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toenail fungus

  • 24-07-2014 6:53am
    #1
    Registered Users, Registered Users 2 Posts: 331 ✭✭


    Just wondering if any of the otc treatments actually work for clearing up in the long-term? As it seems the alternative is to go on a long dose of anti biotics....


Comments

  • Registered Users, Registered Users 2 Posts: 5,175 ✭✭✭angeldelight


    Call in and talk to your pharmacist


  • Registered Users, Registered Users 2 Posts: 2,816 ✭✭✭Vorsprung


    Mod note

    This can continue as long as we don't stray into personal situations, happy to leave it open if you want to discuss efficacy of topical anti fungals.

    On my phone now but will link you a couple of things later


  • Registered Users, Registered Users 2 Posts: 425 ✭✭noah45


    Sorry


  • Registered Users, Registered Users 2 Posts: 2,881 ✭✭✭Kurtosis


    Just wondering if any of the otc treatments actually work for clearing up in the long-term? As it seems the alternative is to go on a long dose of anti biotics....

    There's a whole range of topical OTC treatments available. From a quick search of the evidence, the only one that seems to have any evidence to support its use is amorolfine (Curanail OTC or called Loceryl on prescription) and while it may be better than placebo but even at that a Cochrane review suggests more research is required.

    The only other type of treatment available OTC that seems to get any mention in the literature is the likes Canespro (40% urea ointment followed by clotrimazole) which is a form of chemical debridement/avulsion (or breakdown) of the nail followed by treatment with an antifungal. There's even less evidence on this and it may be effective "only in limited and early disease"


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