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A 45-year-old female asked:

3/5 toenails have fungus, with no nail left at all on my big toe. alt/ast are normal. should i take lamisil (terbinafine)? podiatrist says no but derm says yes.

4 doctor answers12 doctors weighed in
Dr. Yash Khanna
Family Medicine 57 years experience
Lamisil (terbinafine) for nails: Yes by all means Lamisil (terbinafine) is the treatment as long as you check your white cells and liver functions.For some reason poditrists like to use local treatment on the nails rather then lamisil (terbinafine).You can take Lamisil (terbinafine) and if it is confimed fungus nail by dermatologist you will achieve cure in approx 8 weeks or more.
Dr. Joseph Eastern
Dermatology 44 years experience
Lamisil (terbinafine).: The only consistently effective treatment for a nail fungus infection is an oral antifungal (lamisil, diflucan, (fluconazole) or sporanox) with a dermatologist monitoring your labwork. Some podiatrists like to use only topical antifungals, with frequent office visits for nail trimming, but multiple studies have shown that only a small fraction of patients (if any) achieve longlasting improvement that way.
Dr. Payam Rafat
Podiatry 22 years experience
Maybe...: If there are no other contraindications, Lamisil (terbinafine) may be a good option. Discuss it with your physician.
Dr. Jordan Steinberg
Podiatry 14 years experience
Lamisil (terbinafine): You should consider Lamisil (terbinafine) only if you are in good health and are not taking any other medications that can affect your liver. Also drinking alcohol while taking Lamisil (terbinafine) could cause severe side effects.
Dr. Leo Krawetz
Dr. Leo Krawetz commented
Podiatry 27 years experience
Lamisil has a 38% cute rate and a very high recurrence.
Mar 27, 2013

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