Suggest treatment for onychomycosis
Hello. Thank you for writing to us.
I am dr.kakkar (dermatologist). I have gone through your query and I have viewed the image.
It is definitely fungal infection of nail I.e onychomycosis.
I would like to know what all antifungal medications have you been on? Were they oral or topical antifungals? and what was the treatment duration?
I actually haven't taken any anti-fungal medications, because I've feared the side effects, and I've only attempted to treat it topically - all have failed, but it's probably also because I don't let the nail grow out because the nail grows faster than the nail bed is able to catch up with it.
But because it's progressively getting worse, I fear it may be spreading to my middle finger on my right hand.. Is there anyway you can prescribe me an anti-fungal medication??
Let me know.
I suggest an oral antifungal e.g terbinafine
Ok. Thank you
You should definitely start on an oral antifungal e.g terbinafine. The fungus is actually in the nail bed, nail plate as well as nail matrix and topical drugs alone wont be effective because they won't penetrate the nail plate.
I suggest you to take oral terbinafine 250mg tab. (Tab Daskil or Tab Zimig) once daily for 6-8 weeks.
In addition to that you may apply an antifungal nail lacquer e.g amorolfine 0.25% nail lacquer/ once every week after filing nail plate.I suggest an Oral antifungal