Treatment of Fungal Nail Infection
The treatment of fungal nail infection can be challenging, as the infection is often slow to respond and requires long-term care. Fungal nail infection may be treated using topical treatments, oral medication, or a combination of both. Doctors might consider laser therapy or nail removal in more stubborn cases.
Topical Antifungal Treatments
Apply topical treatments for mild to moderate infections, especially when one or two nails show symptoms:
Amorolfine nail lacquer – applied once or twice a week
Ciclopirox – applied daily and requires regular nail filing
Use these treatments for several months, and keep nails trimmed and clean
Topical antifungals are less effective for infections that affect the nail root or are very thick.
Oral Antifungal Medications
For more severe or widespread infections, doctors may prescribe oral antifungals:
Terbinafine – taken daily for 6–12 weeks; works well against dermatophytes
Itraconazole – taken in pulse doses for a similar duration
Fluconazole – occasionally used, especially for yeast infections
Oral treatments offer higher success rates but may cause side effects such as upset stomach or liver toxicity, so blood tests may be required during the course.
Combination Therapy
Using oral and topical antifungals together can improve results
Patients are often advised to continue topical treatments for several months even after oral medication ends
Nail Removal
In very severe cases where the nail is deformed or causing pain, surgical or chemical removal may be considered
This allows direct treatment of the nail bed and prevents further damage
A new nail may grow, although this can take up to a year
Laser Therapy and Photodynamic Treatment
Some private clinics offer laser treatment, which targets fungal cells with light energy
Results vary and may require multiple sessions
Not yet considered a first-line treatment but may help in resistant cases
Treatment of Fungal Nail Infection
The treatment of fungal nail infection requires patience, consistency, and follow-up. Nails grow slowly, so visible improvement may take several months—even after successful treatment.
