Nail fungus is a severe cutaneous pathology that is caused by microscopic unicellular fungi and is called onychomycosis. Infection with dermatophytes, molds and representatives of yeast-like fungi usually occurs when visiting public baths and swimming pools, as well as during physical contact with the carrier of infection.
Lesions can affect the nail plates and peri-oral grooves of the upper or lower extremities or have a combined form. The affected nail changes its color, becomes yellow, gray or brown. The skin around it is peeling, covered with dark spots. In severe forms under the nail plate can form a dense plaque - this clinical picture is typical for Candida infection.
The dermatologist deals with the treatment of any skin diseases, including fungal infections. With onychomycosis 1-2 degrees at the initial stage, you can get rid of unpleasant symptoms with the help of traditional medicine recipes. In severe and neglected cases, nail fungus on the legs can only be treated with medical preparations of local or systemic action based on steroid hormones or broad-spectrum antibiotics. It is not recommended to use any medication without prescribing the doctor, since it is important to first determine the type of fungus and its resistance to certain chemicals.
Content of the material
- 1 Medication: which tool should I choose?
- 1.1 Solutions for processing lacquers
- 1.2 Terbinafine in the complex therapy of fungal infections
- 1.3 Treatment of onychomycosis "Fluconazole"
- 2 Topical medications
- 3 Systemic action medications
- 4 Can a fungus be cured with folk recipes?
- 4.1 Disinfectant and antiseptic foot bath
- 4.2 Decoction of plants
- 4.3 Oils( ethers) from plant extracts
- 4.4 Iodine treatment
- 5 Nail fungus on legs: which is better?
- 5.1 Video - How to get rid of nail fungus on the legs
Medication: which tool to choose?
The choice of a specific preparation for getting rid of the fungus should be performed by the attending physician after serological examination of the blood for antibodies to certain types of fungal organisms and smear microscopy.
In most cases, the patient is prescribed a combined treatment regimen, which may include:
- antifungal ointments, lacquers and gels;
- antimycotic preparations of systemic action with fungicidal and fungistatic action;
- immunomodulators for activation of immunity( including local protective functions);
- vitamin and mineral supplements.
Vitamin-mineral complexes are prescribed for the prevention of deficiency of the most important vitamins and minerals, increasing the resistance of the organism to various types of infections. To ensure that the new nail on the site of the affected nail plate grows strong and healthy, the patient should receive a sufficient amount of vitamins E, A, ascorbic acid, as well as phosphorus, calcium, mani, zinc, chromium and selenium.
Below is a brief description of the most effective drugs for removing fungus on the nails of the feet, as well as recommendations for dosage and method of use.
Solutions for processing lacquers
"Loceril" is a specialized preparation that is used for the treatment of fungal nail lesions on the hands and feet. The drug is available in the form of lacquer, which contains amorolfin - a substance with a fungicidal effect, destroying the envelope of fungi and preventing their reproduction. The drug is considered one of the leaders among antimycotic drugs of local action, but it has a significant drawback: it must be used continuously for at least 9-12 months, until a healthy plate of the nail grows.
Complete with varnish also go:
- tampons for cleaning nails, impregnated with alcohol solution( concentration 70%);
- disposable nail fileting tools;
- disposable spatula for applying the drug.
Apply the drug 1-2 times per 7-10 days, pre-disinfected nails and treated them with a file that comes complete."Loceril" is active against most yeast-like, mold fungi and dermatophytes and can be used to treat one of the most severe forms of onychomycosis - candidiasis of nails.
Important!"Loceril" has no contraindications and is well tolerated, but it is not recommended to use it for the treatment of preschool children. During the treatment, the use of decorative nail polishes and the procedure for building up are prohibited.
Analog "Lotserila" - nail polish "Onyelp".
Terbinafine in the complex therapy of fungal infections
"Fungoterbine" is a drug for the treatment of various forms of mycosis, epidermophytosis and colorful lichen. Available in the form of a cream and spray for external treatment and tablets for oral administration."Fungoterbine" contains terbinafine( in cream - in the form of hydrochloride).External forms of the preparation also contain urea, a derivative of carbonic acid.
The dosage and method of administration of the drug is as follows:
- tablets - 250 mg once a day after meals for 6-12 weeks;
- spray - 1-2 times a day for 7-10 days;
- cream - 1-2 times a day for 1 week.
Please note! Due to insufficient knowledge of the effect of the active component of the drug on children's body, the use of Fungoterbine and its analogues is not recommended for children under 12 years of age.
Another terbinafine topical preparation is cream and Lamisil spray .The preparation is also available in the form of tablets, so it can be used as part of combined antifungal therapy regimens. Tablets "Lamisil" should be taken 1 time per day for 1 tablet. Spray and cream are used 1-2 times a day for pre-cleaned and disinfected skin of the feet and nails. The duration of therapy is determined individually, taking into account the dynamics of recovery, side effects, the age of the patient and his individual characteristics. The average duration of treatment for onychomycosis of the feet is 8-12 weeks.
The drug is contraindicated in children under two years of age. At an older age, Lamizil can be treated if the child's body weight exceeds 12 kg. Pregnant women are prescribed only if there are emergency indications with a possible correction of the dosing regimen and the use regimen. During lactation from oral administration, "Lamizila" should be discarded.
Important! In case of serious violations in the work of the kidneys and liver, only local forms of the drug are allowed.
Treatment of onychomycosis with "Fluconazole"
Fluconazole for onychomycosis of the feet is usually administered in capsules. The drug is convenient because it should be taken once a week at a dosage of 150 mg. Duration of treatment can be from six months to 12 months. The drug can be used in childhood, starting with 4 years, with the dosing regimen should appoint a children's dermatologist or pediatrician.
Important!"Fluconazole" refers to drugs with an increased degree of toxicity, so against the background of admission, the patient may experience various side effects of listed in the table below.
Organs or organ system | Possible side effects |
---|---|
Nervous system | Hyperactivity, increased excitability, headache, frequent change of emotional state, convulsive syndrome, tremor of extremities. |
Heart and vessels | Atrial fibrillation( ventricular fibrillation). |
Hematopoiesis system | Agranulocytosis, leukopenia, formation of blood clots( thrombi). |
Gastrointestinal organs | Intestinal colic, heartburn, nausea, lack of appetite, pain in the abdominal space and epigastrium. |
The decision to continue treatment in the event of any side effects on the background of treatment should be taken by a doctor taking into account the severity of secondary pathologies and the patient's condition.
should take a decision to continue treatment. Medicinal preparations of local action
Preparations in the form of creams, gels, balms, ointments and varnishes are easy to use and have a complex effect. Undoubted advantage of such means is a low absorption of toxic components, which, if ingested into the systemic blood stream, can cause severe reactions and negatively affect the liver and kidneys. This property allows the use of topical drugs for vulnerable categories of patients, which include elderly people, patients with severe disorders in the functioning of the kidney and liver systems, children, pregnant and lactating women.
The most effective drugs for onychomycosis are presented in the table.
Medication name | Form | How many times a day do I use? | Duration of treatment |
---|---|---|---|
Spray | 2 times | 14 days | |
Nail polish | 1-2 times a week | 6-12 weeks | |
Cream | 2 times | 2 months | |
Ointment, drops | 2 times | 1-4 months | |
Serum | 2 times | 8 weeks | |
Ointment( in a set of scraper and plaster) | 2 times a week | 12-14 weeks |
Important!!Means for external treatment give a good therapeutic effect only at an early stage of the disease or with mild forms of onychomycosis. In advanced and severe cases, therapy should be supplemented with systemic antibiotics and antifungal drugs in the form of tablets or capsules.
Means of systemic action
Almost all tablets for internal reception cause toxic damage of a liver, therefore to accept them it is necessary on purpose of the doctor, observing the recommended dosage. Most often for the treatment of fungus caused by dermatophytes, molds and yeast-like fungi , the following drugs are used:
- "Itraconazole";
- "Ketoconazole";
- "Clotrimazole";
- "Nizoral";
- "Miconazole".
All of them have the same efficacy, but the list of contraindications and side effects in each of them may vary, so it is important to consult a physician before starting treatment.
Can a fungus be cured with folk recipes?
At the initial stage of onychomycosis, a good effect is produced by prescriptions of alternative medicine that are suitable for patients of any age and practically do not cause negative reactions and complications. With severe forms of nail fungus on legs, treatment with folk remedies can be used to increase the effectiveness of therapy.
Disinfectant and antiseptic foot baths
The most popular means for the destruction of fungal infection on the legs is soda baths with the addition of iodine. To prepare a medical bath, you need to dissolve 4 tablespoons of sodium carbonate in 5 liters of hot water and add 10 drops of iodine( alcohol solution).The water temperature should be at least 42 °.Keep feet in such a bath you need about 15-20 minutes, and after the procedure to lubricate the feet and nail plates with any antifungal cream. Repeat the baths every day in the evening for 1 month.
The soda solution can be replaced with a salt bath. At 5-7 liters of water, 200 g of sea salt are taken. You can use the product with natural anti-inflammatory and antiseptic additives: extracts of chamomile, calendula, St. John's wort, thyme. The coniferous extract copes well with the fungus of nails, but it must be natural, without the addition of flavors and colorants. In the salt bath you can add a little fir or eucalyptus oil, as well as oils of bergamot and grapefruit( 2-4 drops).Duration of the procedure is 12 minutes. Do salt baths best 2 times a day for 10-14 days.
Tip! The effectiveness of treatment will be higher if you use salt with mineral supplements: iodine, bromine, magnesium and calcium.
Decoctions of plants
For the treatment of feet in fungal diseases, decoction of medicinal plants with antibacterial, anti-inflammatory, antiseptic and wound-healing properties can be used. Such herbs and plants include:
- linden;
- Oak bark;
- sage;
- burdock;
- nettle;
- Calendula.
These plants also contain a large number of vitamins, amino acids and mineral components that contribute to the rapid growth of a healthy nail with a strong nail plate and ensure the renewal of the surface layer of peri-nasal droplets.
To prepare a decoction, you need to pour 100 g of raw material( or mixture of ingredients) with a liter of boiling water and cook over low heat for 12-15 minutes. Ready broth strain and cool to a comfortable temperature, then pour the product into any deep container and lower the legs into it for 15 minutes. You need to make such mini-baths every day until full recovery.
Oils( ethers) from plant extracts
Essential oils of eucalyptus, bergamot, tea tree and fir help to achieve a pronounced result in the treatment of fungal nail lesions, if used regularly. They have bactericidal, antifungal and anti-inflammatory action and restore the structure of the destroyed nail, accelerating the growth of a healthy nail plate.
Use them as follows:
- wash your feet with warm water and soap;
- to treat sick nails with any antiseptic( you can use "Furacilin" or "Chlorhexidine");
- soak cotton ball with oil;
- oil to wipe the nails and skin around them, paying special attention to the affected areas.
The procedure should be repeated 3-4 times a day. Duration of treatment - 4 weeks.
Important! Natural essential oils can cause an allergic reaction, which is manifested by tingling, burning, itching, and rash. If any of these symptoms occur, it is better to refuse this method of therapy.
iodine treatment
Iodine alcohol solution is a cheap and effective remedy for treating skin infections, including fungal nail infections. To use it simply: on a sick fingernail it is necessary to drip a drop of iodine and gently rub it into the nail plate and peri-oral roller with a cotton swab. Treat affected areas 3 times a day before the end of treatment. Before applying iodine, the skin of the feet should be thoroughly washed with soap and dried.
Nail fungus on legs: what is better?
This question can not be answered unambiguously. Traditional medicine is safer, as the medicine recipes are based on the use of natural ingredients that do not penetrate the blood and do not have a negative effect on internal organs and their work. Despite this, it is impossible to refuse medical treatment - this can lead to the progression of the disease and the infection of healthy tissues.