Dermatophyte Infection - Nail
Dermatophyte infection - nail
Take nail clippings: start therapy only if infection is confirmed by laboratory.
Oral terbinafine is more effective than oral azole.
Liver reactions rare with oral antifungals.
If candida or non-dermatophyte infection confirmed, use oral itraconazole.
For children, seek specialist advice.
First line: terbinafine
fingers: 6-12 weeks
toes: 3-6 months
Second line: itraconazole
fingers: 7 days monthly
toes: 2 courses
Third line for very superficial as limited evidence of effectiveness: amorolfine 5% nail lacquer
fingers: 6 months
toes: 12 months