Taking antifungal pills for two months can cure an infection under the fingernails. Usually three months of treatment cures a toenail fungal infection. Antifungal pills, however, can cause side effects. Your dermatologist will watch you closely.
The fastest way to eliminate the infection is through toenail laser treatment. Laser nail therapy specifically targets the microorganisms under your nail while leaving the keratin intact. In just a few treatments, the infection can be entirely eliminated.
Surgery. Your health care provider might suggest temporary removal of the nail so that the antifungal drug can be applied directly to the infection under the nail. The most effective but least used option is surgery to permanently remove the nail and its root.
Effective products include efinaconazole (Jublia), tavaborole (Kerydin) and ciclopirox (Penlac). All require daily applications, and it may take as long as a year to see noticeable improvement. These products may work for early, superficial fungal infections because they kill fungi on the surface of the nail.
Best Overall
We chose the Lamisil Terbinafine Hydrochloride AntiFungal Cream as our top pick because it works to address a variety of infections, including toenail fungus. The prescription-strength cream comes highly recommended by Dr. Lipner because it can treat athlete's foot before it spreads to the toenails.
“Applying Vicks VapoRub to fungus-infected toenails can clear up the notoriously hard-to-treat condition. Michigan State University clinicians found that applying the product daily to the infected nail cleared the condition in 32 of 85 patients, though it took anywhere from 5 to 16 months…”
The best type of vinegar to treat toenail fungus is apple cider vinegar, a very acidic and strong solution that destroys toenail fungus at the source. To take full advantage of this, mix one cup of apple cider vinegar with at least 2 cups of water – this will dilute the vinegar so that it won't burn your skin.
Using honey is also one of the easiest home remedies for fungal infection as it contains hydrogen peroxide, very effective to kill fungus and bacteria which are responsible for causing skin infections. Applying raw honey to the affected region is the best solution as it is loaded with healing properties.
Studies show that taking antifungal pills and applying medicine to your nails can be more effective than using either treatment alone. Nail removal: If you have a severe infection or other treatments just don't work, your dermatologist may recommend removing the nail(s) to get rid of the infection.
If toenail fungus is left untreated, it can spread to the surrounding skin on the foot, causing another condition known as athlete's foot. An athlete's foot is a condition resulting in itchy, red, and cracked skin, which can become very uncomfortable.
You can get it if your nails are frequently moist or you often wear sweaty socks and shoes. The fungi usually infect a nail by getting into a: Small cut in the skin surrounding your nail. Crack in your nail.
You'll know that the medication is working and the toenail fungus is dying when your toenail changes back to its natural color, decreases in thickness, shows healthy new growth, and you see a clear delineation between the infected part of the toenail and your new nail growth.
Terbinafine for toenail fungus treatment
The best pill for toenail fungus is terbinafine. Evidence suggests it works better than the alternatives with the fewest side effects. Terbinafine results in resolution of toenail fungus 76% of the time.
Apple Cider Vinegar: Use the following mixture – 1/3 cup white vinegar, 2 cups hot water, and 1/3 cup Epsom salt. Make sure to soak your entire foot for 30 minutes once a day. Taking apple cider vinegar orally may also have some beneficial health effects by working against the fungus from the inside out.
Baking soda works by removing excess moisture from your feet, a common cause of toenail fungus. While this home remedy has been shown to reduce fungal growth, it doesn't completely get rid of the fungus.
A warm salt water bath will help relieve itching caused by a fungal infection.
Soaking your feet and toes in a bath containing Epsom salts can help dry out fungal infections by killing fungal spores. Add 1–2 cups of Epsom salt to a footbath of warm water and soak for 30 minutes. Alternatively, you can add 2 tablespoons of Epsom salt to 2 cups of water and soak a cotton ball in it.
Although the fungus affects the appearance of the nails, it actually lives on the layer directly beneath the toenail. That's why it's so difficult to treat. Your nails are made up of keratin, a tough, fibrous protein. The same hard shell that protects your toes is giving shelter to the fungus.
Vicks may have some antifungal qualities, but it is unable to penetrate the toenail well enough to cure the infection.
Ioli, who is chief of the podiatry service at Harvard-affiliated Brigham and Women's Hospital, suggested that daily applications of Vicks VapoRub might be at least as effective as most of the topical treatments for toenail fungus that are available by prescription or over the counter.