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    Oral Antifungal Medicine for Fungal Nail Infections

    Oral Antifungal Medicine for Fungal Nail Infections



    Examples

    Allylamines

    Brand NameGeneric NameChemical Name
    Lamisil terbinafine

    Azoles

    Brand NameGeneric NameChemical Name
    Diflucan fluconazole
    Onmel, Sporanox itraconazole
    Nizoral ketoconazole

    Other oral antifungals

    Brand NameGeneric NameChemical Name
    Grifulvin V griseofulvin

    All of these medicines are by prescription only. Allylamines and azoles are classes of drugs. Their effectiveness and side effects may vary.

    Terbinafine tablets are taken once a day for 6 weeks for fungal fingernail infections, and for 12 weeks or longer for fungal toenail infections. Terbinafine tablets can be used according to a pulse dosing schedule. Pulse dosing refers to taking medicine daily for 1 week a month for 2, 3, or 4 months. Some people find it easier to stay with this medicine schedule, and the treatment is likely to be cheaper.

    Oral azoles (tablets or capsules) are taken daily for 3 to 18 months, depending on the medicine. Oral azoles can be used according to a weekly pulse dosing schedule. Pulse dosing refers to taking medicine daily for 1 week a month for 2, 3, or 4 months. Some people find it easier to stay with this medicine schedule, and the treatment is likely to be cheaper.

    Griseofulvin is taken twice a day until nails are clear of infection. For infections in the fingernails, griseofulvin may be taken for 6 to 8 months. For infections in toenails, griseofulvin may be taken for 12 to 18 months to cure an infection and to prevent reinfection.



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