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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 nail

HI, i ve been struggling with nail fungus over 4 years now on all of my toes and fingers. have been taking turbinefine for almost a year now and it still lingers....some times it seems like it s going away at other times i see it coming back. i ve been reading a lot about shoe sanitizers and how to sanitize and disinfect instruments not sure where to go from here......any advise
Mon, 22 Aug 2016
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General & Family Physician 's  Response
Fungal infection is caused by fungi that thrive in moist and warm environments such showers and under socks left in shoes. Skin is the body’s natural barrier, and any break in the skin can allow an infection to set in.
1.     Apply locally a cream containing miconazole, clobetasol and gentamicin such as Lobate – GM cream thrice daily
2.     Stop using terbinafin for long term as it will cause side effects
3.     Take Itraconazole 100 mg twice daily per oral after meal for 3 months
4.     Frequently change your sock and shoe to avoid moisture
5.     Allow time for feet to be exposed without any covering
6.     Thoroughly dry the space between the toes after shower. You can use hair dryer for this purpose
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