Toenail fungus is the fungal infection from the nail bed and the plate underneath the surface of the nail, which is characterized by thickening of nail along with yellowish discoloration, physically disfiguring, and splitting. Gradually, the actual toenail becomes rough and may get separated from the nail. In medical terms, toenail fungus is known as "Onychomycosis" or even "Ringworm of the Nail." Nail fungus can press towards shoes causing irritation as well as pain. Also, it can trigger social, psychological, and work-related problems.
Toenail fungi are caused by three primary groups of organisms which include dermatophytes, yeasts, and non-dermatophyte conforms. Approximately 90% of the nail fungal infections are caused by dermatophytes. Around 8% of the instances are due to yeast [Candia albicans] bacterial infections, and non-dermatophyte molds trigger the disease in 2% from the cases.
The fungus therapy for toenails is difficult because the infection is inlayed within the nail which is to be able to reach. The toenail gets little blood supply and develops slowly. Therefore, medications, as well as topical applications used in the therapy for toenail fungus, will certainly reach the infected site in small quantity that will not be sufficient to cure chlamydia. Hence, the infection responds gradually to the treatment and may have a year or more for total removal of the symptoms. Treatment about toenail fungus includes numerous treatment options for healing foot fungal such as pharmacological therapy, laser treatment, and surgical treatment.
This line of therapy includes oral and topical ointment anti-fungal medications. Newer dental anti-fungal drugs such as Itraconazole, Terbinafine have revolutionized the therapy for toenail fungus. Like a standard line of treatment about toenail fungus, oral anti-fungal drugs are administered about three months. Terbinafine is given daily for three months while Itraconazole is often prescribed within pulse doses. Pulse dosages mean it is applied one week in a month for three months.
These anti-fungal drugs generate fewer side effects with a couple of contraindications such as congestive heart failure and liver illnesses. Itraconazole should be avoided together with certain drugs because it interacts with few antibiotics, for example, Erythromycin and certain breathing difficulties drugs. About 50% to 75% of the cases react very well to the oral anti-fungal therapy, and in 20 to 25% of the cases, nail fungus can recur.
Oral anti-fungal therapy combined with topical ointment and surgical treatments can reduce the actual duration and side effects of the oral therapy. In shallow toenail fungal infections, topical ointment anti-fungal agents are recommended which include ciclopirox, olamine as well as amorolfine. These topical real estate agents are available in the form of nail chemicals which can be applied to the impacted nail.