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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fungal Infection On Toenail

I believe I have onychomycosis at the left edge or side of my right big toenail, for quite a few years. The GP gave me clotrimazole drops, and then the dermatologist gave me ketoconazole cream. Both didn t seem to really help. I ve read that this is usually due to such creams being unable to penetrate into the nail matrix, where the fungus usually hides. This left edge has now become deformed along the sides, bending downwards, like a pincer nail. I ve read on Medline that there are some improved antifungal creams that may penetrate the nail matrix better, such as bifonazole, However, a check of some of the products on the market shows this is usually mixed with urea to soften and debride the nail, which I am afraid might have some adverse effects. Might you have some better suggestions ?
Thu, 13 Nov 2014
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Dermatologist 's  Response
Hello,
Thanks for the query,
Fungal infection of nails take a lot of time to get cured.
Treatment can be with oral antifungals as well as with topical antifungals.
Treatment must be continued for at least 6 months to prevent recurrance.
Please meet a dermatologist for exact diagnosis.
Let me know if you have any other doubt.
you can ask a direct question to me on this forum, following the below link.
http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818
Wishing you a good health.
Thank you
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Suggest Treatment For Fungal Infection On Toenail

Hello, Thanks for the query, Fungal infection of nails take a lot of time to get cured. Treatment can be with oral antifungals as well as with topical antifungals. Treatment must be continued for at least 6 months to prevent recurrance. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. you can ask a direct question to me on this forum, following the below link. http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818 Wishing you a good health. Thank you