Or your health care provider may thin the surface of the nail (debride) with a file or other tool.Īntifungal nail creams may cause side effects such as rash. To thin nails, you apply a nonprescription lotion containing urea. This helps the medication get through the hard nail surface to the underlying fungus. These creams may work better if you first thin the nails. You rub this product into your infected nails after soaking. Your health care provider may prescribe an antifungal cream, such as efinaconazole (Jublia) and tavaborole (Kerydin). You may need to use this type of nail polish daily for almost a year. After seven days, you wipe the piled-on layers clean with alcohol and begin fresh applications.
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You paint it on your infected nails and surrounding skin once a day. Your health care provider may prescribe an antifungal nail polish called ciclopirox (Penlac). Health care providers may not recommend oral antifungal drugs for people with liver disease or congestive heart failure or those taking certain medications. You may need occasional blood tests to check on how you're doing with these types of drugs. Or they may interfere with other prescription drugs. Oral antifungal drugs may cause side effects such as rash and liver damage. Treatment success rates with these drugs appear to be lower in adults over age 65. It may take four months or longer to eliminate an infection. But you won't see the end result of treatment until the nail grows back completely. You typically take this type of drug daily for 6 to 12 weeks.
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These drugs help a new nail grow free of infection, slowly replacing the infected part. Your health care provider may prescribe antifungal drugs that you take by mouth (orally) or apply to the nail.
And even if your nail condition improves, repeat infections are common.
Treatment depends on the severity of your condition and the type of fungus causing it. Talk with your health care provider if your condition doesn't improve. And sometimes self-care and nonprescription products clear up the infection. Treatment for toenail fungus isn't always needed.
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