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Leg fungus treatment: Lamisil Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing


H. Debra Jaliman, MD

Debra Jaliman, MD, is a world-renowned dermatologist with a private practice on Fifth Avenue in Manhattan. Internationally recognized for her research and work in clinical and cosmetic dermatology, Jaliman is at the forefront of the latest skin care news, clinical updates, emerging trends, and more.

Jaliman and her trained staff have achieved superb results based on her unique treatment approaches and combination therapies. Jaliman’s patient consultations are never cookie-cutter, as she is a perfectionist when it comes to personalized patient care, skin screenings, and treatment. Customized care means better results — and over the past 25 years, Jaliman’s specialized training, clinical experience, and passion for medicine have enabled her to diagnose and treat common and rare skin conditions, diseases, and cancers, saving countless lives.

Her medical expertise is unparalleled, as is her ability to give her patients beautiful, youthful skin. In 1991, she became one of the first doctors to use Botox in her practice, and her office remains a national training center for Allergan, where doctors are guided by Jaliman on proper injection techniques. According to Jaliman, the best Botox results are achieved only when a doctor carefully studies the patient’s facial muscles and structure for precise application. One size does not fit all at Jaliman’s office; each patient requires a different approach.

Jaliman has provided dermatological and skin care expertise to several top medical and consumer brands and companies, including Banana Boat, Elizabeth Arden, Noxema, Ortho Pharmaceutical Corporation, Philips Norelco, Procter & Gamble, SmithKline Beecham, and more. She has also been published in numerous scientific journals and authored the “Skin and Hair” chapter in the book Women’s Health for Life. Jaliman has appeared as a leading skin care expert on many TV shows, including 20/20, BBC News, CBS News, CNN, Dateline, FOX News, Discovery Channel, Lifetime, NBC News, Oxygen, Primetime, and more.

As an authoritative source in dermatology, she is frequently quoted in top national print publications, including Allure, Cosmopolitan, Elle, Fitness, Glamour, Harper’s Bazaar, InStyle, Ladies’ Home Journal, Lucky, More, Newsweek, O, The Oprah Magazine, Parents, Prevention, Shape, The New York Times, Vogue, and more.

Jaliman’s book, Skin Rules: Trade Secrets from a Top New York Dermatologist, was released by St. Martin’s Press in 2012.

Top 5 Treatments for Fungal Skin Infections

Fungal infections on the skin can cause itchy rashes, peeling skin, and other uncomfortable symptoms. Receiving a diagnosis from a dermatologist is the first step toward finding relief. Here are some of the most effective fungal infection treatments that your dermatologist may recommend.

How to Treat Fungal Infections

Antifungal Cream

Antifungal medications are available in various forms, but fungal infection cream is one of the most common. Your dermatologist may recommend over-the-counter or prescription cream as the first step in treatment, particularly for mild to moderate cases. Be sure to use this cream as directed to best clear the infection. You’ll likely need to apply the cream to the affected area several times per day. If you don’t notice an improvement within a few weeks, be sure to see your dermatologist again.

Powders & Sprays

Your dermatologist may also recommend an antifungal or spray to treat your fungal infection. These products are often used for conditions like athlete’s foot and jock itch. Some powders and sprays will treat the fungal infection, while others will relieve symptoms. Talk to your dermatologist about which is right for your needs.


As a severe fungal infection treatment, dermatologists may prescribe an oral antifungal medication. They will recommend a specific prescription based on the type of fungal infection. For example, you may need a specific medication if you have a fungal infection on your nails. Be sure to take this medication exactly as directed and finish the whole treatment course. Your dermatologist will then assess your skin to determine whether the drug was effective.


Fungal infections like ringworm often appear on the scalp, and this can lead to itchy and scaly patches that are highly contagious. Some people may also experience hair loss in patches. Your dermatologist will likely prescribe an antifungal shampoo to clear the infection and soothe your symptoms. Oral medication may also be necessary to fully clear the infection.


During and after your fungal infection treatment, it’s important to take preventive measures to avoid infections in the future. These include:

  • Wear loose and breathable clothing
  • Change out of sweaty socks and exercise clothing quickly
  • Wear sandals when using public showers, locker rooms, and pools
  • Avoid sharing towels
  • Dry your skin thoroughly after swimming and showering
  • Avoid contact with anyone with an infection
  • Practice general hygiene

While it can be tricky to completely prevent fungal infections, these basic steps can help you lower your risk. It’s also important to see your dermatologist when you notice the signs of a fungal infection rash. Early treatment can prevent the spread of the infection. They can also discuss ways to prevent future infections, especially if you contract them often.

If you’re experiencing symptoms of a fungal skin infection, the team at Pacific Dermatology Specialists is here to help. Our skin experts offer medical dermatology services to diagnose, treat, and prevent various skin infections. With locations in Carson, CA and other communities around the Greater Los Angeles area, we also offer surgical and cosmetic services to our patients. Contact us today to get started.

The Most Common Fungal Infections, Explained

You’ve got an itch to scratch. Literally.

It didn’t seem like a problem at first… and then it got worse. Maybe your foot started itching a few days ago and now it’s a red, scaly mess. Maybe you had a little spot on your calf that’s now spreading around your leg.

Sounds like a fungal infection.

What Are the Most Common Fungal Infections?

Athlete’s foot and ringworm are two of the most common fungal infections — and most of us have dealt with them at some point in life.

Let’s start by setting the record straight:

No, athletes aren’t the only people who get athlete’s foot.

No, ringworm isn’t caused by a worm or a parasite.

Both athlete’s foot and ringworm are caused by infections. See, there are fungi everywhere around us, but very few affect humans. When they do, they often take us by surprise as we suddenly realize that itchy spot hasn’t healed and it might be more than a fleeting irritation.

If you think you may be dealing with a fungal infection, here’s what you need to know.

What Does Athlete’s Foot Look Like?

The most common fungal infection is athlete’s foot. It’s red, foggy, white skin that flakes. It’s between your toes — often in the toe-web between your smallest toes.

Athlete’s foot is an itchy, rash-like infection you can get from two (opposite) ways:

  1. Keeping hot, sweaty feet in hot, enclosed shoes.
  2. Walking barefoot in open, fungus-friendly areas.

If your skin starts to itch and look irritated after either of these situations, you’re likely dealing with a fungal infection.

What Does Ringworm Look Like?

Ringworm (aka, tinea corporis) is another fungal infection, but it’s tricky. It easily confused with other skin problems like eczema, seborrheic dermatitis, or psoriasis. But if you look closely, you’ll notice this particular infection starts from a circular patch on the skin and travels outward.

Ringworm results in red, itchy, and scaly skin. Most people are familiar with ringworm but don’t know exactly how it looks. With ringworm, always look for a circular center.

What Causes a Fungal Infection?

Fungi are everywhere — from your shower, to your shoes, to the mats at the gym. When there’s a weak spot in the skin, you’re more susceptible. Maybe you scratched your skin or the skin is wet and soft between the toes, making it more open to infection.

Fungi are unavoidable, but just being exposed doesn’t mean you’ll be affected by them. You have to be in the wrong place at the wrong time to get an infection. It takes some kind of weakness in the skin for the infection to take hold. For example, a fungus may be in the shower, but healthy skin acts as a barrier to protect us from it. It’s only when there’s a cut or opening in the skin that’s exposed to the fungus that it irritates our skin.

When a fungus enters our skin, it stays on the top layer. It remains a superficial infection rather than something diving deep into the skin. In fact, it’s initially so shallow the body doesn’t even send out a response against it.

But, as some of it grows a little deeper, it triggers an itchy response. Even then the fungus stays in the top layer of the skin, making topical treatments your best option.

How Can I Treat a Fungal Infection at Home?

Fungal infections are relatively easy to treat… if you know what to do. Never hesitate to contact your dermatologist, but there are steps you can take to effectively treat most fungal infections at home.

When you notice a fungal infection, first reach for the anti-fungal cream. However, your skin will heal much quicker if you combine your anti-fungal ointment with an exfoliation treatment. Anti-fungal medicines prevent the fungus from growing — they don’t kill the fungus itself. We use antibiotics to kill bacteria, but we don’t have anything like that for fungi. The best medicines we have only stop its growth. The affected skin needs to slough off in order for the fungus to disappear.

Since the fungus is on the top layer of your skin, it can be exfoliated off. Use either a salicylic acid or urea cream to speed up your skin’s cell turnover. Ultimately, you want to get rid of the top layer of skin. Adding one of these exfoliants to your anti-fungal treatment will speed up that process.

Think of your skin like a creek that leads to a waterfall. It’s slowly moving forward and the old skin is falling off the waterfall. But there’s some guy in a canoe paddling upstream. He’s the fungus. What if we take his paddle away? Well, that’s the anti-fungal medication… Now he’ll move towards the waterfall faster. What if we speed up the current of the creek? That’s the salicylic acid or urea cream. The more we can speed up the turnover of the skin, the quicker we’ll get rid of the fungus.

How Can I Prevent a Fungal Infection?

We can’t always avoid fungi, but we can take steps towards avoiding fungal infections. Here are some tips:

  • Wear shoes in public showers.
  • Keep your feet clean and dry. Try to change out of sweaty shoes and socks as soon as possible.
  • Avoid sharing towels, bed linens, hair brushes, and sports equipment.
  • Always wash your hands thoroughly after playing with pets.
  • Avoid skin-to-skin contact with infected persons.

If you’re dealing with a fungal infection, no need to worry. A simple treatment regimen of anti-fungal cream and an exfoliant should clear it up soon. Or just give your dermatologist a call. They’ll be able to confirm your diagnosis and create a treatment plan specific to you.

Dr. R. Todd Plott is a board-certified dermatologist in Coppell, Keller, and Saginaw, TX. His specialization and professional interests include treating patients suffering with acne, identifying and solving complex skin conditions such as psoriasis, rosacea, atopic dermatitis, and identifying and treating all types of skin cancers. In his spare time, Dr. Plott enjoys cycling, traveling with his wife, and spending time with his children and new grandson.

Learn more about Dr. Plott.

Book an appointment with a provider nearby.

Fungal Skin Infections Treatment | FL Dermatologists

Fungal Skin Infections

Athlete’s Foot
Toenail Fungus
Jock Itch
Scalp Ringworm

It is easy to get a fungal infection. Fungi (plural of fungus) spread easily from person to person. Many people get a fungal infection through close personal contact with someone who has a fungal infection.

Sharing an infected object such as a towel or comb, or walking barefoot on an infected floor is another way to get a fungal infection. Some people get fungal infections by touching infected soil or an animal that has fungi on its fur.

Many fungal infections develop on the skin, but a fungal infection also can affect the nails.

People increase their risk of getting a fungal infection when their skin stays wet for long periods. Fungi grow quickly in warm, moist areas. Underclothes, shower tiles, and pool decks are common places for fungi to grow.

For most people, a fungal infection causes a mild rash or itching. If a person has a weak immune system due to a medical condition such as HIV or cancer, a fungal infection may be more severe.

The following describes some of the more common fungal infections.

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Athlete’s Foot (Tinea Pedis)

Most people catch athlete’s foot by walking barefoot through a public place such as a locker room or deck of a swimming pool. Athlete’s foot usually starts between the toes, where the skin itches, peels, and flakes. Without treatment, athlete’s foot can worsen. Some people even get itchy water blisters on their feet.

Before treating athlete’s foot, a Water’s Edge Dermatology practitioner will first make sure that the patient has athlete’s foot. Sometimes a dermatologist can be certain by looking at the skin. Other times a medical test is necessary.

Athlete’s foot can look like another skin condition such as contact dermatitis or psoriasis. These skin conditions also can cause a rash. Using an antifungal cream on one of these skin conditions will not help.

If the patient has a mild case of athlete’s foot, an antifungal cream often works well to relieve the burning and itching and to clear the skin. When the infection is more severe, a dermatologist may write a prescription for antifungal pills.

Athlete’s foot is contagious. To prevent getting athlete’s foot again, or for the first time, here are some things you can do:

  • Do not walk barefoot in gyms, shower or locker areas, pools, or hotel rooms. The fungus that causes athlete’s foot may be on the floor. To protect your feet, wear shower shoes, flip-flops, or sandals.
  • During the hot summer months, wear sandals or flip-flops. If this is not possible, sprinkle an antifungal powder on your feet and inside your shoes or boots.
  • Do not wear other people’s shoes.
  • Wash your feet daily with soap, and completely dry your feet.
  • Wear socks made of a fabric that dries quickly or keeps moisture away from the skin. Be sure to change your socks every day, and sooner if the socks get wet.

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Toenail Fungus (Onychomycosis, Tinea Unguium)

This toenail fungal infection often affects the big toe. It can cause the nail to thicken and turn yellow. Sometimes the affected nail crumbles. Toenail fungus tends to be more common in people who have had athlete’s foot for a while or have injured a nail.

A fungal infection also can affect a fingernail, but this is less common. Whether the fungus affects the fingernails or toenails, it can be hard to treat. Prescription antifungal pills may be necessary to clear a fungal nail infection. Some people find that the nail infection returns frequently.

Jock Itch (Tinea Cruris)

Jock itch is a rash that begins in the groin area. This rash is itchy, has a red border, and can spread. Jock itch affects both men and women. Individuals who sweat a lot may be more likely to develop jock itch. Antifungal creams that are available without a prescription are helpful, but prescription creams may work faster.

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Ringworm (Tinea Corporis)

Ringworm causes a red, itchy, flaky patch that looks more like a ring as it grows. Your dermatologist may treat this rash with a prescription antifungal cream or pill.

Scalp Ringworm (Tinea Capitis)

Scalp ringworm is most common in children. It can cause flaking on the scalp and hair loss. It is important to see a dermatologist for treatment. With the right treatment, the hair will grow back in time.

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Systemic antifungal agents for cutaneous fungal infections

Cutaneous fungal infections are usually treated topically, but nail and hair infections, widespread dermatophytosis and chronic non-responsive yeast infections are best treated with oral antifungal drugs. The oral drugs currently available in Australia for the treatment of cutaneous fungal infections include griseofulvin, ketoconazole, fluconazole, itraconazole and terbinafine.

The cutaneous mycoses are superficial fungal infections of the skin, hair or nails. Essentially no living tissue is invaded; however, a variety of pathological changes occur in the host because of the presence of the fungus and/or its metabolic products. The principal aetiological organisms are:

  • dermatophytic moulds belonging to the genera Microsporum, Trichophyton and Epidermophyton which cause ringworm or tinea of the scalp, glabrous (hairless) skin and nails
  • Malassezia furfur, a lipophilic yeast responsible for pityriasis versicolor, follicular pityriasis, seborrhoeic dermatitis and pityriasis capitis (severe dandruff)
  • Candida albicans and related species, causing candidiasis of skin, mucous membranes and nails

The usual approach to the management of cutaneous infections in immuno competent patients is to treat with topical agents. However, nail and hair infections, widespread dermatophytosis and chronic non-responsive yeast infections are best treated with oral antifungal drugs.

When to use systemic therapy

Dermatophytosis (tinea or ringworm) of the scalp, skin and nails
Most dermatophytic skin infections in their early stages are responsive to topical therapy. Examples are interdigital tinea, tinea cruris and localised tinea on other parts of the body. However, once there is involvement of nails or hair, topical therapy is rarely adequate. The major indications for using oral antifungals are:

  • tinea capitis – this never responds adequately to topical therapy
  • tinea affecting the nails – sometimes nail removal combined with topical treatment may be effective when one or, at most, two nails are involved, but in most instances, oral therapy will be required for a true cure
  • tinea involving more than one body region simultaneously, e. g. tinea cruris and corporis, or tinea cruris and tinea pedis. Patient compliance with topical treatment is rarely adequate enough to treat two body regions effectively at the same time
  • tinea corporis where the lesions are particularly extensive
  • tinea pedis when there is extensive involvement of the sole, heel or dorsum of the foot or when there is recurring and troublesome blistering
  • tinea of a localised body area which is sufficiently annoying and recurrent after topical therapy to justify systemic therapy and its attendant risks

Chronic non-responsive yeast infections
Most Candida infections of the skin or mucosa are due to impaired epithelial barrier functions and respond readily to topical antifungal therapy. Basically, healthy individuals do not get candidiasis; therefore, a key strategy in treatment is to correct the underlying predisposing conditions that allow Candida to colonise the skin or mucosa.

Most cases of pityriasis (tinea) versicolor and seborrhoeic dermatitis, with pityriasis capitis being the mildest manifestation, also readily respond to topical treatment. As the causative yeast Malassezia furfur is part of the normal skin flora, prophylactic treatment is often necessary to avoid recurrences.

The major indications for use of oral antifungals are in cases where topical treatment has failed:

  • pityriasis versicolor where the lesions are particularly extensive and resistant to topical treatment
  • candidiasis where the lesions are particularly extensive and resistant to topical treatment
  • vaginal candidiasis which is sufficiently annoying and recurrent after topical therapy
  • candidiasis of the nails

How should the decision to treat be confirmed?
When oral therapy is being contemplated, it is mandatory to confirm that a dermatophyte or yeast infection is present, either by microscopy or culture.

Disadvantages of topical drugs
Although topical drugs can provide an immediate reduction in infectivity, are free of systemic adverse effects and are relatively inexpensive, they have some disadvantages. Local irritation is the most common adverse effect and is easily reversible.

There are major problems with compliance as the patient finds it difficult to continue treatment or to know where to apply the cream once the inflammatory signs have settled. In practice, most topical drugs would need to be continued for some time after disappearance of the symptoms and visible signs. Topical drugs may be difficult to use in certain areas e.g. on the hair and nails, and in some more sensitive areas such as the vagina, groin or the natal cleft.

Advantages and disadvantages of systemic drugs
The advantages of systemic therapy are essentially those of enhanced compliance, particularly in areas where treatment times with topical drugs would need to be long, such as on the foot. Other advantages are the ability to treat several body regions at the same time and areas that are not obviously infected.

The disadvantages are principally those of potential adverse effects. There are also cost considerations, particularly with the newer systemic antifungals.

Oral antifungal drugs

This is an oral fungistatic agent derived from a number of Penicillium species. It inhibits cell division and nucleic acid synthesis in fungi. Griseofulvin is active against dermatophytes, but has no effect against yeasts or other fungi. The usual adult dose is 500 mg/day and an ultra micro size formulation of 330 mg/day is also available (not less than 10 mg/kg should be given). However, higher doses of 1000 mg/day are commonly given when treating nail infections. The dose for children under 25 kg is 10 mg/kg and for children over 25 kg is 250-500 mg daily. It is best taken with food to facilitate absorption. The duration of therapy varies from patient to patient and on the site and severity of the infection, with 4-6 weeks required for skin and hair infections and 12 months for nails. Relapse is common, especially for nails where between 40-70% of patients fail treatment.

Griseofulvin is usually well tolerated. Adverse effects include headache, gastrointestinal disturbance and, less commonly, urticaria, diarrhoea and photosensitivity. The drug should be avoided during pregnancy and in patients with liver disease. Griseofulvin can diminish the anticoagulant effect of warfarin and concurrent administration of phenobarbitone may decrease griseofulvin’s bioavailability. Griseofulvin may also interact with alcohol, causing a disulfiram type reaction. Therefore, alcohol will be a contraindication to its use in many patients.

Ketoconazole is an oral or topical synthetic dioxolane imidazole compound that interferes with the biosynthesis of ergosterol, leading to alterations in certain membrane-associated cell functions. It has a high affinity for keratin and a broad spectrum of activity which includes both dermatophytes and yeasts. The risk of hepatitis, albeit rare (1 in 10 000 to 1 in 15 000 of patients treated with a medium time of onset of one month), makes ketoconazole a secondary choice for dermatophyte infections. However, ketoconazole has become the drug of choice for treating Malassezia infections and is an important adjunct in the treatment of AIDS patients with fluconazole-resistant Candida infections.

Ketoconazole is not absorbed systemically following topical application, but is well absorbed orally under acid conditions. It is poorly absorbed in patients with achlorhydria and in those taking antacids or h3 receptor antagonists. The usual adult dose is 200-400 mg/day depending on the infection being treated. In children, a dose of 3 mg/kg can be used. The duration of treatment will also depend on the nature of the infection.

Liver function must be monitored in patients receiving treatment for more than 30 days. The most common adverse effects are nausea, anorexia and vomiting occurring in about 20% of patients. Adrenal or testicular steroid metabolism may be affected. Co-administration of ketoconazole with either terfenadine or astemizole has been associated with potentially fatal cardiac arrhythmias. Ketoconazole also enhances the effects of warfarin, oral hypoglycaemics and phenytoin.

Fluconazole is an oral synthetic bis-triazole compound that inhibits the cytochrome P450-dependent 14 alpha-demethylation step in the formation of ergosterol. This leads to alterations in a number of membrane-associated cell functions. Fluconazole has a broad spectrum of activity that includes both dermatophytes and yeasts. The drug is particularly effective in the treatment of mucosal and cutaneous forms of candidiasis. It is currently the drug of choice for controlling oropharyngeal candidiasis in AIDS patients.

Absorption of fluconazole is not dependent on acid conditions and is also unaffected by food intake. The usual adult doses range from 100-400 mg/day, depending on the immune status of the patient, the infecting organism and the patient’s response to therapy. With most mucocutaneous diseases in immuno competent patients, the recommended adult dose is 150 mg/week for 4 weeks. Vaginal candidiasis usually responds to a single dose of 150 mg.

Fluconazole is generally well tolerated with minor adverse effects such as nausea and vomiting occurring in a few patients. Unlike ketoconazole and itraconazole, fluconazole has few significant drug interactions. However, the effects of warfarin, oral hypoglycaemics, phenytoin and theophylline may be increased by fluconazole when given in doses of 200mg/day or higher.

This is an oral synthetic dioxolane triazole compound that functions in much the same way as fluconazole. It has a broad spectrum of activity that includes both dermatophytes and yeasts. Itraconazole can be used to treat various cutaneous infections, including dermatophytosis, pityriasis versicolor and oral and vaginal forms of candidiasis.

Absorption from the gastrointestinal tract is improved if the drug is given with food or under acid conditions. The usual adult dose for cutaneous infections is 100-200 mg/day depending on the infection being treated.

Itraconazole is generally well tolerated with minor adverse effects of nausea, headache and abdominal pain being reported in a few patients. Itraconazole concentrations are reduced following concomitant administration of phenytoin, rifampicin, antacids and h3 antagonists. Co-administration of terfenadine or astemizole with itraconazole is contraindicated and the effects of warfarin, oral hypoglycaemics, phenytoin and digoxin may be enhanced.

Table 1
Oral treatment options for cutaneous fungal infections

(In general, the treatment options are listed in order of currently accepted cost-effectiveness, although in some cases those listed as alternatives may be just as or more effective in terms of treatment outcome.)

Infection Recommended Alternative
Tinea unguium (Onychomycosis) Terbinafine 250 mg/day – 6 weeks for finger nails, 12 weeks for toe nails Itraconazole 200 mg/day/3-5 months or 400 mg/day for one week per month for 3 consecutive months. Griseofulvin 500-1000 mg/day until cure (approximately 12 months)
Tinea capitis Griseofulvin 500 mg/day (not less than 10 mg/kg/day) until cure (4-6 weeks) Terbinafine 250 mg/day/4 weeks, Itraconazole 100 mg/day/4 weeks
Tinea corporis Griseofulvin 500 mg/day until cure (4-6 weeks), often combined with a topical imidazole agent Terbinafine 250 mg/day/2-4 weeks, Itraconazole 100 mg/day/15 days, Fluconazole 150 mg/week for 4 weeks
Tinea cruris Griseofulvin 500 mg/day until cure (4-6 weeks) Terbinafine 250 mg/day/2-4 weeks, Itraconazole 100 mg/day/15 days, Fluconazole 150 mg/week for 4 weeks
Tinea pedis Griseofulvin 500 mg/day until cure (4-6 weeks) Terbinafine 250 mg/day/2-6 weeks, Itraconazole 100 mg/day/4 weeks, Fluconazole 150 mg/week for 4 weeks
Chronic and/or widespread non- responsive tinea Terbinafine 250 mg/day for 4-6 weeks Itraconazole 200 mg/day/4-6 weeks Griseofulvin 500-1000 mg/day
until cure (3-6 months)
Chronic or severe pityriasis versicolor or pityriasis capitis Ketoconazole 400 mg single dose non-responsive or 200 mg/day for 5-10 days Itraconazole 200 mg/day/5-7 days, Fluconazole 400 mg single dose, or 150 mg/week for 4 weeks
Chronic/recurrent mucocutaneous candidiasis Fluconazole 150 mg/week for 4 weeks Itraconazole 200 mg/day/5-7 days, Ketoconazole 200 mg/day/5-10 days
Recurrent vaginal candidiasis Fluconazole 150 mg single dose Itraconazole 400 mg single dose
(two 200 mg doses 8 hours apart)
Candidiasis of the nail Itraconazole 200 mg/day
for 3-5 months or 400 mg/day
for one week per month
for 3 consecutive months
Fluconazole 150 mg/week for 10-12 months
Please consult the relevant product information sheet for prescribing details

This is an oral or topical synthetic allylamine compound that inhibits the action of squalene epoxidase, a crucial enzyme in the formation of ergosterol, leading to membrane disruption and cell death. It is a fungicidal agent with a limited clinical spectrum of activity primarily against dermatophytes. Oral terbinafine has become the drug of choice for dermatophytosis of nails. It is also the drug of choice for dermatophytosis of the skin and/or scalp where griseofulvin has failed or is contraindicated.

The drug is well absorbed and is strongly lipophilic, being concentrated in the dermis, epidermis and adipose tissue. Terbinafine is metabolised by the liver and the inactive metabolites are excreted in the urine. The usual adult dose is 250 mg/day with the duration of treatment dependent on the site and extent of the infection, ranging from two weeks for inter digital tinea pedis, 4-6 weeks for widespread or chronic non-responsive dermatophytosis of skin and/or scalp, to 12 weeks for nails.

Terbinafine is generally well tolerated with the most common adverse effects being nausea and abdominal pain, and allergic skin reactions, but these are often mild and transient. Taste disturbance and hepatic toxicity have also been reported.

Which drugs should be used when?
The oral treatment options for adults with superficial fungal infections are set out in Table 1.

The treatment of cutaneous fungal infections may require systemic treatment for a number of reasons relating to site, host and invading organism. There is now a large range of therapeutic options available which are, on the whole, safe and effective.

Further reading
Balfour JA, Faulds D. Terbinafine. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in superficial mycoses. Drugs 1992;43:259-84.

Elewski BE. Cutaneous fungal infections. Topics Clin Dermatol 1992. (unverified)

Grant SM, Clissold SP. Itraconazole. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in superficial and systemic mycoses. Drugs 1989;37:310-44.

Grant SM, Clissold SP. Fluconazole. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in superficial and systemic mycoses. Drugs 1990;39:877-916.

McGrath J, Murphy GM. The control of seborrhoeic dermatitis and dandruff by antipityrosporal drugs. Drugs 1991;41:178-84.

5 home remedies for fungal infections

Tried and tested home remedies for fungal infections.

Examples of common fungal infections are athlete’s foot, yeast infections, ringworm and onychomycosis.

These infections are usually treated with over-the-counter medications. Home remedies can be used in conjunction with medication or by themselves if the infection is mild. Don’t ignore fungal infections, however – here’s a guide for when to see the doctor.

These easy-to-find ingredients are a great help when treating less serious fungal infections.

Plain yoghurt

When treating a yeast infection, plain yoghurt with active cultures will reduce the growth of the fungi. Yoghurt is full of probiotics, which are bacteria that line your digestive tract and help your body’s ability to absorb vital nutrients and combat infection. 

The live active cultures in the yoghurt refer to the living organisms that essentially create yoghurt during fermentation. Most yoghurts are heated during the process which kill these beneficial organisms, so make sure you buy one that contains live Lactobacillus strains.

Coconut oil

A study published in the US National Library of Medicine found that coconut oil helped kill species of yeast. 

This popular oil, extracted from the edible part of the fruit, however, works just as effectively as a remedy for fungal skin due to the presence of medium chain fatty acids. The fatty acids act as fungicides that destroy the infection when you dab it onto the affected skin area. If you’re using it to treat a vaginal yeast infection, you can soak a warmed tampon in coconut oil before inserting it.  


The antibacterial properties of garlic are great for skin infections on any area. With some fungal infections found under the nail bed, which is hard to reach, applying crushed garlic is the best treatment. 

Garlic also acts as an antibiotic, helping to speed up the recovery process as an added bonus.

Apple cider vinegar

Filled with antimicrobials, apple cider vinegar is a well-known treatment for any kind of fungal infection. Drinking diluted apple cider vinegar may help kill off infections while preventing them from spreading, and increasing recovery time.

Apple cider vinegar is naturally high in essential nutrients such as phosphorous, magnesium, calcium and potassium.

Cranberry juice

Although it is widely known that cranberry juice helps combat urinary tract infections, it is also effective against fungal growth conditions like yeast infections. Cranberry juice contains a substance that helps stop bacteria from sticking to mucous membranes.

Cranberry juice also helps to correct the pH levels of urine, which helps to prevent fungal growth.

Image credit: iStock

7 Home Remedies for Skin Fungus That Actually Work / Bright Side

Ringworm, also known as Dermatophytosis, is a highly contagious form of skin fungus, and according to the Center for Disease Control and Prevention (CDC), over 700,000 people visit the doctor annually with concerns regarding ringworm. Thousands of those infected do not seek treatment, so keep on reading to make sure that you know what to do if you should ever come across this kind of situation in the future.

Here at Bright Side, we’ve gathered a list of some remedies you can use right at home. It’s important to keep in mind that despite the fact that each of these remedies is well-researched, you should still consult a doctor before you begin treating ringworm at home. If you have a history of skin or fungal infections, schedule an appointment with a dermatologist.

1. Turmeric

Turmeric is known for its anti-inflammatory properties. A component present in turmeric called curcumin is believed to have anti-microbial properties.

How to use:

  • Use the turmeric in tea or use it in your meal preparation.
  • Using the turmeric directly will be more effective on the fungal infections.
  • Mix it with water or coconut oil and apply the paste on the infected area.
  • Leave it for as long as possible before rinsing it off.

Note: The application of turmeric can make your skin appear yellow, but don’t worry as it fades away in a few days.

2. Apple Cider Vinegar

The anti-fungal properties of apple cider vinegar can help you treat the itchiness and dryness of your ringworm. The content in the unfiltered apple cider vinegar regulates the yeast growth by neutralizing the pH.

How to use:

  • Apply the apple cider vinegar on the infected area using a cotton ball soaked in it.
  • Repeat the process up to 3 times daily.
  • Rinse it off after 15 minutes if you’re going out or if the infection is in an area that gets sweaty.

3. Neem Leaf Extracts

Azadirachta indica, also known as “Neem” by the native Indians, has been considered to be the ultimate antifungal and natural detoxifier in India for hundreds of years. The extract of the Azadirachta indica is capable of removing major pathogens and dermophytes from your skin.

How to use:

  • Boil the neem leaves in water for a few minutes.
  • Wash the infected area using the water.
  • Do not boil it for too long or use the neem leaves directly on the infection as it might cause irritation on the skin.

4. Coconut Oil

Coconut oil contains a certain amount of fatty acids that help with the infection by damaging the cell membranes of the fungus. Coconut oil can be an effective remedy only in the case of mild and moderate skin infections.

How to use:

  • Apply the coconut oil to the infected area 3 times per day.
  • Use it for some weeks even after the infection is gone and applying the coconut oil as a moisturizer may be an effective way to prevent any future infections.

5. Oregano Oil

Oregano oil (specifically wild oregano (Origanum vulgare) contains thymol and carvacrol that can stop the growth of fungus.

How to use:

  • Always use the diluted oregano oil on the infected area.
  • Apply it up to 3 times daily.

Note: Make sure you get wild oregano (Origanum Vulgare) oil as a majority of the oregano oil on the market has common oregano (Origanum marjoram).

6. Garlic

How to use:

  • Do not apply the raw garlic paste directly on the fungus. It can cause irritation for hours.
  • Mix the garlic paste with olive oil or coconut oil.
  • Apply a thin coating of the paste to the infected area using a cotton ball or a clean piece of clothing.
  • Keep it on for 2 hours before you rinse it off.
  • Repeat it twice daily, until you see improvement.

7. Tea Tree Oil

Native Australians have believed in the antibacterial and anti-fungal properties of tea tree oil for a century now. Nowadays, it’s a commonly used product that’s effective in the treatment of fungal infection. It detoxifies the infected area and reduces inflammation.

How to use:

  • Make a 2% dilution of tea tree oil with coconut oil.
  • Apply it 3 times daily to the infected area.

Note: If you do not have sensitive skin, you can use it directly on the infected area.


  • Keep your skin clean and dry.

  • Wear shoes that allow air to circulate freely around your feet.

  • Try to avoid places like communal showers and changing rooms. If you don’t have a choice, make sure that you wear appropriate footwear.

  • Change socks and underwear daily.

  • Don’t go out in the tight clothes on a hot day.

  • Avoid sharing stuff like towels, socks, underwears, bedsheets, etc.

  • Make sure you wash your hands after you touch an animal.

  • Take a shower right after exercising.

  • Keep your fingers and toenails clipped and clean.

What to do if you’re already infected:

  • Try to keep the skin as dry and as clean as possible. Use a soft towel to clean it and make sure you don’t use that same towel again on any other body parts.
  • Avoid wearing tight jeans, pants or underwear. Use a fabric that doesn’t irritate the skin. Loose clothes and higher quality fabric reduces friction if the infection is between the thighs or in the armpits.
  • In case you can’t avoid wearing tight jeans or suitable fabric, put handmade cotton pads between the thighs or under the armpits. It reduces the friction and irritation.
  • We know it itches a lot but try to avoid any sort of scratching since it worsens the infection.
  • Don’t use perfumes or washing agents on your clothes when you’re infected as they might irritate your skin even more.
  • Change your clothes daily and clean the infected area twice or three times a day at least.

When to see a doctor:

Even in the most severe cases of the ringworm, it goes away in 2 weeks to 20 days. But if it doesn’t go away even after the suggested time period, see a doctor immediately.

Have you ever come across ringworm? Share your stories with us in the comments!

Illustrated by Oleg Guta and Natalia Tylosova for Bright Side

90,000 Foot fungus: causes, treatment and prevention

Fungal skin lesions spread very quickly. Infections of this nature are constantly found in the environment and the human body, manifesting themselves when creating a favorable situation. As a rule, an infectious disease is diagnosed with an increased concentration of moisture and heat in the environment. That is why experts point to a particular risk of getting foot fungus in shared locker rooms and showers in fitness centers, swimming pools, saunas and baths.Pathogenic microorganisms feed on the protein contained in the epithelium and settle in the most convenient places for reproduction: in the folds between the fingers and toes.

Causes of the disease

The problem is exacerbated in a humid and warm environment, where infectious agents actively multiply. How does the infection take place? Carriers of an infectious disease are constantly losing scales of the surface layer of the skin, which are affected by the fungus. When a healthy person comes into contact with bare feet on the surface on which these scales are spread, infection is inevitable in most cases.This is how the infection is transmitted from one person to another. Through direct contact, the risk of infection is minimal.

However, even when walking on an untreated surface, the fungus on the feet does not always cause vivid symptoms. Contributes to the infection of healthy tissues:

  • Damage to nails, cracks, wounds, abrasions,
  • non-compliance with personal hygiene rules,
  • use of common things,
  • Poor drying of the foot and skin between the toes after contact with moisture,
  • anatomical features of the feet, narrow interdigital spaces, deformities and injuries of the fingers, flat feet.

Dermatologists recommend thoroughly wiping and drying your feet after taking water treatments. Move in public places only in slippers or slippers, do not allow direct skin contact with various surfaces.

Risk factors

Who else is at risk of getting a similar disease? Of course, there is a specific list of risk factors to consider:

  • increased foot sweating,
  • regular presence in common areas where humid environment is created,
  • Use of tight, uncomfortable, poorly breathable footwear made of artificial materials,
  • concomitant diseases affecting general immunity.

Any weakening of the immune system contributes to the spread of various infections in the body.

Unpleasant symptoms

This disease has many symptoms. Sometimes they do not appear at all, sometimes they appear after a few months. It is impossible to ignore the signs of fungus on the soles of the feet, otherwise they will turn from slightly disturbing symptoms into very unpleasant and less aesthetic phenomena.

The most common symptoms are referred to as:

  • itching and burning in the interdigital region or at the base of the foot,
  • white loose skin between the toes,
  • cracking,
  • redness and rashes of various nature,
  • peeling of the skin,
  • blistering and ulceration,
  • Inflammation and discoloration of the skin of the periungual area.

The symptoms of the disease manifest themselves differently in each individual patient: they can either be combined with each other or not. The main task of the patient is to pay attention in a timely manner to probable signs that may indicate this pathology. The earlier an infectious disease is diagnosed and an effective therapy is prescribed, the faster its result will be obtained. Unfortunately, a neglected second and third stage fungus is not easy to cure.

Types of pathology

Depending on the location of the area affected by the fungal infection and the prevailing symptoms, the following types of disease are distinguished:

  • Interdigital fungus, when the skin between the toes is affected, and without the necessary treatment, the infection passes to the nail plate;
  • Plantar fungus affecting the skin of the heel, lateral surfaces and places of maximum support.

Foot fungus: treatment and prevention

Modern medicine successfully copes with this disease. An important factor for the quick elimination of the problem is the speed of contacting a specialist. Podiatry deals with foot diseases, skin diseases are diagnosed and treated by a dermatologist. In our clinic, you can make an appointment with both a dermatologist and an experienced podiatrist who will help identify the cause of the problem and prescribe an effective treatment. The choice of means to fight the infection depends on the results of the analysis, which clearly identifies the type of pathogen.Not everyone can get rid of the fungus at home. That is why it is so important to see a doctor on time and correctly diagnose foot fungus, the treatment of which can take several months.

Additional recommendations

Fungal infections will not be scary if you adhere to simple rules of behavior:

  • Treat feet and shoes after visiting pools, baths and saunas with special antifungal agents;
  • Monitor the condition of the skin of the feet, carry out regular care using creams and ointments with a moisturizing, wound healing and antiseptic effect;
  • Choose the right footwear with a comfortable last to keep your feet healthy.

Careful attention to adult and children’s footwear, proper care for the skin of the toes, strict requirements for personal hygiene – all this helps to avoid an unpleasant diagnosis. But foot fungus is not a sentence, you can get rid of the manifestations of the infection forever, if you do not postpone the solution of the problem and turn to an experienced specialist.

Laser treatment of nail fungus

Treatment of nail fungus or onychomycosis is a delicate but burning issue.Many people mistakenly believe that fungus is a purely aesthetic problem; in fact, the enemy is much more dangerous than it seems at first glance. The disease affects people of any gender and age, has more than two hundred types of pathogens, and the causes of its occurrence are very diverse – from general weakening of the body to tight shoes. The humid air and torrential rains of St. Petersburg, alas, only contribute to the strengthening of the position of the fungus in the list of the most common diseases. The nail fungus is also insidious in that the symptoms of the disease do not cause much discomfort at first, and they do not appear immediately.

Having settled on the nail plate, the fungus will declare itself in three main ways:

  • discoloration of the nail plate
  • thickening
  • destruction.


See your doctor at the first sign of fungus. The delay you give to the disease makes the necessary treatment period longer and adds possible complications. But the most dangerous mistake is taking medications on your own.

A few years ago, the treatment of nail fungus was limited to a course of taking toxic drugs (so-called antimycotics), which have a lot of side effects; or by treatment with ointments and solutions that act only superficially. Needless to say, coping with the disease at home is still a waste of money and time.

But the main difficulty in treating fungus is its ability to develop immunity to any type of therapy. Anything other than laser treatment.In the fight against nail fungus, the most studied and effective is the complex method of laser treatment “Nail PRO”. This amazing treatment regimen came to us from Germany, where the widespread use of lasers in dermatological practice began in the 20th century. More than 90% of patients showed a pronounced positive result after the first procedure, and after undergoing the course of treatment “Nail PRO” they got rid of the manifestations of the fungus forever. The uniqueness of the “Nail PRO” method lies in a special, double mode of laser action: the laser kills the fungus and helps the healthy nail grow faster.

A dermatologist at the MedClub clinic, a leading specialist in the treatment of fungus, Yulia Markovna Gekht, will tell you more about this.

– At the first stage, the laser beam penetrates absolutely painlessly under the nail plate and acts directly on the focus of the disease, that is, on the mycelium of the fungus. Due to the short-term heating of tissues, the structure of the mycelium is destroyed, and the fungus loses its ability to grow and multiply. No topical drug can penetrate so deeply.In this case, the laser, in contrast to medications, destroys only the mycelium, without damaging the healthy tissue of the nail and skin.

At the second stage of exposure, laser radiation stimulates the division of healthy cells, and the nail plates regenerate and grow faster.

Laser treatment is prescribed after the patient has been examined by a dermatologist and the appropriate clinical tests have been carried out. The clinic’s specialists guarantee absolute safety and comfort during the procedure.


Fungus-like nail changes occur in various dermatological diseases.No dermatologist, no matter how professional he may have, will undertake the treatment of nail fungus without laboratory diagnostics, even in the presence of the most typical signs of this disease.

To achieve tangible positive results in the shortest possible time, an integrated approach to getting rid of the fungus is required. Treatment will be most effective if the patient properly prepares their nails for the procedure. A hardware pedicure will make the surface of the nail smoother, remove all thickenings and provide better access to the laser beam.This will significantly reduce the number of procedures, increasing the percentage of cure. Hardware processing of nails is carried out by experienced podologists – medical pedicure masters of the MedClub clinic and fully prepares the nail plate for laser treatment.

Whether you have been struggling with a fungus for many years, or are faced with nail treatment for the first time, the specialists of the MedClub group of clinics will help you at any stage of the disease. Positive changes will be felt after the first procedure, and the effect will only grow.


You do not need to spend a lot of time on treatment: the high energy of the light flash allows an effective treatment of nails in an average of 10 minutes.

Completing the full course “Nail PRO” will save you from the external manifestations of the fungus and, most importantly, from the recurrence of the disease for a long time. Get treatment with us and be healthy.

Treatment of onychomycosis at the AVICENNA ICDC – Avicenna

Onychomycosis – this name hides a more prosaic definition of “nail fungus”, which in more than 50% of cases leads to damage and diseases of the nails.Nail fungus is observed on the nails, both hands and feet, but the lower extremities are still more often affected. While developing, the nail fungus “captures” not only the nail plate, but also the nail bed.

According to medical statistics, adults suffer from onychomycosis much more often than children, and in men and women aged sixty-five and older, nail fungus can be found in 70% -80% of cases.

Risk factors of infection with nail fungus:

  • Frequent visits to places where people usually do not have shoes: nail salon, baths, swimming pool, gym
  • Circulatory disorders or injuries to the limbs.
  • Severe somatic diseases.
  • Impaired functioning of the immune system.
  • Endocrine diseases.

Types of onychomycosis:

  • Atroophic – the nail has a healthy shine, does not change externally, but stripes and spots are observed on the surface of the nail plate.
  • Hypertrophic onychomycosis – there is a deformation of the shape of the nail, its thickening, stratification, especially along the edges. The color changes, the shine disappears.
  • Onycholytic nail fungus – partial nail atrophy is observed, the nail plate is torn away from the nail bed.

The problem of nail fungus is not only cosmetic. With onychomycosis, toxins are released into the human body, and the body’s allergic vulnerability increases. In addition, the deformation of the nail interferes with the normal wearing of shoes, social life, and can cause psychological problems. It is very important to start treating nail fungus after the first symptoms are detected in order to successfully cope with the disease. You need to be sure that this is really a nail fungus, and not a disease of the nail plates that requires other treatment.To do this, before starting treatment, you will undergo a consultation with a dermatologist with a microscopic examination of scrapings from nails for pathogenic fungi to confirm the diagnosis.

How to treat nail fungus?

Several decades ago, it was suggested to remove the nail for onychomycosis, but today this unpleasant method of treatment is a thing of the past. Nowadays, it is very often proposed to treat nail fungus with drugs, both oral and local.But studies conducted by the FDI have shown that taking such drugs can lead to a failure in the normal functioning of the liver and an increase in the risk of developing certain diseases of this organ. In addition, the effect of these drugs does not always meet expectations.

Local preparations are sometimes recommended for the treatment of toenail fungus. But the effectiveness of this method of treating onychomycosis is questionable, since these drugs are not absorbed into the tissue of the nail plate. Thus, they do not cure the nail fungus, since they do not get to the “root of the problem”, and are only able to influence the external manifestations of the disease.

The nail fungus must be completely cured. And that is why we, at the Avicenna clinic, offer you a fundamentally new approach to this disease, a technique that has proven itself over the past few years.

What is laser treatment of nail fungus

Laser treatment of nail fungus in the Avicenna clinic is a sterilization of the nail bed and nail plates to completely destroy the spores of the nail fungus.

The method works as follows: the laser provides high temperatures uniformly affecting the area affected by the nail fungus. These temperatures kill the mycelium and spores of the nail fungus, and the disease disappears.

Laser treatment of nail fungus in the Avicenna clinic is an innovative, completely safe and unpleasant method. In the absence of contraindications, it provides high efficiency of treatment and can be used in the treatment of any of the varieties of nail fungus, for patients of both sexes, over the age of sixteen.The adaptation of fungi of any kind to laser radiation is not possible.

Advantages of laser treatment:

  • Irradiation of bacteria;
  • The energy of the laser is used in a metered manner, therefore, for each patient, a suitable exposure temperature is set;
  • Laser warming up sessions are not time-consuming;
  • Painlessness of the procedure;
  • Long-term effect after treatment;
  • Lack of rehabilitation period;
  • No side effects

Laser treatment of nail fungus is carried out according to the following program: the total number of procedures is from three to eight, with an interval of 2 to 30 days.Each procedure takes ten to thirty minutes. The procedures are carried out on an outpatient basis and do not require the use of gels, ointments and medical varnishes.

It is important to know that after completing the course of procedures, it takes six to twelve months for the nail to grow back.

Treatment of foot fungus with birch tar

Treatment of foot fungus with birch tar

Treatment of foot fungus with birch tar


What is the treatment of foot fungus with birch tar?

Remitazol is a universal remedy suitable, among other things, for nail renewal.Medicinal substances penetrate under the plate, soften the hardened damaged area and remove it without cutting. In the treatment of onychomycosis, a longer application of up to 6 months is recommended.

Effect of the treatment of foot fungus with birch tar

The antifungal agent Remitazol has a broad spectrum of action against various infectious agents – mold, yeast, dermatophytes. Due to its versatility, it can be used against mycosis of the skin and onychomycosis of nails at any stage of the development of the disease, including in advanced cases.

Expert opinion

Remitazol is a natural antimycotic agent. Possesses powerful bactericidal properties, allows you to suppress the activity of various pathogens, neutralize yeast-like, molds, dermatophytes and other pathogens in a short time.

How to order

In order to place an order for the treatment of foot fungus with birch tar, you must leave your contact information on the website.The operator will contact you within 15 minutes. Will clarify all the details with you and we will send your order. In 3-10 days you will receive the parcel and pay for it upon receipt.

Customer Reviews:


Why is it better for the carrier of the fungus not to experiment with antibiotic ointments for its effective treatment, choosing Remitazole? You will not find analogues to this cream on the free market, because this new product differs from conservative antimycotic formulas in its organic composition.Such a formula destroys the fungus at any stage, acting on the true cause of the disease, and not on its symptoms. As a result, the healing of the skin and horns is achieved, and not only the temporary disappearance of itching, redness and unpleasant odor.


Phyto-complex Remitazol has a regenerating effect at all levels. It eliminates itching in problem areas and restores the original appearance of the nail. Also, the affected area completely changes, the skin around it becomes soft and pleasant to the touch.

Remitazol helps to eliminate itching, burning, redness. The complex effectively heals the epidermis, dries wet areas, relieves puffiness and irritation. In the first 1-3 days, it blocks the main unpleasant symptoms, relieves the condition. Where to buy treatment for foot fungus with birch tar? Remitazol (Remitazol) is a natural antimycotic agent. Possesses powerful bactericidal properties, allows you to suppress the activity of various pathogens, neutralize yeast-like, molds, dermatophytes and other pathogens in a short time.

Treatment of the fungus with tar. There are several proven ways to combat nail fungus. … Soda, salt, birch tar help well. Sea salt is added to the bath. I steam my legs for 20 minutes. For the treatment of nail fungus with birch tar, it is necessary to use raw materials of increased concentration. … For several years I suffered from fungus on my feet. I tried a bunch of remedies, but the infection kept coming back. Birch tar, used for nail fungus, is a natural remedy prized in folk medicine for its powerful antiseptic and anti-inflammatory properties.For treatment, you can use both pure tar and products based on it. We suggest you learn how to use them in the fight against. How to properly use birch tar to treat nail fungus? … Anastasia, 34 years old: The fungus on the toenails appeared after the pool. … Birch tar is a natural product with many medicinal properties. The use of birch tar in the treatment of toenail fungus. Fungal lesions of toenails are unpleasant. Birch tar is a harmless product that is allowed to be used by children, women who are carrying and nursing a child, and the elderly.Treatment of nail fungus with birch tar (onychomycosis). Treatment of fungal infections also differs in duration. … Feet steamed in warm water with the addition of soda should be wiped dry, the affected nail plates should be cut off, and the infected skin should be treated with pumice stone. Why is the treatment of nail fungus with birch tar so effective? … Competent use of birch tar from the fungus. … Uncomfortable, synthetic shoes, wounds on the legs can provoke the development of mycosis. Birch tar is in demand among consumers.This natural antiseptic is anti-inflammatory. In medicine, for the treatment of fungus on the feet, products based on birch tar are widely used: Characteristic. Treatment of nail fungus with birch tar on the legs and arms is contraindicated. Treatment with birch tar did not help much, although thanks to it, it was possible to get rid of inflammation around the nail and mycosis between the fingers. Natural. Retail from 100 ml. Prices on the site. Delivery SDEK · Always available. Small packing. On tap.Retail · Seller: SP Mendeleev SHOP SP Nikolaeva A.V. O…






The antifungal agent Remitazol has a wide spectrum of action against various causative agents of infection – mold, yeast, dermatophytes. Due to its versatility, it can be used against mycosis of the skin and onychomycosis of nails at any stage of the development of the disease, including in advanced cases.

treatment of foot fungus with birch tar

Remitazole is a versatile remedy suitable, among other things, for nail renewal. Medicinal substances penetrate under the plate, soften the hardened damaged area and remove it without cutting.In the treatment of onychomycosis, a longer application of up to 6 months is recommended.

Nail fungus (mycosis and onychomycosis) are destructive. Nail fungus varnishes. Sprays and solutions for the treatment of fungus and disinfection. … The cost of products in the form of varnishes is higher than creams and ointments against fungi, but if different types are available in a pharmacy, the price of antimycotics is not the main one. Laser treatment for nail fungus is a popular and effective method practiced by many medical centers specializing in the treatment of various infections and lesions of the skin and matrix.The laser copes well with mycosis and its derivatives. Onychomycosis (mycosis), or how it is. Laser treatment of fungal lesions of the nail plates includes laser treatment (removal, correction) of the nail. The cost of laser treatment for nail fungus in Moscow. 1 nail ~ 3 153 rub. 94 prices. 5 nails ~ 5 400 rubles. 14 prices. Nail fungus (nail mycosis or onychomycosis) is a fungal infection of the nail plate, usually caused by dermatophyte fungi and microsporia (ringworm). The cost of treating nail fungus.Elimination of fungal infections from the nail plate. … Prevention of fungal nail infection. Apply the nail serum to unaffected, cleaned nails once a day. The principle of laser treatment of nail fungus. Treatment of nail fungus with a laser consists of several successive stages: On the modern device for medical pedicure IONTO Waterspray 2000, professional cleaning of the nail plate is carried out, removal of the affected tissues with. Fungus of nails is not just an unpleasant cosmetic defect.This is tissue damage by fungi. … Treatment of nail fungus is long-term. It can be canceled only when a completely healthy nail plate grows back. Effective treatment of nail fungus in the Podology Clinic in Moscow ◈ We solve nail problems forever ◈ We select the most effective treatment ◈ We carefully eliminate pain ☎ 8 (495) 640-68-10 ◈ Working hours: Mon, Tue, Wed, Thu, Sat, Sun. Treatment of chronic nail fungus. The multidisciplinary clinic ALODERM is one of the few in Moscow where, along with classical methods of treatment, unique equipment and techniques from the world’s leading manufacturers are used.- Fungal lesions of the nail plate; – Prevention of fungal infection of the nail plate, especially when. Prevention of fungal nail infection. Apply the nail serum to unaffected, cleaned nails once a day. Strengthening and nourishing nails with their increased fragility, etc.

Laser against nail fungus

Laser against nail fungus

Medical center ARS offers a new possibility of treating fungal nail infection using a diode laser.For antifungal therapy Medical Center ARS uses the new diode laser FOX 1064 – A.R.C. Laser . The principle of its operation is quite simple: the infected zone is treated with a laser beam and the cells damaged by the fungus are permanently destroyed.

New method represent:

Rate your nails!

Fungal nail infection is one of the most common nail diseases. The infection can affect both the fingernails and the toenails, and often both.Fungal toenail infections are more common. This is a very contagious infection, it spreads both through direct contact and indirectly: through contact with an infected floor, shoes, towels, etc.

Good to know:

The fungus on the nails will not disappear by itself. It must be treated to prevent chronic infection and the risk of eczema. Fungal infection can contribute to immunodeficiency and create a favorable environment for the development of allergic diseases. For example, research has shown that a fungal infection worsens the condition of patients with diabetes.

Bad news: fungal infection is difficult to treat and is a long process.


New laser technologies enable faster and more effective treatment of fungal infections.

Who is it for?

Laser therapy is a good alternative or replacement method for those who are unwilling or unable to use antifungal medications, because they are intolerant to these medications or they cause an allergic reaction, as well as in cases where medications are used that are included with those taken by mouth antifungal medications may cause unwanted interactions.

Main advantages of the method:

  • laser energy does not damage the surrounding tissue,
  • replaces internal medications,
  • reliable, non-invasive,
  • harmless,
  • painless, no need for anesthesia,
  • no feeling of discomfort after the procedure,
  • no side effects,
  • treatment is gentle, does not affect the growth of a new nail,
  • is an effective, fast and safe method.

Where to start?

If you suspect a fungal infection, you should visit a dermatologist. To make it easier to determine the diagnosis and quickly start the correct treatment, it is important not to use antifungal drugs (not internal, not external) before visiting a doctor for 2 – 3 weeks, so as not to hide the signs of infection.

The dermatologist will assess the condition of the nails / skin and prescribe the necessary tests to confirm the presence of a fungal infection and the exact type of fungus or to refute suspicions.

Depending on the results of the analysis, the dermatologist will draw up a treatment plan, prescribe the required number of laser procedures and, if necessary, prescribe additional drug therapy.

To obtain a more effective result, before the first procedure and during the entire course of treatment, it is recommended that every 5-7 weeks to carry out a treatment of the foot by a podiatrist – a specialist in foot care.

How the procedure works:
  • The damaged nail is treated with laser beams, which are exposed to heat energy (42 – 45C °).Thus, fungal cells in the nail and under it are destroyed.
  • It takes about 2 – 3 minutes to process one nail.
  • During the first procedure, it is often necessary to process all 10 nails, which takes about 30 – 45 minutes.

Important: after the procedure, put on new socks to prevent the possibility of re-infection.

For information:
  • To completely destroy the fungal infection, repeat the procedure 3 – 5 times at intervals of 5 – 8 weeks, until a healthy, untouched nail is formed.
  • An individual treatment plan is developed for each patient.
  • In order to obtain a faster and more lasting effect, laser therapy is combined with the use of external medications and, if necessary, with medications taken by mouth.

Complex care

  • An individual treatment plan is created for each patient, since the implementation and duration of treatment depends on the general state of health, the type of fungal infection, the extent of damage and many other factors.
  • The duration of treatment depends on how carefully all the doctor’s instructions and personal hygiene requirements are followed.
  • If necessary, laser therapy can be combined with other treatments.
  • In addition to laser therapy, daily treatment with ointments recommended by a doctor, nail polish, etc. is required, as well as a therapeutic pedicure performed by a foot care specialist.


  • This method is suitable for treating almost all forms of nail fungus.It is not used for patients with diabetes mellitus who have developed diabetic neuropathy – a violation of the sensitivity of the extremities and skin damage.
  • Not recommended if there are inflamed wounds, athlete’s foot and other skin diseases, as well as during pregnancy.
For information:
  • Usually the nail plate is renewed in 9 to 12 months. After attending a course of laser therapy, the first noticeable signs of a renewed nail can be expected after about 6 weeks.
  • The speed and effectiveness of fungal treatment depends on the personal responsibility of each in caring for the feet – following the instructions of the doctor and the specialist in foot care, for example, foot hygiene, disinfection of socks and shoes.
  • Considering that fungal infections are quite common – there is the possibility of re-infection, therefore it is important to practice proper foot care after recovery.
  • If someone else in the family still has nail fungus, it is recommended to carry out therapy at the same time, as there is a risk of re-infection.

Antifungal therapy with diode laser

FOX 1064 – A.R.C. Laser

– performed at Medical center ARS at the address: Riga, st. Skolas 5

Phones for appointment:

+371 672 01 007
+371 672 01 008


Laser treatment of nail fungus in Kharkov

Fungal nail diseases: the key to success is to start treatment on time

According to medical statistics, more than 30% of nail pathologies are fungal diseases (onychomycosis).

The disease is dangerous because it cannot be cured on its own, therefore, a timely visit to a doctor is extremely important.

Nail fungus is not only unaesthetic appearance, but also serious lesions, when the infection seeps into the periungual tissues, causing their pathology, and in an advanced stage can cause general intoxication of the body and damage to internal organs.

Fungal infection – what is it and why is it dangerous

  • Fungal nail disease occurs when infected by pathogenic or opportunistic fungi;
  • The most dangerous thing is that the first stages of the disease occur with mild symptoms and are aggravated when the disease begins to progress;
  • In addition to its ugly appearance, which reduces the quality of life, nail mycosis can cause discomfort and pain while walking;
  • Fungal diseases can spread from affected nails to healthy ones, as well as infect people in public places.

Therefore, treatment with a specialist is mandatory and requires a visit to a doctor when the first signs of onychomycosis are detected.

What are the underlying causes of fungal infections

Onychomycosis is transmitted through direct or indirect contact with people suffering from this disease and visiting public places: bath, sauna, pool (through cracks, abrasions, rubbing on the feet) in a manicure and pedicure salon (with poor sterilization of instruments)

Pathogenic microflora multiplies with excessive sweating or dry skin of the feet, especially if you wear tight shoes.

The elderly have a high probability of contracting onychomycosis. This is due to hormonal age-related changes associated with the physiology of the skin.

There are other reasons that increase the likelihood of contracting a fungal infection:

  • varicose veins;
  • hormonal disruptions in the body;
  • vascular diseases;
  • low immunity;
  • flat feet;
  • narrow distance between the toes;
  • foot sweating;
  • Wearing tight footwear, especially rubber footwear;
  • as a reaction to previous frostbite of the extremities.

What symptoms can be used to understand that this is a fungal infection of the nails

  1. The nail began to deform.
  2. Thinning or thickening of the nail plate has occurred.
  3. Nails are brittle, flaky and rough to the touch.
  4. The natural shine has disappeared, the nails have faded, changed color to yellow-gray-brown.
  5. There is an inflammatory process – redness of the soft tissues around the nail.

Do not delay a visit to the mycologist if these symptoms were found on the nails.

What are the contraindications for the procedure?

  • Infectious diseases, inflammatory processes.
  • Heart, pulmonary heart failure.
  • Diabetes (types I and II).
  • Cancer diseases.
  • Hepatic, renal failure.
  • Glaucoma.
  • Genetic predisposition to the formation of keloid scars.
  • Pregnancy, lactation period.
  • Diseases of the thyroid gland.

Before starting the procedure, the doctor must inquire about the presence of any contraindications.

90,000 Treatment of toenails in Moscow

Nails are a derivative of our skin, therefore any violations that worsen its condition will inevitably affect the health of the nails.

When is it necessary to treat nails on the feet and hands

A visit to a doctor is indicated for anyone who has any problems associated with changes in the nail plates.At the same time, not only the aesthetic component plays an important role in the need for treatment. Visual changes in nails can be a symptom of serious pathologies. For example, fungal infections can serve as a constant source of infection, from which it will spread to other areas of the skin and even to the internal environment of the body. Among other things, for certain diseases of the nail plates, it is impossible to carry out any cosmetic procedures, since this is a direct contraindication.

How is the treatment of nails in the clinic “CM-Cosmetology”

Methods, preparations and instrumental influences designed to restore health to the nail plates will directly depend on the type of problem. So, for example, if a parasitic fungus is affected, highly effective fungicidal preparations will be prescribed. In addition, our specialists carry out procedures such as:

  • medical pedicure (including right at your home), especially relevant for patients with diabetes;
  • correction of deformed nail plates;
  • prosthetics and their restoration using individual orthoses;
  • Treatment of ingrown nails, etc.d.

An important advantage of our services is the high qualifications of SM-Cosmetology specialists. These are professional dermatologists, podologists and cosmetologists who know all modern methods of eliminating problems with the nail plates.

If you want to get more information about nail treatment in Moscow and make an appointment for a consultation with the specialists of “CM-Cosmetology”, call us by phone: +7 (499) 705-55-65

Individual consultation

The capabilities of “CM-Cosmetology” allow you to pay attention not only to aesthetics, but also to the treatment and improvement of nails.A mycologist will help to establish the cause of toenail and toenail fungus, as well as any discomfort (burning, itching, redness, brittleness, discoloration or deformation of the nail plate).

The program of nail treatment in our clinic provides for a full diagnostic examination, according to the results of which the doctor will prescribe the appropriate therapy.