases, what looks like toenail fungus is actually a nail injury. If your doctor confirms a nail-fungus infection, the new drugs may help, but not usually.

Pills for toenail fungus treatment

Oral medications, or those that come in pill form, generally work more quickly than topical medications for toenail fungus treatment. They have higher cure rates and the overall treatment time may be shorter than topical options. Pills to treat toenail fungus, however, will require a prescription.

Creams & topical treatments for toenail fungus

Over-the-counter fungal creams like clotrimazole (Mycelex) don’t work well for treating toenail fungus. Prescription nail polishes are available, but they take longer to work and aren’t effective for severe cases. That’s because they don’t penetrate the nail very well.

Other options for toenail fungus infections

Removal of the toenail is only used when just one nail is infected, but it does work. Light therapy and lasers are also being studied as possible toenail fungus treatments. Laser therapy has shown promise when combined with oral or topical antifungals.

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.

The bottom line

As frustrating as toenail fungus can be there, there are a wide range of treatment options. Prescriptions for toenail fungus, specifically oral medications, tend to yield the best results and may help you get rid of the infection faster.

What ailment are you seeking to treat?

Different types of fungus require different types of antifungal cream. The packaging or label may tell you whether a cream is useful for treating a particular ailment. If not, look for the active ingredient. For example, terbinafine is effective for treating ringworm, jock itch, and athlete's foot.

How potent do you need the medication to be?

The amount of actual medication in an antifungal cream is displayed on the packaging. A cream may not be potent enough to treat your infection if you have ignored it for a length of time. If your infection is not responding to topical treatments, please visit a doctor, as you may require a stronger prescription or an oral medication.

Are you allergic to any medications?

If you're allergic to any kind of medication, ask your pharmacist whether it's safe to use an antifungal cream. If you're taking any other medications, it's also wise to inquire about possible interactions. And if you’re unsure of what kind of skin condition you have, see a doctor.

How much medication do you need?

Depending on your skin condition, you might need to reapply the antifungal cream for several days or weeks. Choose an appropriately sized tube or container of cream so you don't run out and skip a treatment day. If your condition requires lengthy treatment, a larger tube would probably be less expensive in the long run.

Do you have sensitive skin or another skin condition?

People with sensitive skin should opt for an antifungal cream with moisturizer or an ingredient like aloe vera to prevent over-drying and irritation. Users with eczema should be careful when choosing a topical fungal treatment. Creams with hydrocortisone can help relieve painful itching.

Would you prefer an odorless antifungal cream?

Most medicated creams have some kind of odor, but for people who are sensitive to strong smells, odorless creams are available.

Should you buy a waterproof antifungal cream?

A waterproof antifungal cream is a good idea for athletes or others who don't want to worry about sweat washing off their treatment. It’s also useful for forgetful users who might end up showering after applying the medicated cream.

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