Nail fungus not only causes discomfort, but also cosmetic discomfort. Pathogenic microorganism penetrates deep into the nail plate, and its destruction requires a long course of treatment. The nail Polish of nail fungus – a good dosage form having prolonged effect, strong effect and good cosmetic properties. Therefore, in the treatment of onychomycosis treatment of nails – one of the most important drugs.
To find the most suitable means in each case, you need to know what fungus caused the defeat. It is recommended to consult a dermatologist. The doctor will help to determine the cause of the disease and find the most suitable means.
The pathogens of onychomycosis
Most often, nail fungus cause this type of microorganisms are:
- Trichophyton rubrum (rubrofitii), usually affects all fingers on the foot, less on the brush;
- Trichophyton mentagrophytes (athlete's foot), affecting mainly the 1st and 5th toes;
- the causative agents of candidiasis;
- the molds.
The clinical picture in all these lesions different, but to determine the cause and prescribe the most effective treatment for nail fungus can only be a specialist.
Stages of treatment of fungal
The use of these drugs is recommended in these cases:
- surprised, not more than the half of the nail.
- involved is not more than 4 of the nail;
- no pigmentation of the nail plate (the dark dots, stripes);
- not part of the matrix of the region ;
- a well-known pathogen;
- there is no possibility to take the pills inside, even in severe onychomycosis.
With the defeat of the whole of the nail or the involvement of the matrix region using coatings combined with anti-fungal medications for internal use.
The varnish should be applied on the pre-treated nails without signs of acute inflammation. Therefore, you'll first need to remove the affected areas with keratolytic agents (gypsum with urea). After the full cleaning of the nail bed fungus infected plates begin to use local resources, including:
- 5% lacquer for the treatment of nail fungus, which is to apply 1 or 2 times a week, with onychomycosis of the hands-out for 6-8 months, when the disease leave of 9 to 12 months;
- 8% of the drug is to be applied in the first month of treatment in a day, the second 2 times a week, and after another 4 months, every week until the regrowth of healthy nails.
Does the nail Polish of nail fungus severe defeat?
In some cases, a Protocol of intensive treatment preparations for local use:
- the thickness of the nail, more than 2 mm.
- the defeat of the Central part of the plate;
- ¾ The participation of the toenail and more;
- the reactivation of the fungal infection;
- the immune suppression in diabetes, intake of immunosuppressants, cytostatics, antibiotics, HIV, etc.
In these cases, doctors recommend the following stages of treatment:
- apply the varnish containing 5% amorolfine 1 times;
- apply to nails for 7 days on agar by saburo (a substance particular to increase the sensitivity of fungi to the treatment);
- to apply amorolfine 1 time per week during 3 weeks;
- repeat steps 2 and 3;
- to use amorolfine 1 time per week for another 4 months.
The disadvantage of this Protocol is the possibility of stimulating the growth of fungus not sensitive to amorolfine. In these cases, you will be assigned to the analysis of the pathogen sensitivity to antifungal drugs, and according to the results obtained, selected with the corresponding drugs.
The advantages and efficacy of the nail
In the treatment of onychomycosis lacquers, with important advantages over creams, ointments, and also drugs for oral administration:
- there is virtually no risk of side effects that often occur on the background of the therapy systemic;
- there is no interaction with the medications that the patient is taking any other types of diseases;
- much more rapid and complete penetration of the active substance in the nail plate;
- is it possible to use nail Polish to avoid nail fungus.
When onychomycosis is usually administered funds on the basis of amorolfine or ciclopiroxolamine (ciclopirox). Prior to the sale are drugs containing imidazole, but now abandoned because of the lack of a pronounced action.
The effectiveness of the treatment of nail fungus lacquer is about 80% when using amorolfine. This value is slightly lower for ciclopirox. When involving one or more nails on the sides no more than ½ plate of its use allows most patients to get rid of the disease. If the injury is manifested with more force or capture of the majority of the nails of the plates, the use of varnish alone will not be sufficient and require a treatment is systemic, that is medication inside.
The best varnishes for the treatment of onychomycosis of contain, as the active substance amorolfine. It is proven by scientific studies:
- to achieve an effective concentration in the nail plate quite a lesser amount of amorolfine in comparison with ciclopirox;
- the drug has a more pronounced antifungal effect;
- it affects more species of pathogenic microorganisms;
- after completion of the treatment amorolfine is stored in the nail much longer than their competitors, creating preventive reserve;
- if you omit the coating effect of the drug lasts;
- the overall cost in the treatment amorolfine is 4 times lower than with the use of ciclopirox.
The treatment effect is evaluated after 3 months of treatment. If the therapy does not help, is changing the drug.
To save on these medical drugs, the choice of the "cheap but effective" means unacceptable. The bad treatment will lead to the spread of the fungus in the nail matrix involve that surround the nail plate, the transition of the disease in a form stable. In this case, without the use of toxic enough tablets already do not work.
Varnishes applied externally, causing the nail plate. The active ingredient is practically not absorbed into the blood and no systemic adverse events. From time to time develop local reactions-burning, itching, redness of the surrounding skin. To exclude these symptoms, the solution should be applied gently only the Hot surface.
The contraindications for the use of:
- babies and young children;
- pregnancy;
- in the period of lactation;
- individual intolerance.
When the use of products that contain amorolfine, do not apply cosmetics or nail Polish, surfaces, artificial, to increase. For the treatment of the affected nail plate should be used individual nails. Is there a limitation when working with organic solvents, including those of the painting. In this case, the hands need to be protected gloves not to spoil the varnish.
How to choose the right drug
To choose the right tool really helps with fungus in the nails of the plate, you need to consult a doctor and find out the nature of the pathogen. Sometimes patients confuse the symptoms of onychomycosis with other diseases, such as cancer of the nail. Use ineffective or contraindicated drugs, not only are they wasting time and money, but also deal additional damage to their health.
The protocols for the treatment of onychomycosis is not as simple as it may seem at first glance. For a full treatment requires regular visits to the dermatologist and the need for timely increase or change of therapy. To make it impossible. Improper treatment of fungus increased risk of infecting family members and other people around them.