Nail fungus not only causes unpleasant sensations, but an aesthetic discomfort. The pathogen penetrates deep into the nail plate, and its destruction requires long-term treatment. The varnish of nail fungus – convenient dosage form, having a long-lasting effect, action and good cosmetic properties. Therefore, in the therapy of the onychomycosis therapeutic varnishes – one of the essential drugs.
To choose the most appropriate tool in each case, it is necessary to know what is the fungus that caused the defeat. For this, it is recommended to consult a dermatologist. Your doctor will help you determine the cause of the disease and to choose the right tool.
The activators of onychomycosis
The more often the nail fungus causing micro-organisms:
- Trichophyton rubrum (rubrofitii), generally affecting all the fingers on the foot, at least on the brush;
- Trichophyton mentagrophytes (athlete), mainly an impact on the 1st and 5th toes
- the activators of the candidiasis;
- the mold.
The clinical picture of these lesions is different, but to identify the cause and to designate the most effective for the treatment of nail fungus can only the expert.
The processing steps of the yeast infection
Use of these medications, it is recommended in these cases:
- hit is not more than the half of the nail;
- involved more than 4 nails;
- lack of pigmentation of the plate (the black dot, stripes);
- is not involved matrix cadastral ;
- known as the causative agent of the disease;
- no possibility to take the pill on the inside, even if heavy onychomycosis.
When the defeat of the whole nail or the participation of the matrix, the field of use of paint combine with anti-fungal medicines for internal use.
The varnish should be applied on pre-treated the nail without signs of acute inflammation. Therefore, you must first remove the affected area using keratolytic fund (the glue with urea). After the purification bed of the nail infected by fungus of the plate begin to use the local tools, including:
- 5% varnish for the treatment of nail fungus, which bear 1 or 2 times per week, at the onychomycosis brushes in a period of 6 to 8 months, in case of illness stop of 9 to 12 months;
- 8% of the drug which must be applied in the first month of treatment through the day, the second time to 2 times per week, then 4 months, every week until the regrowth of healthy nail.
Does it contribute to the nail to the nail fungus at the heavy defeat?
In some cases, applies, the protocol of the intensification of treatments for local use:
- the thickness of the nail more than 2 mm;
- the defeat of the central part of the plate;
- the participation of ¾ of the nail and more;
- the relapse of the fungal infection;
- the removal of immunity in cases of diabetes, the intake of immunosuppressive drugs, cytostatics, antibiotics, HIV infection, etc
In these cases, doctors recommend these steps for treatment:
- apply the varnish with a content of 5% amorolfine 1 time
- attach to the nail on a 7-day agar Saburo (a special substance to improve the sensitivity of fungi to the treatment);
- apply amorolfine 1 time per week for 3 weeks;
- repeat steps 2 and 3;
- use amorolfine 1 time per week for 4 months.
The disadvantage of this protocol is that the probability of stimulating the growth of the fungus, is not sensitive to amorolfine. In these cases, it will be assigned to the analysis of the pathogen sensitivity to the fungicide drugs, and its results are used in selecting the drugs.
The benefits and effectiveness of nail Polish
In the treatment of onychomycosis nail have essential advantages in connection with creams, ointments, and medications available for the reception inside:
- virtually no risk of side effects, which often appear on the bottom of therapy;
- no interaction with the medications the patient is taking about any other disease;
- much more rapid and complete penetration of the active substance in the nail plate;
- there is the possibility to use lacquer for the prevention of nail fungus.
When onychomycosis in the habit of prescribing a fund on the basis of amorolfine or ciclopiroxolamine (ciclopirox). Previously to the sale have been the drugs containing imidazole, but they have refused in the absence of consent of the action.
The effectiveness of the treatment of nail fungus lacquer is about 80% while the use of amorolfine. This value is slightly lower than that for ciclopirox. With the participation of one or more of the nails, sides of not more than ½ of the plate of their use allows most patients to get rid of the disease. If the lesion is expressed more or seizes the majority of the nail plate, using only the varnish will not be enough and it will take a systemic treatment, that is medication inside.
The best varnish for the treatment of onychomycosis contain as the active ingredient amorolfine. It is proven by scientific studies:
- to achieve an effective concentration in the plate is somewhat less of amorolfine compared to the ciclopirox;
- the drug has a more pronounced antigribkovim by the effect;
- it acts on a greater number of pathogens;
- after the end of treatment amorolfine is registered in the nail much longer than their "competitors", creating prevention of the reserve;
- the absence of the application of the varnish, the action of the drug is recorded;
- the overall cost in the treatment amorolfine to 4 times lower than when the use of ciclopirox.
The effect of the treatment already review after 3 months of treatment. In the case, if the treatment does not help made a medication change.
Save money on real treatments available, and choosing "inexpensive, but effective tool, is unacceptable. The incorrect treatment will allow the spread of the fungus on the nail matrix, the participation surrounding the nail plate, the transition of a disease in a stable form. In this case, without applying toxic enough tablets already do will not work.
Varnishes are applied to the outside, on the nail plate. The active substance is practically not absorbed in the blood and does not have a system of adverse events. From time to time develop local reactions – burning, itching, redness of the surrounding skin. For the exclusion of these symptoms, the tool should be carefully applied only on Horny surface.
Contraindications to the use of:
- the new-born and young children;
- of pregnancy.
- breast-feeding;
- an individual intolerance.
During the use of the funds, containing amorolfine, is not recommended to apply cosmetics and nail Polish, artificial lining, to make extensions. For the treatment of the nail touched the plate must be individual toes. There is a limit when working with organic solvents, including entering into the composition of the paint. In this case, the hands should be protected with the gloves, in order not to damage the varnish.
How to choose the right medicine
To select a tool, really help the fungus to the nail plate, you need to consult your doctor and understand the nature of the pathogen. Sometimes, the patients confuse the manifestations of onychomycosis with other diseases, such as cancer of the nail. Using ineffective or even counter medications, they are not only spend time and money, but cause additional damage to your health.
Protocols of treatment of onychomycosis is not as easy as it might seem at first sight. For a full treatment, you should visit a dermatologist and, if necessary, appropriate to strengthen or change of treatment. You-even that is not possible. During a bad treatment of the fungal infection increases the risk of getting members of the family and other people around you.