Unlocking the Power of ChatGPT and AI in Testing - A Real-World Look, present...
Onychomycosis
1. Onychomycosis
Goal #1: Eliminate the fungal infection
1. Topical treatment:
OTC creams: 15% success rate
Formula 3: 30% success rate (with money back guarantee)
2. Oral treatment: Lamisil (Terbinafine): 80% success rate
3 month treatment course
Requires blood work before treatment is begun
Liver damage is only seen in patients with prior liver disease, lupus
erythematosus, or people who drink large quantities of alcohol
“In two multicenter trials of terbinafine 496 patients aged 18 to 75 years
used the drug for a 3 month treatment period for toenail infection and a
6-month mycological cure rate was 80% for toenail infection…There
was a 0.5% of asymptomatic changes in liver enzymes that cleared after
cessation of therapy” Double blind, randomised study of continuous terbinafine compared with intermittent
itraconazole in treatment of toenail onychomycosis BMJ 1999; 318
3. Oral + Topical Treatment: 85% success rate
4. Laser treatment: 90% success rate
Goal #2: Prevent recurrence
1. Treat the skin fungus: prevent spread of the fungus from the skin to the nail
Sweaty feet: Loprox gel 0.77%
Dry feet: Ketoconazole cream 2%
2. Keep nails short to decrease bulk of the fungus
3. Treat the shoes: avoid transmission of fungus from the shoes to the nail
Lysol spray once a week
4. Keep feet dry
Apply antiperspirant spray on feet daily for 2 weeks then once a week