Many people are frustrated by their persistent toenail fungus.
People with toenail fungus which is also called onycomycosis have thickened, fragile or cracked toenails. Their toenails have whitish to yellow-brown discoloration and may be deformed.
The most effective and inexpensive treatment for confirmed toenail fungus is an oral medication called terbinafine. The medication is taken once a day for 12 weeks. It costs $27 at Walmart with a goodRX coupon. The clinical cure rate is 38 to 76 %.
Terbinafine tablets are contraindicated in patients with Chronic or active liver disease.
The most frequent side effects of terbinafine are headache, gastrointestinal disturbance such as diarrhea and/or dyspepsia), rash and elevated liver enzymes
Terbinafine can interact with other medications such as tricyclic antidepressants, selective serotonin reuptake inhibitors, tamoxifen, beta-blockers etc.
Other Treatment Options include:
Oral Medications:
Fluconazole (Diflucan)
Itraconazole (Sporanox)
Topical Solutions:
Ciclopirox 8%
Efinaconazole (Jublia) 10%
Tavaborole (Kerydin) 5%
Procedures:
Toenail removal
Laser treatment