Onychomycosis
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Topical Antifungal Medications
Clotrimazole: This is an over-the-counter antifungal cream that can be applied directly to the affected nails.
Ciclopirox: Available as a nail lacquer, it's effective in treating onychomycosis.
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Oral Antifungal Medications
Terbinafine: This is commonly prescribed and is often considered the first-line treatment for onychomycosis. It's taken orally for a period of time, typically several weeks.
Itraconazole: Another oral antifungal that may be considered, particularly for patients who cannot tolerate terbinafine.
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Patient Education and Compliance
It's crucial to educate the patient about proper foot hygiene, including keeping the feet clean and dry, wearing breathable footwear, and changing socks frequently.
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CN-U: A New Treatment Option in the Fight Against Toenail Fungus
North Texas Foot & Ankle is excited to introduce Clear Nail with Urea (CN-U), a new treatment option available in the struggle against toenail fungus.
About CN-U
Unlike many other topical formularies, this formula is registered and approved by the U.S. Food and Drug Administration (FDA) for use on nails. CN-U is a broad spectrum antimicrobial agent and is not only effective against molds, yeast and fungi, but also against a wide spectrum of bacteria. It is also safe as there is no measurable absorption or toxicity from this product.
How CN-U Works
CN-U strategically utilizes a FDA approved agent called dimethyl sulfoxide (DMSO) with 40% Urea to help successfully deliver the antifungal medication through the nail and into the nail bed. This results in a change in the consistency of the infected nail, leading to a more rapid normal appearance. In addition, this formula can be used in combination with other antifungal products helping to achieve a better overall outcome and cure rate.
The mixture of organisms of fungus and bacteria are usually harmless, however given an opportunity they can work together to form specialized biofilms within the nail making it even more difficult to treat and for any topical agent to penetrate.
The purpose of CN-U is to target these other organisms that can contribute to abnormal color, and shape of the toenail that are less often treated compared to the larger known fungus and the mainstay antifungal medications alone.
About CN-U Treatment Options
As with any other treatment plan, non-compliance and lack of an effective product are the most common reason for poor outcomes and failure. Continued micro-trauma to the infected toenail from poor fitting shoes, pedicures, and environmental factors, likewise will prevent healing and can cause recurrence or progression of disease. Even after complete clinic cure is apparent, we recommend a treatment plan be implemented to prevent recurrence.
Bottom line: CN-U covers more than just fungus. It penetrates, effective, safe and FDA approved.
If you struggle with fungal infections, CN-U might be right for you! We’d love to talk to you more about this incredible antifungal product
Nail Debridement
Trimming and thinning the nails can be done periodically to remove as much of the infected nail as possible. This helps in improving the effectiveness of topical treatments.
Trimming and Thinning:
Using specialized instruments such as nail clippers, nail nippers, or a rotary burr, carefully trim the infected nail. Start by removing any loose or detached portions. Then, gently thin the nail plate, especially focusing on the affected areas.
Inspecting for Residual Fungus:
After debridement, inspect the nail bed for any remaining signs of fungal infection. If visible, gently remove as much of the infected tissue as possible.
Post-Debridement Care:
Apply an antifungal solution or cream to the treated nail and surrounding areas.