An effective remedy for onychomycosis can only be with the selection of a composition that affects the causative agent of the disease.Nail fungi (mycosis and onychomycosis) are destructive changes in the appearance and structure of the nail plate that sometimes spread to the skin of the feet.The cause of this phenomenon is always more than 10 species of dermatophytes, yeast-like (Candida) and mold fungi.To choose one of the fungal treatments available at the pharmacy, you need to know which pathogen is causing the nail damage, and this can only be studied in the laboratory.
Self-treatment, including folk treatment, is a very long process, it takes several months, but most often it does not lead to a cure, but only to the temporary elimination of symptoms visible from the surface of the nail.The fungus itself, the causative agent of the pathology, later grows again, affecting the nail plates and the skin around them.To reduce treatment time and achieve lasting results, it is wise to contact a mycologist, a specialist in the treatment of all types of nail fungus.After a laboratory examination of a particle of the affected nail, the doctor will determine the type of fungus and the pharmacological action of the existing pathogen, the pharmacological action of which will prescribe a typical drug.
All the proposed drugs differ in their method of use and composition.Means for combating different types of fungi - antimycotics - are available in accessible and convenient dosage forms.Active ingredients can be presented in a composition for external use (lacquer, ointment, cream, gel) or oral (tablet, capsule).Liquid types - solutions, sprays - are also widely available in the pharmaceutical market.
Often, a mycologist prescribes a complex therapy using external drugs in a treatment program, the effect of which is enhanced by taking tablets and capsules.Also, depending on the area of fungal infection, the treatment program may be a sterile medical pedicure procedure.A systematic, comprehensive approach is always indicated for extensive nail lesions.
Without exception, all drugs are divided into three categories according to the spectrum of their action:
- Azoles
Compounds with a fungal effect (stop the growth of colonies) destroy the pathogen at a high concentration of the active substance (fungicidal effect).It is active against most fungi, including Candida.
Examples - fluconazole, miconazole, iTraconazole, ketoconazole, clotrimazole.
- Allylamines
Effective for lesions up to 50% of the nail surface, it can be used daily for the treatment of manifestations on the skin of the feet, it can act against mold fungi, Candida, Dermatophytes.
Examples - Terbinfine hydrochloride, naftifine,
- Morpholines
All known nail fungi quickly penetrate the nail plate, but they work more slowly than other substances;The course of treatment can take up to six months.
Examples - Amorolfine, Chlornitrophenol.
All drugs based on the listed compounds are available in dosage forms for local, oral and infusion use.
Anti-mangic preparations for external use
This category includes products that are applied directly to the skin of the affected nail itself or around it - these are ointments, creams, as well as comfortable varnishes for treating nail fungus.All drugs have their advantages, but there are some concerns that are most worrying about using formulations with a creamy consistency.The cost of products in the form of varnishes is higher than antifungal creams and ointments, but if there are different types in the pharmacy, the price of antifungals is not the main selection criterion.What is important is the spectrum of the drug's effect and the spectrum of the speed of getting rid of nail fungus.
Slow drying and the absorption of creams and ointments are not as comfortable as varnishes, often in shoes and shoes, which can slow down the sweating process of shoes and feet.On the contrary, yeast is high on the surface of the nail plate without causing discomfort during the day.
Treatment of cream fungus
Elevators, because gels, ointments and creams are not as effective as varnishes against various types of ointments - how effective the drugs will be, how effective the damage and how effective the patient will be in treating the disease, he said.However, the composition of many cream products does not have products that facilitate the rapid penetration of high-level sensitive plates.
Advantages of services, ointments, anti-fungal gels:
- It does not irritate the skin of the feet.
- Destroy the pathology on the nails and the skin around them.
- Easy-to-use kits (nail file, scraper).
- A broad spectrum of action, active against all pathogens.
- All categories are represented - Azoles, Allylamines and Morpholines.
- Low cost of medicines.
Azoles
Imidazole derivatives - Clotrimazole, Econazole, Ketoconazole, Miconazole, Ketoconazole.
Triazole derivatives:
- fluconazoles;
- iTraconazoles.
Allylamines
Types of products based on the active ingredient terbinfine
Nafifin and its derivatives.
Amorpholines
Treatments for nail fungus with the active ingredient Amorolfine fight against a wide range of pathogens, including Candida.
Other drugs - sertaconazole, clotrimazole, salicylic, sulfur, zinc ointment.
Lacquers for nail fungus
The nail is used in the initial stages of mycoses, when it is not more than 2/3 of the entire surface area.If the fungus has already penetrated the nail tissue, you should first remove the upper layers and only then use the medicine.After cutting the affected areas, it will have to be repeated according to the information shown in the image.
Advantages of anti-fungal varnishes:
- Durability - Applied coverage lasts up to several days.
- Ease of use - Products do not stain clothes quickly and dry quickly.
- High activity components - quickly penetrate the surface of the affected nail through microcracks.
- Wide spectrum - used against various types of pathogens, has a fungicidal and fungicidal effect.
- Convenience - The set contains the varnish itself, as well as additional tools necessary for use: files, sponges.
- A large selection of different products.
Sprays and solutions for the treatment and disinfection of fungi
With properties similar to cream preparations and varnishes, anti-fungal product manufacturers offer a wide variety of sprays and solutions.Their use makes sense in the initial stages of pathological development.The composition of the liquid form of anti-fungal substances contains the composition of the hardest places, filling of micropores, cracks, an antimicrobial, antiseptic effect and works as a drug with a navel functionality.Also, sprays and solutions dry the skin on the heated plate of the feet and nails, creating an unfavorable environment for the pathogen.
Any product presented in liquid form, as a solution or as a spray, depending on the membership in the group of filial substances, against fungal nail infections and prevention of diseases, disinfection of clothes and shoes.In addition, liquid forms are convenient to use to treat the skin of the feet.
Miconazole, fluconazole, terbinafine hydrochloride, bifonazole, clotrimazole.
Tablets against nail fungus
Systemic myxons with true lesions, where the bulletin fungus spreads over the entire surface and deep into the stratum corneum, epidericosis and candidiasis often require complex therapy using tablets and topical preparations.Antibiotics, iodine preparations and ammonium salts are also used to treat fungal nail infections.
Antimycotics - iTraconazole, fluconazole, Terbinafine.
Antibiotics - Griseofulvin, Levorin, Natamycin, Nystatin group drugs, any drug based on amphoteric.
Preparations for the treatment of fungi for pregnant and lactating women
The selection of cartoon mushrooms at any stage of pregnancy is the prerogative of the attending physician only.An independent approach to identifying the type of fungi and treating the lesions may turn out to be wrong, which will at least delay the time and allow the colonies to penetrate deep, and in some cases cause an undesirable reaction.You can detect the pathology on your feet and the pathology on the heated plates of your nails and make a mycologist, better, better and safer and the results better and safer.
It is necessary to choose a drug for external use and in cases where the disease has reached the systemic stage, with deep penetration of the fungus into the nail structure, the procedure for its complete surgical removal should be discussed.
There are no guaranteed safe synthetic substances that destroy fungi without the risk of harming the successful course of a pregnancy and fetus.The relative safety of traditional methods is also due to an allergic reaction to a natural component or burning of the skin around the nail (when using vinegar, iodine, etc.).
Graded acid + Zinc Ondecylenate is a combination drug prescribed in the presence of serious indications, signs of sensitivity may occur.
BiFonazole - with the exception of the first three-month trimester, the second and third, according to serious indications, there is a risk of allergic reactions.