Fungal Nail Treatment Process

TREATMENT PROCESS

This is my current treatment process (videos may reflect previous treatment plans).

Nail Sample - Take a nail sample to verify the organism before treatment. Return to office in 2-3 weeks.

Review Options - At the follow up we will review the nail sample and treatment options.

Treatment Options

Option 1 - Topical treatment - lower cost. Lower success rate for long-standing infections. Most patients try this before coming to see the office.

Option 2 - Oral Medication - Very effective. requires liver monitoring.

Option 3 - The Clear Nail Eradication Program - Structured, layered treatments with laser treatment, nail monitoring, and backup oral medication as needed.

The Fungal Prevention Kit is recommended for all patients and includes Thera-Nail, Ultraviolet light, and antifungal shoe spray.

Thera-Nail - Patients take Biotin, Zinc and Folic Acid to help with nail growth during the course of the oral medication. I recommend 2,500 mcg per day.

Shoe Sterilizer & Antifungal Spray - Patients can help prevent recurrence by sterilizing their shoes with an ultraviolet-light shoe sterilizer. I recommend using it once a month during the treatment period for 15 minutes. Weekly, I recommend a shoe spray in the shoes.

Oral Medication Treatment Length - Treatment takes up to a year, as a new nail has to grow out. Many instances of incomplete cure come from incomplete treatment. Your nail grows about 1mm per month.

1st Prescription
- 90 Days - Take 1 pill daily
2nd Prescription - If working, continue the first medication; otherwise, switch if not seeing clearing at the base of the toenail.
- 25 Weeks- Take 1 pill per week
- 65 Days - Take 1 pill daily

Prevent Recurrence - Preventing recurrence can be achieved through periodic follow-up visits/or shoe sterilizers, and precautionary measures. I recommend using topical Terbinafine 1% one week per month to prevent the recurrence of athlete's foot which can lead to recurrent nail infection. Here is the amount to apply and the location to apply on your foot. You can purchase on Amazon.