
Toenail fungus is a common fungal infection that often starts as a white or yellow spot under the nail bed. While there are various treatments available, such as antifungal pills, creams, gels, and laser therapy, it can take weeks or even months to fully eliminate the fungus. In severe cases, nail removal may be recommended, but it is important to note that it can take a year or more for a new nail to grow back. To prevent the infection from returning or spreading to other nails, it is crucial to maintain good foot hygiene and keep your feet clean and dry.
| Characteristics | Values |
|---|---|
| Treatment Type | Medical treatments, Home remedies |
| Medical Treatment Options | Antifungal medications (oral tablets, topical creams, paints, gels, sprays, patches), Combination therapies, Laser therapy, Surgery |
| Home Remedies | Tea tree oil, Listerine Original Antiseptic Mouthwash, Vicks VapoRub, Kerasal nail lacquer, Nail scraping, Nail trimming, Nail debridement, Microdrilling |
| Medical Treatment Timeframe | 12 weeks of medication, 10 months or longer for fungus to disappear |
| Home Remedy Timeframe | 2-6 months for tea tree oil, 48 weeks for Vicks VapoRub, 3-6 months for Kerasal |
| Side Effects | Nausea, vomiting, headaches, liver problems, redness, itching, burning, oozing, ingrown nail, irritated skin |
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What You'll Learn

Antifungal medications
- Terbinafine (Lamisil) - This medication is typically taken daily for 6 to 12 weeks, depending on whether it is being used to treat a fingernail or toenail infection. Terbinafine is preferred if the nail fungus is caused by a skin fungus (dermatophyte). Liver function tests are required before and after taking this medication, as liver damage is a rare but possible side effect.
- Itraconazole (Sporanox) - This medication is also used to treat nail fungus and can be taken continuously or with breaks between treatments. It is generally used if the nail infection is caused by yeast or mold. Itraconazole can interact with other medications, including statins, and may cause side effects such as nausea, vomiting, and headaches.
Topical antifungal medications come in the form of creams, gels, sprays, patches, and nail polishes. They are available over the counter and do not require a prescription. While they may take longer to work, they are a good option for mild toenail fungus. Examples of topical antifungal medications include:
- Clotrimazole (Lotrimin) - This is a topical antifungal cream that can be applied directly to the affected area.
- Amorolfine or ciclopirox-containing nail polishes - These nail polishes are applied directly to the nail and can be used in combination with cosmetic nail polish. They have growth-inhibiting and antifungal properties, but it may take up to a year for the treatment to be fully effective.
- Bifonazole cream - This cream is used after applying a urea-based cream, which softens the nail, allowing the infected part to be scraped off. The bifonazole cream is then applied to the skin beneath for four weeks to treat the infection.
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Natural remedies
While medical treatments are the only known methods to effectively treat nail fungus, some home remedies may help clear up symptoms. However, there is no certainty that these natural remedies will work, and even if they do, they may take longer than medical treatments. Here are some natural remedies that may help relieve your symptoms:
Tea Tree Oil
Tea tree oil is distilled from the leaves of the tea tree, a plant native to Australia. It has been used traditionally as an antiseptic to kill germs and has been researched for use on skin conditions like acne. Tea tree oil is considered to have antimicrobial and antifungal properties. To use tea tree oil for nail fungus, apply it directly to the affected nail twice daily with a cotton swab. It is important to note that tea tree oil should not be applied undiluted to the skin. Be sure to dilute it in a carrier oil or purchase a tea tree oil cream and apply it to the infected area two to three times per day.
Oregano Oil
Oregano oil contains thymol, which has antifungal and antibacterial properties. To treat nail fungus, apply oregano oil to the affected nail twice daily with a cotton swab. It is important to note that oregano oil is potent and may cause irritation or allergic reactions.
Listerine Mouthwash
The gold-coloured Listerine Original Antiseptic Mouthwash is one of the best over-the-counter toenail fungus treatments. It contains thymol, a plant compound with antifungal properties. To use Listerine for nail fungus, fill a basin with the mouthwash so that you can submerge your entire foot and nails in the liquid. Soak your feet for 15 minutes, two to three times per week.
Vicks VapoRub
Vicks VapoRub contains thymol, menthol, camphor, and eucalyptus oil, all of which may help get rid of nail fungus. To use Vicks VapoRub for nail fungus, apply a small amount to the affected area at least once a day. You can use a cotton swab to apply it and try to work it under the nail a bit. Put on a sock to keep the product in place. Repeat this process at least three to four times per week.
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Nail scraping
While it is not considered 100% effective in clearing up a nail fungus infection, nail scraping is a method that involves gradually removing parts of the affected nail. This process typically takes place over the course of 2 to 3 weeks. It is important to note that nail scraping does not remove all of the fungus, and antifungal medication may still be necessary to completely eradicate the infection.
To perform nail scraping at home, individuals can purchase over-the-counter (OTC) kits that include a urea paste to soften the nail and a scraping device. It is important to note that nail scraping at home carries risks, and it is generally recommended to consult a medical professional before attempting this procedure.
As a complementary treatment, nail scraping can be combined with other approaches such as antifungal medications, mentholated salve, snakeroot extract, tea tree oil, or vinegar soaks. These additional treatments can help improve the effectiveness of nail scraping and reduce the likelihood of the infection returning.
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Laser therapy
There are several types of laser treatments available, including blue light lasers and carbon dioxide (CO2) lasers. CO2 lasers ablate the nail plate, disrupting the growth of the fungus. CO2 lasers have been found to achieve the best overall results, with a highly successful cure rate and good safety profile. Other types of lasers that can be used include yttrium-aluminum-garnet (YAG) lasers with wavelengths of 870 nm, 930 nm, or 1320 nm, and titanium (Ti):sapphire lasers with an 800-nm wavelength.
Laser treatment for toenail fungus is generally considered safe and has a low risk of side effects. However, some people may experience pain, burning, or bleeding in the area around the nail. It is also important to note that laser treatment may not be covered by health insurance. Most patients require multiple treatment sessions, and it may take three to 18 months of consistent treatment for laser therapy to be effective. Results are not visible until at least two months after treatment, and it can take at least a year for nails to fully regrow without blemishes.
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Surgical nail removal
Before the procedure begins, the doctor will numb the area around the nail to prevent pain. This is done by administering an injection in the finger or toe. Once the area is numb, the doctor will use a special tool to loosen the skin around the nail and separate it from the skin. If only a part of the nail is infected, only the diseased portion is removed.
If you want to prevent the nail from growing back, the doctor can destroy the nail matrix by applying a chemical to the cuticle area after removing the nail plate. An ointment is then applied to the wound, which is covered with gauze and tape.
After the procedure, it is important to keep the area clean to reduce the risk of infection. It may take at least a year for a new nail to grow back, and it may not look exactly as it did before the infection. The new nail may also be odd in shape and appearance. During this time, your doctor may prescribe antifungal medication to apply to your nail bed to prevent any remaining fungus from affecting the new nail.
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Frequently asked questions
There are several treatment options for nail fungus, including antifungal medications, combination therapies, laser therapy, and surgery. You can also try natural remedies such as tea tree oil, Listerine mouthwash, or Vicks VapoRub, but these may not be as effective as medical treatments.
Antifungal medications for nail fungus can come in the form of oral tablets, topical paints, or creams. Common antifungal pills include itraconazole (Sporanox) and terbinafine (Lamisil), while clotrimazole (Lotrimin) is a popular antifungal cream.
Laser therapy uses concentrated light to penetrate the nail and kill the fungus at its source without damaging the surrounding skin. It is one of the fastest ways to treat fungal nail infections, often providing noticeable improvement after just a few treatments.
Nail removal surgery is usually a last resort for severe cases of nail fungus that have not responded to other treatments. The procedure involves loosening the skin around the nail and removing it from the toe. A new nail will typically grow back within a year, but it may not look exactly the same as before.
There are some home remedies that may help remove nail fungus, such as nail scraping with an over-the-counter urea paste kit, or using natural products like tea tree oil, Listerine mouthwash, or Vicks VapoRub. However, these remedies may not be 100% effective, and it's important to consult a doctor before attempting any treatment.











































