How to choose an antifungal nail polish

Nail fungus (onychomycosis) is diagnosed on average in 10-15% of the world's population, and in people over 60 years of age, the incidence reaches 30-50%. Men suffer 1. 3 times more often than women, which is probably due to an insufficiently responsible attitude to the problem. It is difficult to get rid of onychomycosis, but it is possible, and the main task of the doctor and the patient is to choose the right remedy for nail fungus. We talk about what drugs are and how they work.

Is therapy necessary for fungi?

Many people, especially older men, neglect the treatment of the fungus, believing that this problem is only cosmetic and, apart from a cosmetic defect, does not entail any consequences. This is a pretty dangerous misconception. We explain why.

First, the fungus is extremely contagious. If you are not careful with the treatment, the infection spreads quickly. The causative agents of onychomycosis are easily transmitted through household items, and the patient runs the risk of infecting the whole family.

Secondly (and most importantly), the problem of nail fungus is by no means purely cosmetic. A neglected disease significantly reduces the quality of life: pains appear, difficulties arise with the choice of shoes and all sorts of household inconveniences. The nail plate, affected by the fungus, can crumble over time. But that's still half the problem. Without timely and proper treatment, onychomycosis harms the whole body. The risk of allergies increases (due to the development of hypersensitivity to fungi and their metabolic products), infectious complications often join (for example, erysipelas). Against the background of onychomycosis, all skin diseases are more serious. Not to mention that chronic infection weakens the immune system.

The answer is therefore unequivocal: nail fungus must be treated, and as soon as possible. The further the process progresses, the more difficult it is to get rid of the disease. Therefore, therapy should ideally be started at the first sign of injury. Another problem is how to treat. The variety of drugs is so great that it is easy to get lost. But you need to know how they work in order to understand which remedy helps to get rid of nail fungus. We will talk about it.

Choosing a remedy for nail fungus

On the net you can find many recommendations for dealing with fungus. Traditional medicine advises getting rid of it with the help of soda, ammonia, propolis, kerosene, celandine juice, essential oils. There are recipes for nail fungus remedies with vinegar, iodine, hydrogen peroxide. By resorting to such seemingly harmless home methods, the patient only exacerbates the problem. Not a single traditional medicine destroys the pathogens of onychomycosis, and the lesion progresses, covering an increasing area of the nail plate. Ultimately, the patient ends up in the dermatologist's office with an advanced fungus that is very difficult to treat.

So tip number one - no self-treatment! If signs of the disease are detected, it is necessary to contact a dermatologist who will prescribe an effective drug against nail fungus. Self-medication is unacceptable, if only because onychomycosis is caused by different types of pathogens, and in each case it is important to choose the right active ingredient. And in order not to doubt the recommendations of a specialist, it is worth knowing how they work and how the drugs used to treat this disease differ from each other.

Means for the treatment of nail fungus can be classified according to the form of release and the active ingredient. Among other selection criteria, price category and ease of use count.

Release form

External preparations against nail fungus are produced in the form of varnish, spray, cream (ointment) and solution.

in what forms are drugs against the fungus produced

Antifungalvarnish, as a rule, women prefer, because with the help of such products it is possible to combine treatment with cosmetic care. Before processing, it is necessary to grind the surface of the nail plate with a file. After applying medical varnish, you can use decorative. This is the main advantage of this galenic form.

However, varnishes are not universal. First, they are only effective with a small area of damage. If the fungus has spread to more than a third of the nail plate, the remedy will not help. Secondly, the drug in the form of varnish can only cope with superficial mycosis. This is because it cannot penetrate the lower layers of the nail. With a deep lesion, when the nail plate is thickened, the antifungal agent in the form of nail polish will not work - a stronger drug is needed.

cream and spray- similar forms: both are oil-based. They are ideal for the treatment of skin fungus, which, by the way, often accompanies nail fungus. The tool easily penetrates the lower layers of the epidermis, destroying the pathogen. But the nail has a denser structure, and the oil-based preparation does not reach all infection sites. Cream or spray is best used as an auxiliary element in the treatment of onychomycosis - with concomitant fungal infections of the skin of the feet.

The solution- the optimal form of antifungal agent for nails. The water-alcohol drug penetrates deep into the nail plate, filling the voids and channels through which the pathogen spreads. Therefore, the fungicidal and fungistatic effect of the liquid remedy for nail fungus is stronger than in other forms.

Active substance

Preparations against fungi are mainly substances of synthetic (rarely natural) origin, of diverse chemical structure. Depending on this, the spectrum of their activity differs, that is, action against certain pathogens. Since onychomycosis can be caused by different types of pathogenic fungi, the correct choice of the active substance is very important.

fungal pathogens

To note

To reliably establish the type of pathogen, it is necessary to conduct a microbiological study of a tissue fragment. But usually you can determine the type of fungus based on the external characteristics of the affected nail. The most common causative agent of onychomycosis is Trichophyton Rubrum. Less commonly, the disease is caused by other types of dermatophytes, yeast-like fungi, and molds.

In terms of chemical structure, there are several groups of antifungal drugs:

Polyene. These include substances such as nystatin, levorin, amphotericin. When taken orally, they are active against many types of fungi, but topical application of these agents is only effective for candidiasis. Therefore, polyenes are usually not prescribed for the treatment of onychomycosis.

Azoles. For external use, drugs based on the substances clotrimazole, econazole, miconazole, oxiconazole, isoconazole, bifonazole are used. Their action is mainly fungistatic - in other words, these drugs stop the development of the fungus. The fungicidal effect (destruction of the pathogen) is possible when high concentrations of the substance in the tissues are reached. Azoles are active against Candida yeast-like fungi and dermatomycetes, which cause skin lesions. With onychomycosis, these drugs are not very effective.

Allylamines. This is the main group of antifungal agents prescribed for the treatment of fungal infections of the skin and nails. For topical use, terbinafine and naftifine products are suitable. The first is also prescribed orally at an advanced stage of the disease. Naftifine is an effective treatment for onychomycosis. It exhibits fungicidal activity against dermatophytes (including Trichophyton Rubrum), yeasts and molds - in a nutshell, the main possible causative agents of fungal nail infections. In addition, naftifine acts on many bacteria.

Of other substances not included in these groups, amorolfine and ciclopirox are used to treat onychomycosis. Both drugs are applied topically, mainly as part of antifungal varnishes.

Ease of use

Getting rid of the fungus is a long process. For several months, nail treatment will become a daily procedure, otherwise a positive result will not be obtained. Considering the duration of treatment, it is important to choose a convenient tool to use. In the case of varnish, it should be borne in mind that the surface of the nail must be ground before each use. Therefore, it is good that there are disposable files in the kit. In the case of a solution, it is better to choose a product packaged in a sealed bottle with a dropper cap. The elongated nose of the dropper is more convenient for spot application of solution where it can penetrate deep into the nail plate. This form is optimal in dosage: it is easy to measure and apply the required amount of medicine, which makes consumption more economical.

Packing and course fees

Treatment of the fungus should be continued until the full growth of a healthy nail plate. With onychomycosis of the hands, this process takes about four months. Nails grow slower on toenails and can take up to a year to heal. So the purchase of an antifungal agent is not a one-time expense, but a regular expense, and of course I want to reduce it as much as possible. However, the desire to save should not prevail: the main selection criterion is efficiency. A reasonable decision is to focus on the active substance. Sometimes it makes it possible to choose an analogue of a widely advertised drug that is equally effective, but more cost-effective in price.

Onychomycosis not only reduces the quality of life, but also threatens with serious complications. Therefore, when the first signs of infection are detected, it is necessary to consult a doctor as soon as possible and start treatment.remedies for toenail and hand nail fungus with clinically proven efficacy.

Solution for nail fungus

To combat nail fungus, you can use the drug in the form of a solution. The active ingredient of the drug is naftifine, a substance from the group of allylamines, which is active against most types of pathogenic fungi. It destroys dermatophytes (Trichophyton, Epidermophyton, Microsporum), Candida yeast fungi, Aspergilla molds and other types of fungal nail and skin pathogens. The drug in the form of a solution penetrates into the thickness of the nail plate, moves along the path of the spread of the fungus and creates stable concentrations of the drug in the area of accumulation of infection.

The action of the drug is fungicidal, that is, it not only stops the development of the fungus, but destroys it.

In addition, naftifine has antibacterial activity. Fungal diseases of the nails and skin are often complicated by bacterial infections, and the use of the drug can solve both problems at the same time.

An additional effect of naftifine is anti-inflammatory. It helps reduce the redness, swelling, and itching that often accompanies a fungal infection.

Indications for the use of the solution include fungal infections not only of the nail plate, but also of smooth skin, skin folds and interdigital lesions, as well as candidiasis, pityriasis versicolor, inflammatory dermatomycosis. The same range of indications for other products in the line - cream and spray.