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What Is The Best Way To Treat Toe Nail Fungus?

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Posted on Tue, 18 Jun 2013
Question: Hello. What is the best way to treat toenail fungus? If by medication, what is the best type for this with least side effects? Myself, I am healthy no history of diabetes or heart issues.
doctor
Answered by Dr. Kalpana Pathak (28 minutes later)
Hi XXXXXXX
Thanks for writing to us.
The best way to treat toe nail fungus is to use oral and topical antifungals.

Oral antifungal
Fluconazole- taken as once weekly tablet of 150 mg
Terbinafine - taken as 250 mg tablet daily
Itraconazole- taken as pulse therapy of 200 mg twice in a day for one week in a month. Three cycles needs to be done

Topical antifungal
Clotrimazole, sertaconazole, amrolfine, oxiconazole, miconazole, terbinafine are some topical formulation which should be used twice daily.

Clipping of nails on regular basis is required.
The response takes time to be visible as toe nail grows slowly. It might require 4 months to an year o show complete response.

Hope that helped. Should there be clarification required, please write back.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kalpana Pathak (3 minutes later)
What do you prefer with respect to oral antifungal med? Fluconazole, Terninafine, or Itraconazole?
doctor
Answered by Dr. Kalpana Pathak (3 hours later)
Hi,
Thanks for writing back.
I prefer itraconazole for toe nail fungal infection as its quite effective for toe nail fungus and compliance with itraconazole is quite good as it has to be taken for a week in month.
Hope that helped.
Take care
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Kalpana Pathak

Dermatologist

Practicing since :2006

Answered : 2014 Questions

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What Is The Best Way To Treat Toe Nail Fungus?

Hi XXXXXXX
Thanks for writing to us.
The best way to treat toe nail fungus is to use oral and topical antifungals.

Oral antifungal
Fluconazole- taken as once weekly tablet of 150 mg
Terbinafine - taken as 250 mg tablet daily
Itraconazole- taken as pulse therapy of 200 mg twice in a day for one week in a month. Three cycles needs to be done

Topical antifungal
Clotrimazole, sertaconazole, amrolfine, oxiconazole, miconazole, terbinafine are some topical formulation which should be used twice daily.

Clipping of nails on regular basis is required.
The response takes time to be visible as toe nail grows slowly. It might require 4 months to an year o show complete response.

Hope that helped. Should there be clarification required, please write back.
Take care.