Tuesday, January 19, 2010

What is the best medical treatment for nail root fungus ?

I have been suffernig from nail-root fungal problem for the past 10 years with no permanent cure though treated with commonly available anti-fungal creams/lotions containing miconazole/fluocinolone etc. , available in the marketWhat is the best medical treatment for nail root fungus ?
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Lamisil (Terbinafine HCL), is manufactured by Novartis, has less drug interaction, and costs slightly less than Sporonox. The spectrum of activity of Lamisil, however, is also less than that of Sporonox. This means that Lamisil does not inhibit as many other pathogens as Sporonox, although the success rate of each drug is reported to be the same. Lab work and physician care costs are the same and both drugs are in the same price range, although Lamisil鈥檚 dosage is 250 mg once daily for 90 days


nail fungus is not destroyed by taking Sporonox or Lamisil, the pharmaceutical company that manufactured the drug will reimburse the patient for his financial investment for the drug. It is important to know that taking the medication might destroy the nail fungus yet still leave the nail discolored and disfigured. This would leave the patient with an unaccomplished goal. Despite the fact that the nail does not appear normal, the pharmaceutical company would not reimburse the patient for the cost of the drug, as the fungus would no longer be present. Fortunately, this happens in a relatively small percent of all cases, only 10 to 15%.





Another treatment option available to patients with fungal nails includes the use topical antifungal agents. Topical antifungal agents only work on the superficial spreading of onychomycosis. Characteristically, this variety of fungal nail disease has superficial pitting with whitening of the nail plate. In order to effectively treat this condition, one must also keep foot moisture at a minimum. Drying agents, powders, and the use and frequent changing of cotton socks often help to dry the foot. The majority of topical nail fungicides are over-the-counter. These are Fungi Nail, Mycocide, and Restore AF. These agents are not as successful in the treatment of nail fungus as the oral antifungal agents.





Surgical intervention has great merit when chronic ingrown nails, thickened (dystrophic) nails, and pain are associated. The goal of the surgery is to remove all or part of the nail matrix (root) so that the nail plate is permanently destroyed. This method offers a success rate of about 95 to 99%. There is minimum discomfort post-operatively, and it is easily performed in the Doctor鈥檚 office under a local anesthetic. Remember that if the nail plate is removed, the nail disease is also removed.





Onychomycosis (fungal nail) is not considered to be a strong contaminant. Rather, it is considered to be a condition that some individuals are more susceptible to than other individuals. Factors that permit this disease include the pH level of the skin, trauma to the nail, hygiene of the foot and susceptibility of the patient. The fungus is prevalent and opportunistic. The treatments available are dependent on cost, ease, lifestyle, and effectiveness of the eradication of this nail disease.





The condition of fungal nails can be treated successfully, but can reoccur later. Your choice of treatment should be decided by you and your Podiatrist so that compliance, expectations, and results of therapy are realistic. Should you suspect that you have this condition of your toenails, please consult a podiatric specialist and ask questions regarding all treatment options available. This will allow you, the consumer, to be informed of which treatment will be most suited for your needs.What is the best medical treatment for nail root fungus ?
Go to your doctor. Lamisil works GREAT, but you will have to take the pills for at least 30 days. The cream will not reach the bed of the nail at all.
amputation... hahaha
You can take Lamisil or other oral anti-fungals. If the creams haven't helped by now they most likely won't. Be aware, if your liver function tests aren't normal, the doc won't prescribe these meds for you as they are hepatotoxic.(bad for the liver)
I agree about Lamisil, the commercial says to take it for 3 months, and it's supposed to clear nail-root fungus. I've never tried it because my doctor wouldn't prescribe it for me for fear that the drug might destroy my liver. Perhaps you can be the guinea pig and tell us your results :)

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