treatment of dermatophyte onychomycosis
Last edited 08/2020
Consider treatments for:
- distal and localised nail disease
- more proximal or extensive onychomycosis
Treat only if infection confirmed by laboratory
- only use topical treatment if superficial infection of the top surface of nail plate For infections with dermatophytes use oral terbinafine or itraconazole
- for infections with candida or non-dermatophyte moulds use oral itraconazole
- idiosyncratic liver and other severe reactions occur very rarely with terbinafine and itraconazole
- for children seek expert advice
Treatments available (1,2)
- 5% amorolfine nail lacquer
- 1-2x/weekly
- fingers for 6 months
- toes for 12 months
- 1-2x/weekly
- terbinafine
- 250 mg OD
- fingers for 6-12 weeks
- toes for 3-6 months
- 250 mg OD
- itraconazole
- 200 mg BD
- fingers for 2 courses of 7 days/month
- toes for 3 courses of 7 days/month
- 200 mg BD
Reference: