The fungus not only causes discomfort, but also aesthetic discomfort. The causal micro-organism penetrates deep into the nail plate, and for its destruction requires a long course of treatment. Varnish of nail fungus – the appropriate medical form with prolonged effect, significant effect and good cosmetic properties. Therefore, in the therapy of onychomycosis treatment nail – one of the most important drugs.
How to select the most appropriate drug in any case, it is necessary to know what kind of nail caused the defeat. For this purpose, it is recommended to contact a dermatologist. The doctor will help you determine the cause of the disease, and choose the most appropriate means.
Activators of onychomycosis
Most often, nail fungus cause these micro-organisms:
- Trichophyton rubrum (rubrofitii), usually hitting all the fingers at the stop, less often on the toothbrush;
- Trichophyton mentagrophytes (the athlete), predominantly affecting the 1-th and 5-th fingers of the feet;
- pathogens of candidiasis;
- mold mildew.
The clinical picture in all these lesions different, but to accurately determine the cause and prescribe the most effective treatment for nail fungus nail can only specialist.
The course of treatment of mold
Use of these drugs is recommended in the following cases:
- affected no more than half of the nail;
- involved more than 4 nails;
- lack of pigmentation of the nail plate (dark dots, strips);
- is not plugged in the matrix area ;
- it is known causative agent of the disease;
- there is no possibility to take the pills inside, and even when heavy on onychomycosis.
When damage to the entire nail or the involvement of the matrix region using varnish in combination with anti-fungal drugs for internal use.
Varnish should be applied to pre-finished nails without signs of acute inflammation. Therefore, it is first necessary to remove the affected area by using keratolytic agents (band-aid with urea). After the complete cleansing of the nail bed of the infected sponge boards are beginning to use local resources, including:
- 5% lacquer for the treatment of fungus on the nails, which is applied 1 to 2 times a week, when onychomycosis brushes – in the course of 6-8 months, in diseases of the feet – from 9 months to 12 months;
- 8% of drug that is to be applied in the first month of treatment during the day, the second – 2 times a week, then another 4 months weekly until the regrowth of a healthy nail.
Helps the nail from the nail fungus at serious damage?
In some cases, the protocol of intensive treatment drugs for local application:
- the thickness of the nail more than 2 mm;
- the defeat of the middle part of the plate;
- the involvement of the ¾ nail and more;
- recurrence of the fungal infection;
- immune suppression, diabetes, use of immunosuppressive drugs, cytostatics, antibiotics, HIV infection, etc.
In these cases, doctors recommend as the phase of treatment:
- damage the varnish containing 5% amorolfine 1 times;
- connect to the nail on the 7 days, agar Saburo (special substances to increase the sensitivity of fungi to the treatment);
- apply amorolfine 1 times a week for 3 weeks;
- repeat steps 2 and 3;
- use amorolfine 1 times a week for a period of 4 months.
The disadvantage of this protocol is likely to stimulate the growth of mold and mildew, are not sensitive to amorolfine. In these cases, will be named the analysis of the causative in the sensitivity to antifungal drugs, and according to its results, selected the appropriate drugs.
The benefits and effectiveness of nail polishes
In the treatment of onychomycosis lacquers have significant advantages in comparison with creams, ointments, and also medicines for the reception inside:
- there is virtually no risk of developing side effects, which often occur on the background of systemic therapy;
- no interaction with the medicines that the patient takes for other illness;
- significantly more rapid and complete penetration of the current substance, may the natural nail plate;
- there is a possibility to apply the varnish on the prevention of nail fungus.
While on onychomycosis usually prescribe remedies on the basis of the amorolfine or ciclopiroxolamine (ciclopirox). Earlier in the sale were preparations containing imidazole, but now of them refused due to lack of openly action.
The effectiveness of the treatment of fungi nail lacquer is around 80%, when using amorolfine. This value is slightly lower for ciclopirox. When connecting one or more nails of the lateral sides more than ½ plate of their use enables most patients to get rid of the disease. If the defeat expressed stronger or captures most of the nail plate, application of varnish will not be enough and will need systemic therapy, i.e. the use of drugs inside.
The best lacquer for therapy of onychomycosis include as acting substance amorolfine. It is proven by scientific studies:
- to achieve the effective concentration in the nail plate is enough of a smaller number of amorolfine compared with ciclopirox;
- the product has a more pronounced antifungal effect;
- acts on a greater number of species of pathogenic micro-organisms;
- after the end of treatment amorolfine is stored in the nail much longer than its "competitors", it creates a preventative buffer;
- when you pass through the coating of varnish effect of the drug persists;
- the total cost in the treatment amorolfine 4 times lower than when using ciclopirox.
Treatment effect is evaluated after 3 months of therapy. In case, if the treatment does not help, carried out the replacement of the drug.
Save on these medicinal products, the selection of the "cheap but effective" means that it is unacceptable. Incorrect treatment will lead to the spread of the fungus can of the natural nail at the matrix, the involvement of the surroundings of the nail plate, the transition of the disease in a stable shape. In this case, without the use of a sufficiently toxic tablets already do will not work.
Lacquers are used externally, which is just on the nail plate. Active substance, is practically not absorbed into the bloodstream and does not have systemic side-effects. Sometimes they develop local reactions – burning, itching, redness of the surrounding skin. For the exclusion of these symptoms the drug should be carefully applied only on the Horny surface.
Contraindications to the use of:
- newborns and young children;
- pregnancy;
- breast-feeding;
- individual intolerance.
When you use funds, that contain amorolfine, it is not recommended to apply cosmetic nail Polish, artificial lining, perform the lengthening. For the processing of the affected nail plate should be used individual nail file. There is a limitation when working with organic solvents, including incoming in the composition of the colors. In this case, the hands must be protected by gloves so as not to spoil the varnish carpet.
How to choose the right drug
If you want to correctly pick up the medicine really help with fungus the nail plate, it is necessary to visit a doctor and find out the nature of the pathogen. Sometimes patients are confused by the manifestations of onychomycosis with other diseases, for example cancer of the nail. Using less influence, or even contraindicated drugs, are not only to spend time and money, but also cause other harm to their health.
The protocols of treatment of onychomycosis is not as simple as it may seem at first glance. For complete cure it is necessary to regular visits to the dermatologist and, if necessary, the timely strengthening of or change in therapy. Yourself to do the impossible. The improper treatment of mold and mildew increases the risk of disease family members and other surrounding people.