Doctor insights on:
I have a fungal nail problem.I bought a fungal nail treatment pen from the chemist but I'm not seeing any improvement after 3 weeks.Should I see a dr?
Skip the topicals: With the exception of a few new prescription medication (Jublia, efinaconazole) topical treatments are not effective for onychomycosis (toenail fungus). This is because the fungus lives deep in the nail bed where topicals can't penetrate. The most effective treatment is a prolonged (3 months or more) course or an oral antifungal, I prescribe Laminal (terbinafine) most often since it's quite safe. ...Read moreSee 1 more doctor answer
Topical meds: At this time don't work all that well. Of course if the fungus is not to bad you have a shot at it. The ones currently on the market work about 10% of the time. I believe there are 2 new ones that are about to come out that are claiming higher efficacy rates. ...Read moreSee 1 more doctor answer
Sometimes. : The reason you hear so many different treatments for toenail fungus is because there is no perfect, sure-fire treatment that works 100% of the time. I've seen vaporub work, as well as other natural oil remedies, but rarely. You can also try laser therapy, antifungal creams, paints, or even oral medications if your doctor deems you healthy enough to take them. ...Read moreSee 1 more doctor answer
I've had a dark brown area under my toe nail (which I was assuming was blood) for 3 months now no improvement. Takes up half toe nail. Treatment?
Not Toe-late Yet.: Unfortunately, there is no way to render an effective treatment without knowing what the cause of the brown is. As you may already know, it can be only one off several different things. It is either blood, bacteria, fungus, dirt or a type of melanoma. Now that you know the options, you need to be examined. With the possibility of melanoma on the list, I would not delay the examination too long. ...Read moreSee 1 more doctor answer
Partial effect: Penlac works only in 8 per cent of people treated and Lamisil works in about 58 per cent of people who take a 3 month course. For toenails the effect requires one year for the new nail and 6 months for fingernails .Fingeranils require too months of treatment. Laser is an we option for nail fungus although there are no long term results. ...Read moreSee 1 more doctor answer
No doctors here mention a fourth remedy for toenail fungus: cap-on-nail treatment, developed in japan. Why not? Is it unknown or not effective?
See a dermatologist: First confirm the diagnosis. The most effective treatment is oral terbinafine. Now costs $10 and is about 60% effective. Usually no side effects or risks. Do not take it if you have active hepatitis. Laser costs over $1000, not covered by insurance, and works about 20% of the time. Either way, it takes a year to grow a new toenail, 6 months for a fingernail. ...Read moreSee 1 more doctor answer
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