This feels a little like an “overshare” but hey… I’ve been documenting the treatments I’ve received for my fingernail and toenail fungal infection. Phew, I’ve tried a lot of drugs over the years for this stuff. In high school I had it on my right index finger, then it moved to other fingers, then disappeared from my fingers and on to my toes. After 20 years of treatment (yow) my right big toe is still “yucky”.
8-2011 I haven't followed through with any of the podiatrist's recommendations, they don't sound like very good options. My right big toe is still yucky. Every few weeks when they itch I treat my feet. I'll either use a single treatment of topical Lamisil "Continuous Spray" (1% terbinafine) or a few drops of grapefruit seed extract covered on my nail with a piece of tape for a few hours. The fungal infection has given me persistent, sometimes itchy athlete's foot. The spray is pretty convenient.
10-2010 I saw a podiatrist who says the best options are:
– trim the nail and apply topical – low chance of success
– nail avulsion (rip the nail out) + topical fungicide like Lamisil – 50% chance of success
– matrixectomy (rip the nail out, kill the nail bed) – 100% success rate… but no more nail
2009 I’m trying Grapefruit Seed Extract. So far, similar results to vinegar.
2007 I’m trying vinegar and Lamisil AT topical. Vinegar kept it at bay and helped keep the keratin from making the nail grow funny.
2006 a second round of Lamisil prescribed by Mina Abazari. It got most of my toes except my big right toe.
10-31-05 Dr Abazari tested my big right toe for fungus. No results back yet.
11-04–>2-05 I had a three-month treatment of Lamisil. it mostly worked but I’m not sure the treatment was long enough. Prescribed by Dr. Kenneth Janowski, Hackettstown NJ.
2003-2004 Desenex used effectively. But it keeps coming back because it’s only a topical.
Next recommended treatment is oral Lamisil because topical Lamisil helped fingernails, the fungus is probably a dermatophyte, and Lamisil is usually well tolerated.
1997-1998 – Sporonex 6 month treatment from a doctor in NJ. – no help. Side note: head-hair dandruff cleared up for 1 year.
Treatment from 5-93 to 7-95 in Boston
– Lotrimin topical – no help
– Oxistat lotion BID for 6 weeks – no help
– Nizoril cream (Lamisil) BID for 10 weeks – helped fingernails some but not toenails. After treatment, gradual reoccurence on fingernails
– Naftin – no help for toes
– Spectazole cream – ??? I don’t think I took this
– Gris-peg 250mg oral bid for 4 months – no help
– Fulvicin 330mg oral bid for 6 months – cleared up fingernails (they remain clear on 12-1-01)but not toes. Had to stop because drug started causing chronic diarrhea after using it for a few months.
Beginning in 1985, had Onychomycosis on several fingernails and toenails. In 1995, Fulvicin cleared up fingernails. Treatment was stopped before toes were affected because the drug began causing chronic diarrhea.
There are two main types of fungal infection. candida and dermatophyte. My infection is most likely a dermatophyte. I think this because the drugs I took for candida didn’t help but the drugs for dermatophytes have worked in various measures.
Possible oral treatments include:
0 haven’t tried
1-3 effectiveness (3 is most effective)
o,t tried oral or topical
C good for candida infections
D good for dermatophyte infections
1t D Naftifine Hydrochloride (Naftin)
3t D Nizoral cream (Lamisil) / ketoconazole
1t?? Oxiconazole Nitrate (Oxistat)
1t?D Clotrimazole (Lotrimin, Mycelex)
1oCD Itraconazole (Sporanox)
2o D Griseofulvin Fulvicin Grisactin
2tCD Ketoconazole Nizoral
3tCD Miconazole Nitrate (Desenex powder)
0 CD Fluconazole Diflucan
0 C Flucytosine Ancobon
0 C Nystatin (Mycostatin, Nilstat)
0 C Flucytosine (Alcobon infusion).
0 C Amphotericin B (Ambisome injection; Fungizone infusion).
O Lotrimin Ultra (Butenafine Hydrochloride cream 1%)
3o D Terbinafine (Lamisil tablets), an allylamine.
3t D Terbinafine hydrochloride solution 1% (Lamisil AT Spray pump) $10 for 30 grams
0 ?? butoconazole
0 ?? tioconazole
0 ?? econazole (Spectazole)
0 ?? butenafine hydrochloride (Lotrimin Ultra)
There are many discussions about nail fungus going on on my blog. Search my blog for the word “fungus” for more.