A member asked:

How to clear toe nail fungus? i've had it for years want to clear it up its white and does salt water help? or rubbing achol or hydrogen peroxide?

3 doctors weighed in across 2 answers

Oral medication: nail fungal infection does not resolve with creams or alcohol, only medication (toenail may take up to 6months of tx).Ask your doctor to culture the toenail (all he needs is a piece of it). If it growths fungus the best therapy is either itraconazole or terbinafine (oral) directed by a physician because liver function test ought to be monitored

Answered 2/7/2021

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Antifungal meds: A newer topical antifungal (you can apply to the nail) is tavabarole for 48 weeks, with NNT of about 14 (# patients we need to treat with this RX to prevent 1 additional occurrence of this nail disease). http://emedicine.medscape.com/article/1105828-treatment. The main oral antifungal is terbinafine for 12 weeks, with NNT of only 5. http://reference.medscape.com/medline/abstract/12056964

Answered 8/29/2014

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