Nail fungus causes not only discomfort, but also cosmetic and discomfort. Pathogenic microorganism penetrates deeply into the nail plate, and for their destruction requires medical treatment prolonged. The varnish of nail fungus a pharmaceutical form, has a lasting effect, given by the action and good cosmetic properties. Therefore, in the treatment of onychomycosis of the therapy of a varnish is one of the medications.
To collect the most appropriate instrument in each case, it is necessary to know what is the fungus led to the defeat. To do this, it is recommended to consult a dermatologist. The doctor will help you determine the cause of the disease and pick up the most appropriate instrument.
The causative agents of onychomycosis
Most often, nail fungus cause this type of microorganisms:
- Trichophyton rubrum (rubrofitii), usually by tapping with the fingers on the foot, sometimes in brushes;
- Trichophyton mentagrophytes (athlete), mainly influences the 1st and 5th toes;
- the causative agents of candidiasis;
- the molds.
The clinical picture in all these defeats is different, but to determine exactly the cause and to assign more effective for the treatment of nail fungus can be a specialist.
Stages of the treatment of fungus
Apply these drugs is recommended in these cases:
- beaten by no more than half of the nail;
- participated no more than 4 nails;
- lack of pigmentation of the surface of the nail (dark dots, stripes);
- not gets array area ;
- there is a known causal agent of the disease;
- there is the possibility of taking the tablets on the inside, even if the onychomycosis.
The total defeat of the nail, or the participation of an array of area of use of the lacquers combined with antifungal drugs for internal use.
The varnish should be applied in the pre-processing of the nail, without signs of acute inflammation. Therefore, you must first remove the affected area with the help of keratolytic means of nicotine (patch with urea). After the full of the purification of the nail infected by the fungus of the plate begin to use local resources, including:
- 5% lacquer for the treatment of nail fungus, put 1 or 2 times a week, when the onychomycosis brushes – in the period of 6-8 months of age, in the case of illness of stop – 9 to 12 months;
- The 8% of the drug that must be applied in the first month of treatment through the day, in the second 2 times per week, after 4 months on a weekly basis until new healthy growth of the nails.
Do you help the varnish of nail fungus is the serious defeat?
In some cases, we apply the protocol of the intensification of the treatment with drugs for local use:
- the thickness of the nail more than 2 mm;
- the defeat of the central part of the plate, the
- the participation of ¾ of the nail, and more;
- relapse of an infection by yeast;
- the suppression of immunity in diabetes mellitus, intake of immunosuppressants, cytostatics, antibiotics, hiv infection, etc
In these cases, doctors recommend the following treatment steps:
- apply the varnish with a content of 5% amorolfine 1 time
- attach the nail to the 7 days on agar Saburo (special of the substance to improve the sensitivity of fungi to the treatment);
- apply amorolfine 1 time a week during 3 weeks;
- repeat steps 2 and 3;
- use amorolfine 1 time a week even over 4 months.
The disadvantage of this protocol is likely to stimulate the growth of fungi, not sensitive to amorolfine. In these cases, it will be named the analysis of excitation in the sensitivity to the fungicide medications, and their results hand-picked drugs.
The advantages and the effectiveness of the lacquers of nails
In the treatment of onychomycosis lucky offer considerable advantages in comparison with the creams, ointments, as well as drugs for oral administration:
- there is virtually no risk of side effects, which often arise in the background of the systemic therapy;
- there is no interaction with medications the patient is taking in respect of any other disease;
- much more rapid and complete penetration of active substance into the nail plate;
- there is the possibility of using the varnish for the prevention of nail fungus.
When onychomycosis is generally prescribed for the tools based on the amorolfine or ciclopiroxolamine (ciclopirox). Earlier in the sale have been prepared which contain imidazole, but now they are rejected by not just the express consent of the action.
The efficacy of the treatment of fungal nails with the lacquer is about 80% when you use amorolfine. This value is slightly lower than that of ciclopirox. When the participation of one or several nails from the sides no more than ½ of the plate of the majority of the patients to get rid of the disease. If the defeat is expressed more or capture the majority of nail plates, the application only of the varnishes will not be enough and will need systemic therapy, that is to say, the reception of drugs in the interior.
Best of luck for the therapy onychomycosis contain the active ingredient amorolfine. This is demonstrated in the scientific research:
- to achieve an effective concentration in the nail plate, much smaller number of amorolfine in comparison with ciclopirox;
- the drug has more pronounced antigribkovim by the effect;
- it acts on the largest number of species of pathogenic micro-organisms;
- after completing the treatment amorolfine is saved in the nail much more than their "competitors", creating preventive of the reservation;
- by omitting to apply the enamel to the effect of the drug is maintained;
- the general costs in the treatment of the amorolfine to 4 times lower than that when using the ciclopirox.
Effect of the treatments evaluated already at 3 months of therapy. In case the therapy does not work, a change of medication.
Save on these medicinal drugs, choosing the option of "low-cost, but effective," the money is not valid. A bad treatment will lead to the spread of the fungus in the nail matrix, the participation of the surrounding nail plate, the transition of the disease in a stable manner. In this case, without applying enough toxic of the pickups already happen isn't going to work.
Lucky is applied externally, putting the nail plate. The substance is practically not absorbed in the blood and does not have a system of adverse manifestations. From time to time develop local reactions – burning, itching, redness of the surrounding skin. To avoid the symptoms of the tool should be applied gently only in Warm surface.
Contraindications to the use:
- babies and young children;
- pregnancy;
- breastfeeding;
- intolerance individual.
If you use the tools that contain amorolfine, it is not recommended to apply cosmetics varnishes for the nails, artificial nails, lining, carry out the accumulation. For the treatment of the surface of the affected nail should be used in individual sekrecio. There is a limit when working with organic solvents, in particular, that enter into the composition of the inks. In this case, it is necessary to protect the hands with gloves, so as not to spoil the varnish.
How to choose the medicine
To pick up correctly the tool, really help the fungus nail plates, you should go to a doctor to find out the nature of the pathogen. Patients sometimes are confused with the manifestations of onychomycosis with other diseases, such as cancer of the nail. Using ineffective or even contraindicated drugs, not only spend time and money, but the additional damage of harm to your health.
The protocols for the treatment of onychomycosis is not as simple as it may seem at first glance. For the cure of the same, you should regular visit to a dermatologist and, if necessary, timely reinforcement or change of therapy. Regardless of which is impossible to do so. In case of a bad treatment of the fungus increases the risk of infection of members of the family and other people around them.