However, only a few percent of people will develop this problem. Both drugs can cause inflammation of your liver, and make you feel ill. Ketoconazole is a newer drug, so its long-term track record is less certain. You may not mind having this done to one or more toenails, but many people balk at the idea of temporarily losing their fingernails, even if they find them unsightly to begin with.Īs for side effects from the medicine, griseofulvin is generally safe. You can improve your chances of success by having the affected nails removed under local anesthesia at the start of treatment. Fingernails can take six to nine months and toenails 12 to 18 months. Treatment takes so long because it is necessary to keep fighting the infection until a new nail grows out fully. And even if the medicine works well, the condition can recur after treatment has ended. The problem is, no one drug works consistently, even with long-term treatment. If that still doesn't work, they may try another drug, such as ketoconazole. If that doesn't work, they can increase to a higher dose. Most doctors start with the anti-fungus drug griseofulvin at a low dose. That leaves one of two choices - either live with it, or take anti-fungus pills for months to a year or more. Treating this problem with topical anti-fungus creams usually doesn't work. Oddly enough, a person can have one nail affected for months or years, while the others remain perfectly fine. Fingernails, toenails or both may be involved. The condition may affect one, several or all of the nails. The infection causes nails to grow into brittle, discolored, misshapen ones, especially along the edges and tips. The fungus that causes athlete's foot infection may also lead to fungus infection of the nails. MISSHAPEN NAILS SKINYou may be prone to this infection if your hands are in water a lot, or if the skin around your fingernails undergoes repeated damage. But it certainly can be a source of embarrassment and frustration. For most people, this annoying condition is a cosmetic one, meaning that it's not a sign that the body lacks resistance to infection. Fungus infection of the nails is notoriously difficult to get rid of. It has even started to affect my self-confidence, because I've always had beautiful nails.Ī. However, I'm very embarrassed by this problem. But I'm worried about taking any risk for what amounts to a cosmetic condition. I understand the medicine can cause liver inflammation, which is usually supposed to be reversible. My doctor has suggested that I take an oral medicine to combat the fungus, but I'm worried about the possible risks of long-term use. Topical medications help control this unsightly condition, but they don't cure it. I've had a fungus infection of my fingernails for over a year now.
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