The
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"We treat people, not just problems." |
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John L.
Pfenninger, M.D. |
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Lori Oswald,
P.A.-C. |
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(989) 631-4545 |
Visit our Website at http://www.MPCenter.net
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PATIENT INSTRUCTIONS FOR ONYCHOMYCOSIS |
Onychomycosis, or fungal infection of the fingernails and toenails, can cause
pain, tenderness and an abnormal shape to the nail. The nails appear
discolored, thickened, and may have a white, pasty material beneath the nail.
Many patients report that onychomycosis significantly hampers their lifestyle.
Many therapies exist for onychomycosis. The major choices are listed below,
along with the advantages and disadvantages of each therapy. Your physician
will work with you in selecting the choice that is best for you. You must
return for follow-up visits for any of the therapies listed below.
TOPICAL MEDICATIONS
Most topical medications are only marginally effective. Patients must apply the
medications to the nails every day for at least 6 months. Some patients forget
to apply the medications, and others become frustrated because improvement is
very slow. The medications are generally safe, and patients like them because
of the low risk. Improvement is seen in about half of patients. These medications
are applied to the sides of the nail and under the end of the nail. Wash your
hands after applying these medications.
Mycocide NS® - apply 2 times daily
Lamisil® 1% - apply 2 times daily
Fungi-Nail - paint on the edges of the nail at least 1-2 times daily
Naftin 1% gel - apply 2 times daily
SURGICAL REMOVAL OF THE NAIL
Some physicians prefer to remove the nailplate before
administering topical medications. Removing the nail allows the medication to
get into the nailbed where the fungus is growing. Nail removal improves the
effectiveness of the topical medications. Some patients do not like the
discomfort and the weeks of a tender area on their toe after the procedure is
performed.
ORAL MEDICATIONS
Oral medications have been the most effective therapy. Almost all medications
taken by mouth (pills) have the potential for serious side effects, including
liver damage. These side effects are uncommon, but some patients do not want to
take the risk. The medications may be necessary for up to 1 year to clear the
nails.