skin disorders
Onychomycosis
Treatment of Onychomycosis
Oral antifungal drugs Sometimes topical antifungal drugs These fungal infections are difficult to cure but do not usually cause complications, so treatment is recommended only if symptoms are particularly severe or bothersome or if the person is at risk of complications. For example, people who have diabetes or peripheral vascular disease and onychomycosis are at risk of developing potentially serious infection of the skin and soft tissues in the feet and legs (called Cellulitis ). If treatment is desired, the doctor usually needs to prescribe a drug taken by mouth (orally), such asterbinafine,fluconazole, oritraconazole. These antifungal drugs are taken for a long time, typically at least several months. However, even then the nail will not appear normal until new, healthy nail finishes growing out, which can take 12 to 18 months. The existing deformed or discolored nail does not improve, but newly growing nail should appear normal. Ciclopiroxis an antifungal drug that is mixed in a nail lacquer but is not very effective when used without oral drugs.Efinaconazoleandtavaboroleare new antifungal drugs that can be applied directly on the nail (topically). They are not as effective as oral drugs but can increase the chance of curing the infection when taken with an oral drug. They can also be used by people who cannot take one of the oral drugs. To reduce the possibility of a recurrence, the nails should be kept trimmed short, the feet should be dried after bathing (including between the toes), absorbent socks should be worn, and antifungal foot powder or cream should be used. Old shoes may contain a high concentration of fungal spores and, if possible, should not be worn. 