The following are some key points in treatment.
- Do something every day to help and change the environment the fungus lives in.
- Develop daily, weekly, and monthly routines as the battle can take 1 or 2 years.
- Understand that if the root cells under the cuticle are damaged, the nail will never look right.
- Monthly disinfect your shower stall.
- Weekly put foot powder in the ends of the shoes you wear on a regular basis, removing all inserts from these shoes and let these air out over night.
- Weekly use a pumice stone or emery board, and file the tops of the nails to open up to air. Fungus lives in anaerobic environments. If your nails are real thick, you must keep them as thin as possible. I will have a post in the next few days on Carmol 40 Urea Occlusion Technique which is designed to remove all bad nail in these very thick nail situations. You can talk to your doctor about this technique.
- Daily apply tea tree oil, Vick's Vapor Rub, white vinegar, or one of thousands topical anti-fungal creams/lotions. This should be done twice daily.
- 2 or 3 times weekly use 2 cups of white vinegar in 2 cups of warm water (bigger amounts of the same ratio if needed) and soak your toes in a basin for 30 minutes. If you time it before you shower, you can get the salad dressing smell off.
- I am presently recommending laser treatments (work 50% of the time and expensive) before any consideration of oral medications like Lamisil.
- If you and your doctor are considering oral medications, try Lamisil pulsed. You can read about it in other posts within my blog. It is taken 7 days per month for 6 months. This is less likely to cause side effects over taking daily. However, Lamisil is not benign and can cause serious side effects. Have a long conversation with your prescribing doctor before taking. Sporonox, which used to be my go to drug for this, has been black labelled due to side effects such as this.