The treatment of nail fungus was once considered slow and difficult. Through the development of modern antifungals the toenail fungus treatment has become more effective in recent years. Basically, there are three treatment approaches:
1) Topical therapy – This is a local treatment with an antifungal nail polish and / or an atraumatic removal of the nail
2) Systemic therapy – It is a body-wide treatment with orally active antifungal agents in the form of tablets.
In moderate to moderately severe infections of the doctor recommends antifungal nail polishes usually.
The antifungal nail lacquers contain a broad-spectrum antifungal agent against a wide variety of pathogens acts (such as the active ingredients ciclopirox or amorolfine).
Side effects and drug interactions are rare in the local therapy. The treatment lasts several months to a year – as long as until a healthy nail grown back. Antifungal nail lacquers are available without a prescription at the pharmacy.
alternative to treatment with the nail polish can be softened with a highly concentrated urea ointment and removed mechanically. This so-called atraumatic removal of the nail should be accompanied by a treatment with antifungal creams or solutions.
If many nails are infected, or fungus has penetrated even to the nails in each nail root access is difficult, it is difficult to fight the fungus from the outside.
Then taking antifungals may be displayed that kill the fungus from the inside. Orally active agents include fluconazole, terbinafine or itraconazole. The therapy with these agents is often at intervals. Since these antifungal effect on the entire body, side effects and interactions may occur with other drugs.
Oral antifungals are veschreibungspflichtig. The cure rate can be enhanced when the same is carried out, a local treatment with a nail varnish. nail removal:
As the fungus is not sitting in the nail plate (or just at the bottom), the idea is natural to remove the nail completely to get quickly to the stove fungus. In fact, until a few years regularly affected nails were pulled under local anesthesia and then the nail bed treated with antifungal ointments or tinctures. This method is not recommended because it has many disadvantages for the patient. , it is always advisable to remove as completely as possible the diseased nail games before starting treatment. Medical Chiropodists (Podiatrists) have this on special tools and hygienic precautions, because the removed nail material is heavily infected with fungi and fungal spores. Treating a nail fungus always takes several months (on toenails often one year) and requires a certain discipline – that is they rewarded with beautiful, fungus-free nails. Relapses occur, especially in pre-damaged tissue before. Therefore, a consistent prevention is then useful.
:: TREATMENT OF FUNGAL NAIL INFECTIONS ::
Because the nail grows slowly, it also takes a long time until sick nail material out and healthy nail grows back again. Nail fungus should be detected and treated early. Then there are also the best chance of recovery.
There are preparations for local applications and oral tablets. Both types of treatment must be carried out over several months to fight the fungus sufficiently long. If more than three nails are affected, the doctor usually recommends the combination of both types of treatment, because then the chances of success are greatest.
:: LOCAL TREATMENT (FROM THE OUTSIDE) ::
If treated in time, the local therapy usually is purposeful: for topical treatment of nail fungus that has invaded the superficial layers of nail, usually a medical nail polish is recommended, which is applied directly to the affected nail. If the pathogen is not identified, in the usual way is resorted to a nail polish with a drug directed against the whole spectrum of possible pathogens. It also speaks of a broad-spectrum antifungal. Some products require before applying the roughening of the surface with a nail file to facilitate the penetration of the active ingredients. In contrast, there is medical nail varnishes which can be applied directly without such a roughening and are also water-soluble. That is, they can be washed after exposure to water and must not be removed with nail polish remover. Medical nail polish is available without a prescription at the pharmacy.
A removal of the nail is nowadays usually rejected by dermatologists because it is not guaranteed that the nail grows back and the fungal infection is not transferred to the regenerative tissue further.
:: ORAL TREATMENT (INTAKE) ::
While the local treatment usually is not a problem, oral treatment possible side effects on other organs of the body can have (especially liver, skin and / or bone marrow).
To monitor side effects, your doctor will be periodic blood tests (usually monthly) during the order treatment. Some of the symptoms listed below, you should immediately contact your doctor:
-severe loss of appetite
-enlarged lymph glands
-Signs of infections
:: TIME AND PATIENCE IN THE TOENAIL TREATMENT ::
The antifungal nail treatment suppresses the infection usually when it is applied as required. Unfortunately, you can not guarantee a permanent cure. At least 1 of 5 patients or 20% has a new nail infection after some time.
The local treatment of nail fungus is extremely tedious: A toenail takes 9-12 months or longer to regrow once fully healthy. A fingernail grows and takes less time usually already within 6 months to complete once. Only when the nail is completely healthy once grown, the nail fungus treatment should be discontinued. Only such a consistent action protects against relapse, but also against attack other nails or skin.