Symptom Finder - Treatment of Onychomycosis
ONYCHOMYCOSIS
1. If possible confirm the diagnosis by KOH prep of cuttings or culture.
2. If only a few nails are involved (especially toenails only) it may be wise to remove the nails surgically under local anesthesia and apply terbinafine (Lamisil) cream 1% twice daily for 4–6 weeks. Alternatively, Clotrimazole (Lotrimin) 1% cream or lotion may be applied bid.
3. If local treatment is unsuccessful, try oral terbinafine (Lamisil) 250 mg daily for 6–12 weeks. Alternatively, Itraconazole (Sporanox) 200 mg daily for 6–12 weeks may be prescribed. If these measures fail refer to a dermatologist.
1. If possible confirm the diagnosis by KOH prep of cuttings or culture.
2. If only a few nails are involved (especially toenails only) it may be wise to remove the nails surgically under local anesthesia and apply terbinafine (Lamisil) cream 1% twice daily for 4–6 weeks. Alternatively, Clotrimazole (Lotrimin) 1% cream or lotion may be applied bid.
3. If local treatment is unsuccessful, try oral terbinafine (Lamisil) 250 mg daily for 6–12 weeks. Alternatively, Itraconazole (Sporanox) 200 mg daily for 6–12 weeks may be prescribed. If these measures fail refer to a dermatologist.
