Nail Fungus

 Nail Fungus

Toenail fungus (onychomycosis, tinea unguium) is a fungal disease of the nails and toenails. More than 12 percent of all Germans suffer from it. Men and the elderly are affected more often. Read more about: How can nail fungus be identified? How do you treat it most effectively?

Nail Fungus Treatments Products

How is it created and what are the risk factors?

• Nail fungus: brief overview
• treatment: long-term and consistent treatment with fungicides (fungicides) such as nail polish, creams or sticks, possibly also in tablet form. In addition, laser therapy, in severe cases, possibly surgical nail removal
• Typical symptoms: Depending on the type of fungus discoloration from the edge or nail root, complete discoloration or staining, thickening and dissolution of the nail structure or chipping of the upper layers. Also often pain, redness in the nail folds, inflammation in the nail bed.
• causes: Infection via split towels, rugs, beds; humid environment in closed shoes ("sweaty feet"), use of shared showers (sauna, sports club, pool), metabolic and immune diseases (eg diabetes mellitus, HIV infection), circulatory disorders, smoking
• diagnosis: Consultation and physical examination, microscopic and infectiological examination (fungal culture) of a sample of the diseased nail
• prognosis: good chance of recovery with early-onset and consistent long-term treatment

Nail fungus: treatment
The treatment of nail fungus depends mainly on the nature and severity of the symptoms. In all stages of nail fungus, local treatment is recommended. The most effective is a fungicidal nail polish, as it penetrates into the nail tissue.

The following table provides an overview of the most important methods and measures for nail fungus. Before treatment, it may be a good idea to carefully remove the infected nail material. For this purpose, a urea ointment is usually applied once a day, which softens the horn substance of the nail. It can be scraped gently.

However, self-treatment of nail fungus should not be performed if the nail is already severely affected by the fungus. In such cases, the doctor often prescribes additional tablets against the infection.


Fungicidal nail polish, cream and stick

A local nail fungus treatment with antifungal nail polish, cream or stick Each patient can perform independently at home. In milder cases, this self-treatment may be sufficient, ie if:

only one nail is affected,
no more than half of the nail area is affected and
the nail root (nail matrix) is not infected (this is the area where the nail plate is formed).
If you are not sure if these points apply to you, you should contact a doctor or physician.

Fungicidal nail polish, cream and stick is an uncomplicated help with nail fungus. However, they must be used as long as possible until the fungus is safely killed. Recognizing this is not easy for lay people. Also applies here: If you are unsure, go to the doctor!

Nail fungus treatment with tablets
Go to the doctor if an independent nail fungus treatment does not succeed or many nails or larger nail surfaces are affected. The local nail fungus therapy must then usually be supplemented with a systemic therapy - that is, by taking antifungal tablets, which develop their effect from and throughout the body.

When choosing a suitable drug (terbinafine, itraconazole, fluconazole), your doctor will consider the exact type of drug and other factors. For example, women should not use terbinafine as much as possible during pregnancy, although this is the most suitable ingredient against filamentous fungi (the most common exciters for nail fungus). Instead, for example, your doctor may prescribe clotrimazole or miconazole.

Elderly patients, on the other hand, should preferably be treated with terbinafine. The risk of drug interactions is much lower than for itraconazole and fluconazole. This is especially important for the elderly as they usually have to take several different medications (such as blood pressure medication).

Patients should also inform the doctor conscientiously about all possible diseases and health problems. For some diseases, some antifungal agents may not be given, such as terbinafine for hepatic impairment.

Nail fungus treatment through surgery
Previously, the question was called "What to do with fungal nails in severe / stubborn cases?" Often the possibility of surgical nail removal. Due to the side effects (such as pain) and the high risk of relapse, this procedure is hardly performed today. In addition, surgical removal of diseased nails in nail fungus treatment is no more successful than other methods.

Nail fungus treatment with laser
A new treatment option for nail fungus is laser irradiation. In several sessions, this can kill the fungal infection, even if you do not know exactly how it works.

Another advantage of laser therapy for nail fungus is that it causes small negative effects when performed correctly. Patients report at most a feeling of warmth or slight burning in the irradiated toes.

However, the laser of a nail fungus infection is very expensive and is not paid for by the statutory health insurance.

Read more about laser therapy for onychomycosis in the article nail fungus laser.

Nail fungus: homeopathy
Many sufferers ask themselves the question "What helps against nail fungus other than conventional medicine?" They want to treat onychomycosis with alternative healing methods. So some rely on essential oils or Schüßler salts. Still others rely on homeopathy. But nail fungus is rarely treated exclusively with alternative medicine. Instead, alternative healing methods are often used as a complement to conventional medical treatment.

By the way: To the question "What helps with nail fungus?" Call homeopaths such as Acidum hydrofluoricum , Silica , Antimonium crudum or sepia , Aromatherapy uses if essential oils Eucalyptus globulus , Origanum vulgare or Thymus vulgaris (chemotype thymol ) On. The appropriate Schüßler salts for nail fungus are number 5 Potassium Phosphoricum and the number 8 Sodium Chlorate , which remedy is best for a particular case should be discussed with an experienced therapist.

Nail fungus: home remedy
"Better of course than chemical", many believe and prefer home remedies in the fight against nail fungus. For example, vinegar or acetic acid, lemon, marigold and aloe vera and tea tree oil are used. Such herbal remedies are considered to be gentle help against the fungal infection. They are mainly used externally directly on the diseased nail.

However, it has not been scientifically proven that vinegar, tea tree oil & Co. are really effective on nail fungus. Some doctors recommend it. At least the condominiums should not be used as a substitute, but only as a complement to conventional medical treatment.

More about the use of home remedies for fungal infections in the nails read in the article nail fungus home remedies.

Nail fungus: symptoms
In general, nail fungus can infect nails and / or toenails. The latter are affected much more often. There are two reasons for this:

First, the feet are subjected to a greater mechanical stress. This is more likely to result in minor damage used by fungi (and other pathogens) as gateways. On the other hand, mushrooms love a warm and humid environment, and it is more likely that there are feet, which run barefoot in the pool or in shared showers and foot sweat in closed shoes.

The toenail fungus often grows on the big toe, but it can also affect one of the other toes or spread over several nails. In severe cases, all nails on one foot or hand are affected.

The symptoms of nail fungus vary in different forms of onychomycosis, as described below. All but one: If the infection is not treated or too late, eventually the entire nail can be affected by the fungus and completely destroyed by it (total dystrophic onychomycosis).

Distolateral subungual onychomycosis (DSO)
About 82 percent of all patients show this type of nail fungus. The pathogen is usually the filamentous fungus Trichophyton rubrum . It penetrates into the free (distal) end of the nail under the nail plate and spreads on the underside towards the nail root. This usually results in the following symptoms of nail fungus (without treatment):

At first she looks Nail plate dull and dull before they turn discolored white-yellowish , Other symptoms (pain, etc.) are usually absent in this phase of nail fungus.

Excessive keratinization under the nail plate (subungual hyperkeratosis) The nail gradually thickens and begins to break loose from the nail bed replacing . In some patients, the thickened nail plate may painfully press on the underlying sensitive nail bed. This can be especially noticeable when wearing tight shoes and when walking.

In addition, there is a risk that (in addition to nail fungus) bacteria will settle in the damaged tissue and cause a nail bed inflammation . Pain is also possible, and the entire nail is very sensitive.

Finally, the affected nails cracked, brittle and crumbly .

Proximal subungual onychomycosis (PSO)
This form of nail fungus is usually made from filamentous fungus Trichophyton rubrum triggers. It penetrates the nail wall, where the nail grows out, over the skin into the nail plate and the nail bed. The nail shows a whitish discoloration and opacity . This onychomycosis occurs almost exclusively in people with a weakened immune system.

White superficial onychomycosis (WSO)
This nail fungus is also called Leukonychia trichophytica. The trigger is usually the filamentous fungus Trichophyton interdigital ( T. mentagrophytes ). It penetrates directly into the surface of the nail plate. As a result, the white spots form on the nail .

Onychia et Paronychia candidosa (Candida Paronychia)
Here, the proximal nail wall (where the nail grows out) and later also the lateral nail wall are chronically inflamed by an infection with yeast (usually Candida albicans). Typical nail fungus symptoms here are Redness and swelling in the nail wall .

Later, the nail plate discolors in the border area, where the nail grows out and on the sides. The color varies depending on an additional bacterial infection from yellowish over brownish to greenish . Without treatment, the fungus also spreads to the nail matrix and nail bed.

This nail fungus develops mainly on the nails of people who often work with their hands in humid or wet environments.

Edonyx onychomycosis
Filamentous fungi of the genus Trichophyton are usually responsible for this very rare form of nail fungus . They penetrate directly between the layers of the nail plate and spread inside. the shiny, whitish nail plate fragmented thereby lamellar. The nail bed remains mostly intact in this nail fungus. In addition, there is no thickening and loosening of the nail plate from the nail bed.

Nail fungus: causes and risk factors
Nail fungus caused mainly by filamentous fungi (dermatophytes). Sometimes mold or yeast is responsible for the infection. The latter especially affects the nails.

In principle, the fungus can infect all keratinized parts of the body (skin, nails and hair). They feed there from the main ingredient keratin.

Is nail fungus contagious?
The nail fungus comes through fungal spores on the skin. Spores are microscopic fungal particles that can survive for a very long time and are used to spread them. The most common transmission route is from person to person.

In addition, fungal spores can also be transmitted from contaminated objects to humans. These include, for example, towels, bath mats, rugs and beds.

Risk factors for nail fungus
Fungi prefer to grow in hot and humid places - so for example sweaty feet Especially if they are in shoes that can not spread heat and moisture to the outside. The resulting heat and moisture accumulation promotes fungal growth.

The same applies if you do not clean the toe areas properly and dry. This is especially true for people who have a physical disability or, for example, a leg. You can more easily get a foot and nail fungus. By the way, experts suspect that nail fungus on the feet often also Consequence of an athlete foot infection develops. So many people suffer from both infections at the same time.

Other factors that can benefit nail fungus are:

• Frequent contact with toenail fungal pathogens, for example in the pool, in shared showers or in the sauna
• Damage to the nails
• certain skin conditions such as psoriasis
• Circulatory disorders in the legs, for example due to diabetes, peripheral arterial disease (PAD) or smoking
• weakened immune system, for example in certain diseases (such as HIV) or when taking drugs that suppress the immune system (such as cortisone)

familial predisposition
By the way: Diabetics are more susceptible to fungal diseases due to the large amount of sugar in the blood - the sugar is used by the fungi as food.

For nail fungus on the hands are especially prone to people who often work wet / wet hands have. These include, for example, cleaners.

As a general risk factor for nail fungus (and also skin fungus), vitamin deficiency (Vitamins A, B1, B2 and K) is also suspected. Lack of zinc and folic acid is also suspected.

Nail fungus: examinations and diagnosis
The first contact person in the investigation of nail fungus is the family doctor. You can also contact a dermatologist (dermatologist).

Examination of medical history
The doctor will first raise the medical history (anamnesis). He will ask you about your symptoms, possible underlying diseases and other factors that are important for the diagnosis. Possible questions include:

• Since when are the nail changes (thickening, discoloration)?
• Do you know of chronic diseases (such as diabetes or psoriasis)?
• What do you do for a living?
• Does anyone in your family have a fungal infection?

Physical examination
The interview is followed by the physical examination: The doctor examines the affected nails and surrounding tissue. Thickened, discolored nail plates are often a clear indication of nail fungus. However, there are other possible explanations for suspected nail fungus symptoms, which the doctor must rule out ( differential diagnosis ):

So a psoriasis can extend to the nails and look like a fungus ( nail psoriasis ). It can also contribute to a nail involvement eczema ("Eczema") and other skin diseases such as Knötchenflechte (Lichen planus), which can resemble a fungal infection.

In people with chronic varicose veins, the toenails are often thickened and gray-green discolored. This can also falsify a nail fungus. The same goes for nail damage like a bruise and pinching the nail.

Other differential diagnoses include rare chronic nail changes found in e.g. circulatory disorders , thyroid disease , iron, calcium or vitamin deficiency develop.

Detected by toenail fungus pathogens
To clarify the nail changes, the doctor helps the nail fungus test : He disinfects the nail in question with alcohol and then scrapes part of the nail plate. The small nail chips can be stained with a special dye and examined under the microscope for fungal spores. If he finds any, it speaks for a nail fungus.

Under the microscope you can not tell what kind of fungus it is. However, the doctor must know this if he wants to prescribe fungal tablets against nails to the patient. Depending on the type of agent, some active substances are better suited than others. To identify the exact type of pathogen, this is grown from the tissue sample in the laboratory ( fungal culture ). It takes three to four weeks.

With a strong nail fungus, however, the doctor can already start a fungal treatment with an active ingredient that works against a large number of fungi (fungal spectrum fungus).

In rare cases, other tests are performed on nail fungus. For example, the nail tissue in the laboratory can be examined more precisely (histologically).

What to think about before visiting the doctor
In order for the doctor to diagnose nail fungus correctly, you should not wear colored nail polish during the examination.

If you have already tried a local nail fungus treatment during the construction (eg with antifungal nail polish), you should have completed these two to four weeks before the doctor's visit. Otherwise, the result of the fungal culture may be incorrectly negative due to any remnants of the nail.

Nail fungus: disease course and prognosis
Nail fungus does not heal on its own but must be treated. The following applies: The earlier nail fungus is treated, the better . In the early stages, it is usually painless and easier to treat.

However, advanced nail fungus can cause significant pain, such as when wearing shoes or walking, and ingrown toenails. The skin around the nail or nail bed may become inflamed. In addition, fungi from the toenail fungus can develop and spread further.

If the nails are affected by the fungal infection, the instinct can change so that the fine motor skill deteriorates.

Last but not least, the toenail fungus is an aesthetic problem that can greatly affect the victims psychologically. That's why you should definitely treat him early.

It is important to stick to the therapy!
A nail fungus treatment is tedious and requires a lot of patience and consistency from those affected. Even in mild cases, it extends over weeks to months. In severe cases, toenail fungus therapy lasts up to a year and longer. The reason: The diseased nail area must first be fully grown, before the patient is considered cured. Some patients discontinue antifungal treatment early, when no more infestation is visible. It can then be infected but still part of the nail plate. From these places, the nail fungus can repeatedly spread to healthy areas.

By the way, with infected nails, the treatment usually leads to success faster than with toenails.

Prevent nail fungus
A nail fungus can be prevented. Even though the fungal spores are everywhere in our environment - the fungi feel good, especially in humid, warm environments. The most important measure is therefore to deprive the hedge.

Right shoes
You should wear as few closed shoes (as sneakers) where your feet sweat a lot. Instead, prefer more breathable shoes (such as sandals or light loafers). Do not put on wet or damp shoes.

After each wear, you should ventilate your shoes well. If you sweat a lot, fill your shoes with paper after wearing it and let it dry completely. In addition, you can disinfect the shoes regularly.

Do not walk barefoot in public swimming pools, saunas, solariums and changing rooms.

Socks and stockings
When choosing socks, you should prefer materials such as wool, cotton or cotton blends and refrain from using synthetic materials. Change socks daily or, if you sweat a lot, several times a day. Shoes and socks should never be shared with others to prevent the transmission of nail fungus in this way.

Proper foot care
After washing and bathing, you should dry your feet well before putting on socks and shoes. Pay special attention to the toe shells when drying!

Regular and thorough foot care is especially important for people who are particularly prone to nail fungus. These include, for example, diabetics and people with immunodeficiency, but also athletes and the elderly. It often makes sense to visit a medical chiropodist (podiatrist) regularly.

Change laundry and wash thoroughly
Towels and sheets should be changed regularly. If you already have nail fungus, you should even change the towel every day - as well as socks and stockings. Wash them as well as shower mats at least 60 degrees Celsius. Use heavy detergents or special detergents that kill fungal spores. These are available in pharmacies and drugstores.

For patients with nail fungus: prevent spread
People with nail fungus should not walk barefoot indoors or at home so as not to spread the robust fungal spores in the area and potentially infect other people.

When sleeping, people with nail fungus should wear socks. In this way, they can prevent the fungal spores from spreading in the bed and eventually reach other parts of the body or partner and trigger a new infection there.

How do I choose the best over-the-counter nail fungus treatment?

 How do I choose the best over-the-counter nail fungus treatment?

Usually, the best over-the-counter fungal treatments contain antifungal ingredients and are available in nail polish form. You can also get results from detergents that contain herbal treatments, such as tea tree oil. Some people also report that topical ointments containing camphor may help. Unfortunately, many treatments with nail fungus that are not the countertop succeed in getting rid of nail fungus completely, so a person can get better results from prescription medications.

Nail Fungus Treatments Products

Among the best therapeutic nail fungus treatments are antifungal nail polishes that can be painted directly on the affected nail. You usually use this type of treatment by painting it on the affected nail every day until a new nail grows in it that is free from the fungus. Most nail fungus treatments that are discreet of this type also include instructions for painting some of the varnish on the skin that immediately surrounds the affected nails. This can help prevent the spread of the fungus.

Many people also claim that they see results when they treat nail fungus with rapidly compounding compositions that contain tea tree oil. Tea tree oil is a plant-based remedy that is said to have virus, bacterial and fungicidal properties. It is derived from the tea tree plant and has long been used in alternative medicine. If you prefer a natural remedy over a drug treatment, you can buy tea tree oil and drip or paint it on the affected nails. Alternatively, you can use an over-the-counter nail fungus treatment that contains tea tree oil as one of its ingredients rather than using tea tree oil only.

Although not intended for this purpose, some people find that topical ointments containing camphor are useful in treating nail infections. If you choose to try this, you can apply it liberally on clean, dry nails just before going to bed at night. Then you can cover your hands with gloves that provide good airflow and absorb moisture, or if the fungus is on your toenails, you can cover your feet with white cotton socks. Some people also rub ointment on the feet and hands for a softening effect.

Although treatments that do not work like nail fungus are usually safe, you can not predict how your body will react to them. As such, it may be a good idea to seek medical advice before using over-the-counter treatments and home remedies. In addition, you can protect your skin and general health by discontinuing the use of these treatments if you experience irritation or side effects.

It is important to note that although there is over-the-counter treatment for nail fungus, they are often ineffective. Even those who seem to improve a case of nail fungus often fail to get rid of it completely. Instead, you can get better results by visiting your doctor for an evaluation of your nail condition and requesting a prescription treatment.

Where can we buy solutions to cure nail fungus

 Where can we buy solutions to cure nail fungus

Are you embarrassed to take off your shoes? Are you working with yellow and painful nails? Do you have ugly toenails that make you feel sorry for wearing shoes? If you answered yes to any of these questions after that you probably have the exact same problem as many individuals in your country, nail fungus. And you understand that the fungus is difficult to treat and the stubborn yellow nails haunt your feet in every activity you do.

Nail Fungus Treatments Products

There are many details in the media that show this fact as described below:

This common problem affects as long as 8% of the entire adult population. It can appear on both the finger and even the toenails and is defined by thickening and a yellow or gloomy-looking nail. Fox

You are not alone with nail fungus. Over 35 million people encounter the yellow, brittle, and even sometimes painful signs and symptoms associated with nail fungus. CBS

Fortunately, there is a product for your toenail fungus worries. ZetaClear is an easy-to-use topical product that is medically proven and even the FDA has agreed to kill toenail fungus quickly. Denies any type of product to cure fungus before reviewing this ZetaClear Facts: The best way to cure fungal toenail infection quickly that surely gives you information about formula ZetaClear How does this toenail fungus removal feature prosperity anti-fungal formulation ZetaClear, Guideline Guide for ZetaClear and we can buy formula to cure toenail fungus ZetaClear online.


The ingredients in the anti-fungal product ZetaClear
ZetaClear utilizes ingredients list that has a long background to eliminate the fungus and also stops the growth and recreation of fungal cells. ZetaClear utilizes all natural fungicides and also is FDA approved medicines for fungal conditions and problems. ZetaClear in professional studies has actually been shown to be about six times extra effective as any kind of various other anti-fungal product on the market that uses caprylic acid and is also powerful in maintaining a healthy balance.

Below is information on the ZetaClear topical formula:

undecylenic acid
Undecylenic acid is derived from oilseed castor oil. It damages fungi and facilitates itching and also burning of infected tissues. It can strengthen immune action. Undecylenic acid should not be used on adolescents under 2 years of age. In fact, insufficient studies have been performed in older adults. Do not use undecylenic acid on damaged skin. Do not use for more than a month without the advice of a qualified healthcare professional.

Tea tree oil
Tea tree oil damages fungi, microorganisms, yeast, and infections. It is a minority of essential oils that can certainly be utilized unmixed. It can relieve itching and even pain associated with fungal infections. It is an antiseptic that offers deep cleansing of cells.

clove oil
Clove oil is an extremely focused essential oil. It relieves inflammation. Clove oil can be irritating to the skin and also mucous membrane layers.

Almond oil
Almond oil is a base oil with the recovery components. This oil passes through the cells, dragging other active ingredients deep into contaminated areas. It is reassuring, beneficial and relieves itching.

Jojoba oil
Jojoba oil is actually a wax. It is similar to the oil in human skin. Jojoba is really comfortably sucked up and nourishing. Rich in antioxidants, jojoba relieves itching and even inflammation.

lemongrass oil
Lemongrass facilitates stagnant, inflamed cells and also improves circulation. This increases the rate of healing.

Lavender oil
Lavender oil fights inflammation, comforts cracked cells and also supports healing. It is relaxing and relieves inflammation.

vitamin E.
Vitamin E is an antioxidant-rich, nourishing oil that prolongs the shelf life of various other oils. It removes free radicals and increase recovery.

How medicine for fungal nails ZetaClear perform
ZetaClear is FDA approved to avoid the growth and even reproduction of fungi by inhibiting the growth of fungal cells. When you buy ZetaClear Have you chosen a very effective and also very comfortable treatment for common fungal infection in finger and also toe areas such as on skin and also next to toenails and under toenail where can be obtained with ZetaClear applicator brush.

ZetaClear convenient brush condition for the regulated and also targeted programs so medicine can be used directly and also nicely to the site of infection. With the ZetaClear fingers, it will probably never touch affected places. ZetaClear fluid dries quickly without unpleasant residue or unwanted medical odor.

The benefits of nail fungus treatment formula ZetaClear
Here are the benefits that can be acquired by individuals after using ZetaClear:

• Kills toenail fungus
• AIDS clear yellow keratin derby
• Applies to the current brush
• It is completely natural, risk-free and also effective
• See results in a few weeks

The best ways to remove toenail fungus infection
The current service comes with an applicator brush. The manufacturer recommends that three brush strokes be used 3 times daily to the affected areas or as directed by a physician.

Nevertheless, reusing an applicator brush kept in the solution box could be contaminated with fungi and other microbes. The risk of re-inflammation and also spreading inflammation increases if you use this procedure. A better application practice certainly would be to employ the use of an object saturated cotton ball then apply the remedy to the affected areas.

Consumers are advised not to place the current measure in the eyes or mouth. Although the bundle instructs consumers to clear their eyes if the current solution comes into contact with the eyes, we would advise you to talk to a doctor.

How to order nail fungus treatment medicine

 How to order nail fungus treatment medicine

Nearly 40 million people worldwide are struggling with toenail fungus. It can be extremely itchy and unbearable when left without treatment, but it is usually humiliating for the victims who are usually ashamed to wear shoes in public and do not want anyone to see their feet. Because of toenail staining, flaking and even unpleasant odor in extreme cases, people want to eliminate the infection as quickly as possible.

Nail Fungus Treatments Products

Still, searching for the best toe nail fungus treatment or cure for your nails would be complicated. Are you going to take dental prescription medications, use home-prepared solutions or pick a completely natural solution? How do you know which therapy is actually effective and does not have significant adverse effects? Because of this, we decided to do extensive research on the most prominent treatments for toenail fungus. The results will surely offer you a good idea of ​​which treatments actually work and which do not.

Not for any type of nail fungus treatment formula before reviewing this ZetaClear reviews: The comparison of preferred toe nail fungus treatment that will surely give you information on the signs and symptoms of nail fungus, some treatment techniques for toe nail fungus and purchasing nail fungus treatment formulations ZetaClear Online .

Symptoms of toe nails and even finger fungus
Symptoms of toenail fungus infections or onychomycosis, are very easy to see:

• Brownish or yellow discoloration in the nail
• Thickening of nails, causing discomfort when using shoes and even strolling
• Toe jam under and also around the sides of the nail
• Fragile nails that fall apart or damage
• Foul odor coming from nails

If left unattended, a fungal nail infection will spread to the entire toenail and also to various other nails. In extremely extreme cases, medical elimination may be the only option. If it has not reached that stage, then there are treatments that can remove the infection.

The evaluation of toenail fungus treatments method
We studied lots of different toenail fungus treatments that can cure finger or toe nail infection. We interviewed dermatologists, homeopaths, naturopaths, herbs and various other sector experts on the best treatment for toenail fungus. The standards used for research and also grade nail fungus treatments include efficiency, safety, durability, overall success level, speed of results, ease of use, tariff, product warranty, supplier credibility, customer service.

The products that the cashier had:

• Greater than 25% adverse reactions
• Poor customer service
• Were priced extremely high considering their actual results
• The result of nail fungus therapy assessment
• Prescription treatments are powerful but they have significant side effects
• Dental prescription medications are very effective, but they often tend to be expensive and also have really significant negative effects. These prescriptions include fluconazole (Diflucan), itraconazole (Sporanox), and even terbinafine (Lamisil). These treatments often tend to be extremely expensive and can also cause major health and well-being problems for people working with liver problems or a history of heart attack. With regard to Lamisil, there may be diarrhea, indigestion and even it can potentially damage the liver or cause liver disease.

There are also two current prescription treatments on offer called Ciclopirox (Penlac) and Amorolfine (Locery). These treatments use fungicidal ingredients that are highly effective chemicals to eliminate fungi. Unfortunately, Ciclopirox (Penlac) can trigger anxious burning, pain and tenderness, and is also quite expensive. Amorolfine (Loceryl) can also trigger skin irritabilities such as burning, drying, peeling, itching and crying.

Laser treatment is expensive and has no proven trace documents
Laser treatment for nail fungus is a brand new method to treat a toe nail infection by laser energy straight concentrating on the infected area. The laser light passes through the toenail and is also intended to kill the fungus without causing damage to the nail or bordering the skin. This new innovation looks really encouraging and has raised amazing hopes among toe nail fungus patients. Unfortunately, an additional consider toe nail fungus laser treatment describes significant disadvantages that must be considered before picking this option:

• Professional trials focused on examining the performance of laser therapy were done in a very minimal area (examined only 39 toenails each for Noveon). These clinical trials are not statistically legitimate. It is popular in health research that completely new treatments perform well in small studies fail extremely regularly when used in large research studies with strict examination protocols.
• The price for a one-time treatment is usually $ 1000. Persistent treatments cost about $ 500 each. In many cases, a complete course of treatment may require 3 to 4 more cuddles. So the total cost can reach $ 3000. This cost is not covered by health insurance and must be paid in full by the patient
• A treatment lasts only half an hour, but there is no guarantee that toenail fungus will definitely not repeat. In addition, customers will have to wait four to six months for a healthy and balanced toe nail to expand.
• Suggestion: Toenail fungus laser treatment is expensive and still immature. We do not recommend taking the risk of thousands of dollars on this brand new and untried therapy. You would certainly be much better off trying more affordable alternatives.

Using home-made solutions is time consuming and almost never reliable
Many of the expected diy actions are from regular family items. Lavender oil, oregano, apple cider vinegar, beer, bleach and even with Vicks Vaporub have been tipped as possible treatments for nail fungus.

Chlorine bleaching
Therapy: Soak your feet for about half an hour a day (preferably 15 minutes in the early morning and 15 minutes at night) for 15-30 days in a solution of one part bleach to 10 parts water (strong solution) or part chlorine bleach to 100 components in water (more diluted solution). For better treatment, it is encouraged to do so for two months. After each treatment, completely wipe the affected area (with a hair dryer).

Warning: Note that bleach is an unsafe chemical. It is hard and also it will damage any type of skin that has actually been exposed while bleaching toe nail fungus contaminated spot. Do not inhale smoke that appeared on it and even eyes should not come into conversation with them. Keep it out of the reach of young people.

Vinegar
Therapy: Use drops of apple cider vinegar or white wine vinegar directly on the contaminated area 3 times a day (preferably after taking a shower). Do this every day for several months. As soon as a week, soak your nails for 20 minutes in a tub of vinegar. Vinegar can improve your problem and in some cases work for mild to moderate nail fungus.

Vicks Vaporub
Background: Vicks Vaporub is a cough-suppressing local painkiller. We lie individuals use it to deal with toenail fungus.

essential oils
Most popular oils: Tea Tree Oil, Oregano oil, lavender oil.

Processing: We found several invoices to use these oils separately or mixed with each other. Exactly what is common to all is that you need to use it at least twice a day for 3 to 6 months.

Our research study found these stay invoices to be a waste of time for the following reasons:

• These treatments are very time consuming and also many people who find them extremely difficult to perform when they come as a routine job every day and for a long time. Many nail fungus victims go down these treatments after 1-2 weeks because they were very busy and also discovered them inappropriate with their life.
• These formulations can be dangerous and also are not necessarily without negative effects. Chlorine bleach is a chemical that can seriously damage your skin and we are facing several negative feedbacks about tea tree oil causing sensitive reactions such as breakout and sore walks and even dermatitis practically.
• After extensive research and meetings, we conclude that individuals rarely achieve a definite cure for their toenail fungus with such diy invoices. They can feel a short-term improvement without resolving the issue of origin as these natural components are not completely reliable when used in non-therapeutic dose and also mixture.
• These products are considered cheap, but when used daily, several times a day and even for 3 to 12 months, they can be quite expensive.
• Recommendation: If you are suffering from light nail fungus and also want a herbal remedy to treat your toe nail fungus infection, you can offer a chance to Vinegar, Vicks Vaporub or Essential Oils.

Clear is the very best toenail fungus treatment available today
Our latest research study confirms the value of this formula and wrapped that ZetaClear is the number one nail fungus treatment in terms of effectiveness. For the past 9 years, ZetaClear has actually gained a good reputation. Today it stands for an excellent choice for traditional treatments mentioned above and supplies one of the most effective treatments to eliminate toe nail fungus.

Treat nail fungus effectively with the laser

 Treat nail fungus effectively with the laser

Nail fungus is one of the most widespread fungal diseases around the world. The infection can occur quickly - in the swimming pool without bathing shoes, in the common household and in many other situations in which one comes into contact with the spores of the nail fungus. Although the risk of infection with nail fungus can be significantly reduced with a few precautionary measures, a disease of nail fungus can never be ruled out with certainty. For those affected, nail fungus means numerous restrictions that can become a stress test. In this article we will explain in more detail how you can prevent nail fungus and treat it effectively and therapeutically in the event of an infection.

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An infection mi t avoid nail fungus - hygiene rules in everyday life
If you want to avoid an infection with nail fungus, you should observe some hygiene rules in everyday life, which minimize the risk of infection many times over. One should be particularly careful in swimming pools and saunas: the warm and damp floor is the ideal basis for fungi and pathogens of all kinds. Walking barefoot is therefore an absolute taboo in swimming pools. Make sure that the fungal spores can survive for months on bath mats, sun loungers and all floor coverings. So it pays to take appropriate precautionary measures.

After bathing or visiting the sauna, you should always dry your feet thoroughly to avoid moisture between your toes. The prevailing climate here is also the ideal breeding ground for fungi and, in addition to nail fungus, can also promote athlete's foot. Foot showers in swimming pools, on the other hand, should be avoided, because thorough disinfection of the feet does not do anything against fungal spores. The foot disinfection interferes with the natural protective shield of the skin and makes an infection with athlete's foot even more likely.

When dealing with those affected, especially when it comes to family members, strict hygiene measures should also be taken to avoid infection. Separate towels are very important here, but also thorough and regular cleaning of laundry and shoes. The laundry of those affected should be washed at at least 60 degrees, but better at 90 degrees.

The nail fungus treatment with antifungal nail polish
The treatment with antifungal nail polish in the case of an infestation with nail fungus takes about 6-12 months. How often the nail polish has to be applied to the affected areas depends mainly on the preparation and less on the severity of the nail fungus infestation. Monotherapy exclusively with antifungal nail polish against nail fungus only brings about a 5-10% cure rate. Therefore, a combined treatment with other therapies against nail fungus may be recommended.

Treat nail fungus with medication
Treatment of nail fungus with medication takes an average of 3 to 12 months, depending on the extent of the nail fungus and the type of infection. During treatment with nail fungus medication, regular laboratory checks should be considered  , as the drug treatment against nail fungus can lead to changes in the liver and blood count, but also taste disorders and interactions with other medications are possible. Studies currently show that drug treatment of nail fungus has a 55% cure rate.

 
Treating nail fungus with laser - the best results and gentle treatment
Treatment with a laser (980 nm), which brings about a 68-80% cure rate, is much more topical in the fight against nail fungus. Depending on the severity of the nail fungus, laser treatments should take place at least three times at intervals of 4-7 weeks and possibly repeated. When treating nail fungus with the laser, the nail initially remains unchanged, but grows back healthy in the coming months. How quickly a nail grows after a nail fungus infestation depends on the general condition of the patient and the severity of the disease.

When treating nail fungus with a laser, the fungus is destroyed by the heat. The laser beams against nail fungus are absorbed by the tissue and inactivate all fungal threads. Heating over a certain period of time is crucial for the success of the treatment. However, since the laser against nail fungus is only perceived as a noticeable warming, local anesthesia is not necessary.

Before treatment against nail fungus using a laser, podiatry treatment may be necessary, in which the nail plate is milled off to a thickness of 1-2 mm. In this way, the laser beams can penetrate the tissue effectively and destroy the fine threads of the nail fungus. Restrictions are not to be expected after treatment with the laser against nail fungus.

Important measures after laser treatment against nail fungus
In order that reinfection can be ruled out after the laser treatment against nail fungus, the highest hygiene measures should be taken. The footwear, like the laundry, should be washed with a hygienic rinse or at 60 ° C. Local treatment of the nails and spaces between the toes with antifungal creams and varnishes is also recommended so that the nail fungus cannot spread again. However, these products should not be applied before treatment with the laser against nail fungus. Also bring freshly washed socks to the treatment appointment, which can be worn after the treatment in order to prevent immediate re-infection with nail fungus.

Treat nail fungus with the laser at the Berlin Skin Center
Unfortunately, none of the above-mentioned therapies offers a guaranteed success of the treatment. We at the Berlin Skin Center will work with you to find out which therapy against nail fungus is suitable for you and put together a treatment plan with which you can get the nail fungus under control in the long term - whether it is cream therapy, drug treatment or laser therapy against nail fungus . Simply speak to us on site or make an appointment!

Nail fungus treatment classic and with laser

 Nail fungus treatment classic and with laser

Nail fungus treatment
Nail fungus is uncomfortable. Not only do the nails look unsightly, the disease can also cause pain and impair walking. Nail fungus, also called onychomycosis, is an infection of the toenails or fingernails. This infection is usually caused by thread fungi. In rare cases, yeast or mold are the cause. Thread fungi feel particularly comfortable on the surface of the body, because in skin, hair and nails they find the keratin on which they feed. In addition, thread fungi like moisture and warmth, which is why they prefer spaces between the toes, groin, skin folds and armpits.

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What are the causes of nail fungus?
There are many causes of nail fungus. The risk of infection is greatest in public baths, saunas, fitness studios or showers and changing rooms, because many people run barefoot here. The fungi are transmitted through contact with pathogens that are found in flakes of skin, for example. In these sheds, the fungi can persist for days or even weeks and months.

Tight, pressing shoes also promote the development of athlete's foot. The nail fungus is often caused by athlete's foot that spreads to the nails. A direct infection of the nails is also possible. Then small cavities form under the nails, in which the nail fungus settles. The development of nail fungus is favored by a weakened immune defense, which is often associated with metabolic diseases such as diabetes. Athletes are also often affected, as the fungus feels comfortable in the warm, humid climate of sports shoes, swimming pools and changing rooms and is also easily transmitted.

How do you recognize nail fungus? What are the symptoms?
The first signs of nail fungus are difficult to recognize and are therefore hardly noticed by those affected. Initially, the symptoms only show up on the nail edges with slight discoloration. Only when the infection spreads are white, yellowish or brownish discolorations to be seen in the nail plate. The nails thicken and lose their shine.

recognize nail fungus

The classic nail fungus treatment in the podiatry practice
Nail fungus can be treated well with a nail fungus treatment. Nail fungus therapy looks like this:

• We carefully remove the diseased nail material with rotating, diamond-coated files. By grinding, we can reach cavities in the nails where the fungus has settled.
• The removal of the nails is repeated until no more diseased nail material grows back.
• For further nail fungus treatment, fungicidal creams or varnishes are applied according to the instructions for use. After sanding, these active ingredient creams or medical nail polishes can then work exactly where they belong. The active ingredient does not have to penetrate the diseased nail plate first.
• The duration of treatment for nail fungus also depends on the growth of the nail. This has to grow out completely healthy one day. Only then should the active ingredient cream or the varnish for nail fungus treatment be discontinued.

The gentle laser treatment for nail fungus
During laser treatment, the fungal spores in the nail are destroyed using a laser. The laser pulses are applied to the nail plate and nail bed and thus reach the infected areas. The nail itself and the surrounding tissue are not damaged. A previous removal of the nail plate increases the effectiveness of the painless laser treatment. The heat that penetrates the nail plate kills the fungus.

The duration of the entire laser treatment and the number of sessions vary depending on the course of the disease.

Side effects are not known. The costs for the treatment are not covered by the statutory health insurance funds, but there are private health insurance companies that participate.

Varnishes, creams or tablets against nail fungus
Anyone who suffers from nail fungus may have to spend a lot of time and patience to get rid of it. Treatment with colorless paints or creams without a prescription can take a long time. Prescription tablets that the doctor prescribes for therapy also usually have to be taken over a period of several weeks and months. They work much better than treatment with varnishes or creams, but they also have more side effects. The tablets inhibit the growth of the fungi or kill them. However, depending on the active ingredient, dizziness, stomach and intestinal problems or skin rashes can be triggered. Interactions with other active ingredients can also occur. Some nail fungus tablets may be taboo for people with medical conditions, as well as for women who are pregnant or breastfeeding.

Beware of home remedies!
Of course there are also one or the other home remedy that is used for nail fungus. However, the effects of home remedies have not been scientifically proven. A home remedy is usually not enough to fight nail fungus: All of these remedies are too weak to do anything against the fungi that sit deep in and under the nail. They only appear superficial, if at all.

On the contrary, caution is required when using home remedies, because the fungus can continue to spread unhindered and the symptoms can worsen. Also, using home remedies can lead to allergies, irritation, and inflammation. Well-known home remedies include tea tree oil and vinegar, which are considered anti-inflammatory and are often used as natural preparations. But alcohol, toothpaste, herbs, essential oils, and even baking soda are also recommended. Even your own urine is said to help against nail fungus. The uric acid actually works against the fungus, but it is only so weakly contained in the urine that it can only work in the early stages.   

How can you prevent nail fungus?
To prevent nail fungus from developing in the first place, the following tips should be observed.

• Do not walk barefoot in public areas. If nail fungus has already spread in the family, special care is required: So at least wear socks at home and your own bathing shoes when showering! And please do not lay out bath mats!
• Wash feet daily with mild soap and dry well. In particular, the spaces between the toes must be carefully rubbed dry. Before putting on stockings and shoes, let your feet air dry.
• Never wear shoes that are too small and airy shoes as often as possible to avoid a damp climate in the shoe. Prefer shoes made of breathable material, such as fabric and leather. With additional aids, such as foot powder or sweat-absorbing insoles made of terry cloth, you can ensure a good shoe climate.
• Always wear your own (bathing) shoes in the sauna, swimming pool and hotel and dry your feet and spaces between your toes well after the bath.

Additional tips that support nail fungus treatment
With a sugar-free diet, the body's defenses are promoted and the nail fungus is deprived of its breeding ground. Those who also eat a healthy and balanced diet strengthen their immune system and the nail fungus has a harder time spreading unhindered.

Thorough hygiene is essential to prevent renewed nail fungus infestation. The treatment is only complete when the healthy nail has completely grown back. Unfortunately, this can take a while, especially with toenails. Socks and towels should therefore be washed at 60 degrees, better still at 90 degrees, because the fungi can survive on textiles and in shoes. Bathroom rugs also belong in the washing machine on a regular basis. Tiles and shower trays can be treated with a disinfectant.

Nail fungus: varnish, cream or tablets?

 Nail fungus: varnish, cream or tablets?

Nail fungus is pretty stubborn. Topical treatment with nail polish can take up to a year. Nail fungus tablets are usually taken over a period of several weeks or months. They are significantly more effective than topical treatments, but have more side effects.

A nail fungus can usually be recognized by brittle and whitish-yellowish to brownish discolored nails. The nails can also thicken and change shape. The affected part of the nail may become detached from the nail bed. For the treatment of nail fungus, nail varnishes and creams for application as well as tablets for oral use are possible. Lacquers and creams are available from pharmacies without a prescription.

Nail Fungus Treatments Products

What external treatments are there?

Lacquers
Many people try to treat nail fungus with a colorless nail polish first. Before applying the varnish, the affected nail is cut and filed down as much as possible. Nail polishes contain one of the growth-inhibiting and fungicidal ingredients amorolfine or ciclopirox. The products differ in how often they are used:

Amorolfin is applied once or twice a week.
Ciclopirox is usually applied every other day for the first month, at least twice a week for the second month and once a week from the third month onwards.
In both treatments, the old paint film is removed with an alcohol swab before the paint is applied again. Normal nail polish can be applied over the lacquer film. Newer Ciclopirox lacquers are water-soluble. They are applied daily and the paint residue is washed off with water before each new application.

Sets with creams and spatulas
For the external treatment of nail fungus, there are also treatment sets that contain two creams and a spatula:

• A cream contains urea (urea) and dissolves the nail so that it can be removed.
• The other cream contains bifonazole, which works against fungi .
• With this treatment, the affected toe or finger is first soaked in warm water for ten minutes and then dried. The urea-containing cream is then applied to the nail and protected with a plaster. After 24 hours, the patch is removed and the toe or finger is put back into warm water. Then the softened layer of the nail is scraped off with a spatula, the nail is reapplied with cream and bandaged over. This treatment is continued for 14 days. When the part of the nail infected with nail fungus is completely scraped away, the skin underneath is treated with a bifonazole cream for another four weeks.

How effective are topical treatments?
External nail fungus treatments with varnish or creams have so far only been investigated in a few studies. Because these studies had weaknesses, the results must be interpreted with caution. Amorolfine has not yet been well studied. Ciclopirox varnish and treatment sets with urea and bifonazole cream were tested in individual studies.

Studies on the effect of nail polish with ciclopirox show after one year:

• Without Ciclopirox varnish, about 10 out of 100 people could no longer detect any nail fungus.
• With ciclopirox varnish, nail fungus was no longer detectable in about 32 out of 100 people.
• Treatment with ciclopirox made the fungal infection disappear in about 22 out of 100 people. But even if no more fungus was detected, the cosmetic result was not always satisfactory. Only 7 out of 100 people had healthy nails after the treatment.

Treatment with urea and bifonazole cream was investigated in a study. It was compared to treatment where only urea cream was applied and the nail removed, but no bifonazole cream afterwards. Three months after the end of the treatment, it became apparent:

• With urea alone, no more fungus was visible or detectable in about 41 out of 100 participants.
• With urea and bifonazole, no fungus was visible or detectable in about 51 out of 100 participants.
• The combination of urea and bifonazole was able to free about 10 more participants from the nail fungus. Six months after the end of treatment, however, there was no longer any difference between the two treatment groups. In addition, the nail fungus returned in many. Therefore, neither treatment is likely to increase the chances of a long-term cure.

People who had affected more than half of the nail surface or who had the disease originating from the nail root did not take part in the studies.

What are the oral products?
For the internal treatment of nail fungus, tablets are used, which also inhibit the growth of the fungi or kill them. All require a prescription. For the treatment of nail fungus, terbinafine and itraconazole are particularly suitable:

• Terbinafine is preferred when skin fungi (dermatophytes) are the cause of the nail fungus. This is mostly the case.
• Itraconazole is usually used when having a infection with a yeast or mold that caused the nail fungus.
• Both terbinafine and itraconazole tablets can be taken continuously or with breaks in treatment. Apart from that, however, they are used differently:

Terbinafine
With continuous treatment, the drug is usually taken once a day for three months (dosage: 250 mg).

When taking with a break in treatment, the drug can be used as follows:

• 500 mg terbinafine (2 tablets) daily for one week, then a three-week break.
• Or: 250 mg terbinafine (1 tablet) daily for four weeks, then a four-week break.
• Even with this form of administration, the treatment usually lasts no longer than three to four months.

Itraconazole
With continuous treatment, itraconazole is taken once a day for a maximum of three months. The dosage is 200 mg per day (two tablets with 100 mg itraconazole each).

When taking with breaks in treatment, take 400 mg itraconazole daily for one week (two tablets with 100 mg itraconazole in the morning and two in the evening). This is followed by a three-week break in treatment. Here, too, the treatment lasts a maximum of three months.

Fluconazole
Fluconazole is only used when other treatments have not worked or are not considered for other reasons. It is taken once a week (dosage: 150 mg). However, fluconazole must be used for about 6 to 12 months to be effective.

How effective are tablets against nail fungus?
Nail fungus tablets have been investigated in several studies. All study participants had one caused by skin fungusinfectionon the toenails. Overall, the study results showed that tablets are significantly more effective than varnishes or creams.

One year after three months of treatment with terbinafine, the following was found:

Without treatment, nail fungus was no longer detectable in around 17 out of 100 people.
After treatment, about 76 out of 100 people no longer found any nail fungus.
Treatment with terbinafine cured them infection so in about 59 out of 100 people.

Itraconazole was also found to be effective:

• Without treatment, 7 out of 100 people could no longer detect any nail fungus after one year.
• After one year of treatment, about 43 out of 100 people could no longer detect any nail fungus.
• Treatment with itraconazole cured them infection so an estimated 36 out of 100 people.

Some studies have compared itraconazole and terbinafine directly. They confirm that terbinafine is slightly more effective than itraconazole.

Taking it with a break in treatment is likely to be as effective as continuous treatment. However, this has only been investigated in individual studies.

What side effects and interactions do the tablets have?
Possible side effects of itraconazole include headache, dizziness, gastrointestinal problems, and skin rashes. Itraconazole can also interact with a number of other active substances. These include cholesterol-lowering and blood sugar-lowering drugs, as well as certain sleep aids. It is therefore important to inform the doctor about which medication you are taking. Itraconazole is out of the question for people with a weak heart . The drug is also not suitable for women who are pregnant or breastfeeding .

Terbinafine can cause gastrointestinal problems and lead to a temporary loss of taste and smell. There may also be interactions with certain antidepressants and heart medications. Overall, terbinafine has significantly fewer interactions than itraconazole. However, it is important to inform your doctor about other medications you are taking. As a precaution, the product should not be taken during pregnancy or breastfeeding.

The frequency of the individual side effects was rarely reported in the studies. Most people tolerate the drugs that are used against nail fungus, but apparently well: Only a few stopped the treatment because of side effects.

When taking itraconazole or terbinafine, however, there is a risk, albeit a very small one, of liver damage. In people with liver disease, these drugs are therefore only used if absolutely necessary.

What can you expect from remedies like tea tree oil?
Home remedies such as applying tea tree oil or vinegar are sometimes recommended to treat nail fungus. Whether these and other remedies help against nail fungus has not yet been tested in good studies.

When are which treatments considered?
Topical treatment for nail fungus with varnish or cream is considered by most professionals, though at most half of the nail is affected by the fungal infection, the nail root is not infected and only individual nails are affected.
External treatment is also recommended for children. For one thing, most drugs are not approved for children. On the other hand, children have thinner nails that grow faster. It is therefore assumed that treatment with varnish or cream has a better chance of success with them than with adults. A white, superficial nail fungus is also often treated with varnish or cream.

If several nails are affected by the fungus or the infectionIf the area is larger, it is usually necessary to take medication. Even if theinfection starting from the nail root, most likely only tablets will help.

Additional treatments
In the case of pronounced nail involvement, tablets can also be combined with varnish or cream. If the nail is very thick, for example, it can be slowly removed or partially abraded using urea cream in addition to the tablet treatment. Combination treatment can also be considered if there are large clusters of fungus under the nail. Professional medical foot care is also an option for severe nail fungus. When the nail is abraded, it is important to maintain good hygiene and disinfection, as the material removed may contain contagious fungal spores.

Sometimes people with nail fungus are offered laser treatment. For example, the nail is irradiated with infrared light or ultraviolet light (UV light), which is supposed to kill the fungi. The effectiveness of laser treatments has not been proven by good studies. Since they are not a service provided by the statutory health insurances, you have to pay for them yourself.

What is the right treatment for me?
Nail fungus is usually harmless. But many people find discolored or thickened nails unsightly and want to get rid of the fungus as quickly as possible. In addition, a fungal nail infection can spread and also lead to other people becoming infected. Regardless of the treatment chosen, however, it will take a while for the nail to look normal again. Patience is especially important when it comes to a toenail. It can take a year for the nail on the big toe to grow back healthily. In some people, nail fungus is very persistent despite treatment. It can recur even after successful treatment.

The chances of permanently curing nail fungus with external treatment are rather slim. Treatment with tablets is much more effective and less tedious. However, because of the very rare but serious risks, it is not an option for all people. How you assess the advantages and disadvantages of the various treatment options for yourself is a matter of personal consideration. The doctor can advise you on this.