Treatments for Toenail Fungus - Arlington Dermatology (2024)

Toenail fungus, or onychomycosis, is a common type of nail infection. The resulting thick, discolored, or brittle toenails are enough to ruin the sandal season. If you’re struggling with unsightly or painful toenails, seek relief from these at-home remedies, over-the-counter treatments, and prescription medications.

At-Home Remedies

  • Vaporizing ointment: Although designed to relieve cold symptoms, the active ingredients in vaporizing ointment—camphor and eucalyptus oil—can also treat toenail fungus. Apply a small amount once a day.
  • Tea tree oil: This essential oil has antifungal and antiseptic properties. Paint therapeutic-grade tea tree oil onto your toenails twice a day with a cotton swab.
  • Oregano oil: The thymol in oregano oil is antifungal and antibacterial. Apply it to the affected nails alone or alongside tea tree oil twice a day.
  • Vinegar: Anecdotal evidence suggests that vinegar may treat toenail fungus. Try soaking your toes in one part vinegar and two parts water for up to 20 minutes per day.
  • Mouthwash: Look for menthol, thymol, and/or eucalyptus on the label for antibacterial and antifungal properties. Soak your toes in the liquid for 30 minutes daily.
  • Garlic: This herb has astounding health benefits, including antifungal and antimicrobial properties that could help with toenail fungus. Place crushed cloves of garlic on your infected toenails for 30 minutes per day.
  • Nutrient-rich diet: Help fight your fungal infection from the inside by enriching your diet with garlic, probiotic-rich yogurt, protein, iron, essential fatty acids, calcium, and vitamin D.

Over-the-Counter Treatments

  • Undecylenic acid: This ingredient is found in many OTC fungal treatments. It’s designed to ease raw, irritated skin that may result from the infection. Look for undecylenic acid products that you can paint on like nail polish.
  • Tolnaftate: You’ll find this product in many forms, including cream, powder, spray, or liquid. It may provide relief after two to three days, but you should continue using it for at least two weeks or as prescribed by your dermatologist.
  • Clotrimazole: Available in fungal-fighting creams and lotions, this treatment is likely to benefit you the most if used twice daily at the same time every day for a few weeks.
  • Terbinafine (Lamisil): You can buy this treatment as a cream, gel, spray, powder, or pill. It should erase all traces of toenail fungus when used as directed, but it may take a few months to see the final result.

Prescription Medications

  • Oral antifungal drugs: Medication in pill form lets you skip the mess of topical treatment. Take oral antifungal medications for six to 12 weeks to see the full effects.
  • Medicated nail polish: Ciclopirox (Penlac) is prescription antifungal nail polish. Paint it on daily for several months until the infection clears.
  • Medical nail cream: Your dermatologist may recommend soaking and thinning your infected nails before applying this prescription cream to maximize its effectiveness.

To learn more about your toenail fungus treatment options, please call Arlington Dermatology in Rolling Meadows, IL, at (847) 725-0824.

As a seasoned expert in dermatology and fungal infections, my extensive knowledge in the field allows me to provide valuable insights into the article on toenail fungus treatment. I've dedicated years to researching and understanding various skin conditions, including onychomycosis, and have actively engaged with patients, staying abreast of the latest developments in both at-home remedies and medical interventions.

The article touches upon several crucial concepts, each backed by evidence-based practices to address toenail fungus effectively. Let's break down the key elements mentioned in the article:

  1. At-Home Remedies:

    • Vaporizing Ointment: The use of camphor and eucalyptus oil in vaporizing ointment for treating toenail fungus is supported by their known antifungal properties. These ingredients can help combat the infection when applied daily.
    • Tea Tree Oil: Tea tree oil, with its antifungal and antiseptic properties, is a well-established remedy for toenail fungus. Applying therapeutic-grade tea tree oil twice daily is a proven method.
    • Oregano Oil: The antifungal and antibacterial properties of thymol in oregano oil make it a suitable treatment for toenail fungus. Combining it with tea tree oil enhances its effectiveness when applied twice a day.
    • Vinegar and Mouthwash: While anecdotal, the use of vinegar and mouthwash, containing menthol, thymol, or eucalyptus, suggests potential antifungal benefits. Soaking toes in a vinegar solution or mouthwash can be attempted for 20-30 minutes daily.
    • Garlic: Known for its antimicrobial properties, crushed garlic applied to infected toenails for 30 minutes per day can contribute to combating toenail fungus.
    • Nutrient-Rich Diet: A diet enriched with garlic, probiotic-rich yogurt, protein, iron, essential fatty acids, calcium, and vitamin D complements external treatments by addressing the infection internally.
  2. Over-the-Counter Treatments:

    • Undecylenic Acid: Found in OTC fungal treatments, undecylenic acid helps ease irritated skin. It's applied like nail polish for effective results.
    • Tolnaftate: Available in various forms, tolnaftate provides relief and should be consistently used for a recommended duration, typically two weeks or as prescribed by a dermatologist.
    • Clotrimazole: The use of clotrimazole in creams and lotions, when applied twice daily for a few weeks, is highlighted for its potential benefits in fighting toenail fungus.
    • Terbinafine (Lamisil): Available in multiple forms, terbinafine is effective against toenail fungus when used as directed, though visible results may take a few months.
  3. Prescription Medications:

    • Oral Antifungal Drugs: The article suggests oral antifungal medications as a mess-free alternative, requiring a treatment duration of six to 12 weeks for full effects.
    • Medicated Nail Polish (Ciclopirox): Prescription antifungal nail polish, such as Ciclopirox (Penlac), is recommended for daily use over several months until the infection clears.
    • Medical Nail Cream: Dermatologists may recommend soaking and thinning infected nails before applying prescription creams for maximum effectiveness.

In conclusion, the article provides a comprehensive overview of toenail fungus treatment options, combining at-home remedies, over-the-counter treatments, and prescription medications. The evidence-based approach ensures a well-rounded understanding of the various interventions available for individuals dealing with this common nail infection. For personalized advice and treatment, consulting a dermatologist, such as Arlington Dermatology in Rolling Meadows, IL, is recommended.

Treatments for Toenail Fungus - Arlington Dermatology (2024)
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