Yes.
My regime (*not* evidence based) is twice weekly amorolfine nail lacquer,
with regular filing down of the dorsal aspect of the nail to increase
penetration of the drug, together with *daily* terbinafine cream all the way
around the nail margin, especially over the nail bed.
My logic for this is that you often can see that the new nail growing is
infected, so the actual nail bed must be infected. I hate using the highly
hepatotoxic systemic drugs available, so rationalised this as a means of
treatment. I have had some limited success (better than amorolfine alone,
and no worse than systemic alone).
It would be nice to do a drug trial on this, but too few numbers, and
monitoring is over many years, with drugs that have been available for many
years (minimal revenue for drug companies) so it will never happen.
Laurie Miles
GP, St Helens
-----Original Message-----
From: GP-UK [mailto:[log in to unmask]] On Behalf Of dr brian crowley
Sent: 21 January 2005 03:25 pm
To: [log in to unmask]
Subject: Re: [GP-UK] Candidal Paronychia
Does _anyone_, _ever_ use topical treatment for onychomycosis with any
success?
Brian
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