nail fungus

Onychomycosis

Goal
#1: Eliminate the fungal infection

1.  Topical treatment:

OTC creams: 15% success rate

Formula 3: 30% success rate (with money back guarantee)

2.  Oral treatment:
Lamisil (Terbinafine): 80% success rate

3 month treatment course

Requires blood work before treatment is begun

Liver damage is only seen in patients with prior liver disease, lupus erythematosus, or people who drink large quantities of alcohol “In two multicenter trials of terbinafine 496 patients aged 18 to 75 years used the drug for a 3 month treatment period for toenail infection and a 6-month mycological cure rate was 80% for toenail infection…There was a 0.5% of asymptomatic changes in liver enzymes that cleared after cessation of therapy” Double blind, randomised study of continuous terbinafine compared with intermittent itraconazole in treatment of toenail onychomycosis BMJ 1999; 318

3.  Oral + Topical Treatment:
85% success rate

4.  Laser treatment:
90% success rate

Goal
#2: Prevent recurrence

1.  Treat the skin fungus:
prevent spread of the fungus from the skin to the nail

Sweaty feet: Loprox gel 0.77%

Dry feet: Ketoconazole cream 2%

2.  Keep nails short
to decrease bulk of the fungus

3.  Treat the shoes:
avoid transmission of fungus from the shoes to the nail

Lysol spray once a week

4. 
Keep feet dry

Apply antiperspirant spray on feet daily for 2 weeks then once a week

[img width="140" height="139" align="left" alt="Before and After Photos showing the positive results of Nail Fungus treatment" src="file:///C:/Users/Romy/AppData/Local/Temp/msohtmlclip1/01/clip_image004.jpg" hspace="12" v:shapes="Picture_x0020_3">