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Fungal Nail Treatments
Why is it important to treat the problem?
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It is an infection that will not go away, and
it will get worse (#1 reason).
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Fungal nails are a progressive disease, increase
with age, is more common in diabetics, and patients
with immune diseases.
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Diabetics are 6 times more likely to have the
disease.
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Pain is the number one complaint in 90% of patients.
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40% of patients seek treatment for cosmetic reasons.
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What treatments are available?
There are many different treatments for fungal nail
disease: topical over the counter solutions, old wives
tales, creams, ointments, lacquers etc.
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Lamisil: proven safety profile, 70% cure rate
for fungal nails. The most common side effect
is a rash in 5.6% of the patients who use it.
Lamisil is processed by the Liver, for this reason
the doctor will obtain a Liver function test before,
during and after therapy. This affords you the
patient the utmost in safety. A low incidence
of Liver problems (0.008%).
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Sporonox:(oral medication)-different than Lamisil,
greater possibility of liver side effects, and
drug reactions.
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Tineacide: A cream applied to the nail twice
daily
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Penlac: a topical lacquer, is a very good alternative
for patients with an single nail Disease, or concerns
about side effects from oral medication.
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What can I expect from treatment of my fungal
nails?
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Oral medicines e.g. Lamisil works from the inside
of the nail out, for this reason it may take upwards
of one year or more to notice a completely "normal
nail." About a 70% cure rate.
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3 to 6 months after your therapy is complete
Lamisil is still within the nail.
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What can I not expect from treating my fungal
nails?
• 100 % cure
• Fungus will never come back
• It does not cost that much
• No side effects from the medications
Dr. Longobardi will discuss the above mentioned options
with you and then choose the correct therapy, as it
relates to your nail problem. Preventive therapy with
anti-fungal powders, and quality socks (e.g. THORLO)
is recommended. An individual with fungal nails is at
high risk for a recurrence. It is a good idea to have
an annual foot exam by Dr. Longobardi, even if you think
your nails look healthy.
Photograph: Philip Greenspun
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