
Toenail fungus, or onychomycosis, is an unsightly and often painful condition that can worsen over time. While it is possible to treat nail fungus at home, it is essential to monitor the infection and seek medical advice if it persists or worsens. Topical treatments, such as antifungal creams, mentholated salves, and natural remedies like tea tree oil, are often the first line of defense. However, in severe cases, oral antifungal medications or even surgical nail removal may be necessary. Preventing nail fungus from occurring in the first place is ideal, but early treatment and proper wound care are crucial to promote healing and prevent recurrence.
| Characteristics | Values |
|---|---|
| Surgical nail removal | Done in the doctor's office with an injection to prevent pain. The doctor will loosen the skin around the nail and separate it from the skin. |
| Healing time | The wound should heal in a few weeks, but fingernails may take 6 months to grow back, and toenails may take 12-18 months. |
| Laser treatment | High doses of light to destroy stubborn fungus. This treatment is new and costly, and insurance usually doesn't cover it. |
| Non-surgical treatments | Antifungal creams, lotions, mentholated salve, snakeroot extract, and tea tree oil. |
| Topical medicines | Antifungal skin cream or solution, nail lacquer, and urea lotion. |
| Oral medicines | Antifungal pills like itraconazole (Sporanox) and terbinafine (Lamisil) for severe infections. |
| Natural remedies | Soaking feet in Listerine or Vicks VapoRub, using tea tree oil or ozonated sunflower oil. |
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What You'll Learn
- Natural remedies: Try Vicks VapoRub, Listerine, or tea tree oil
- Over-the-counter treatments: Look for antifungal creams, mentholated salve, or snakeroot extract
- Topical medicines: Doctors can prescribe stronger antifungal creams or solutions
- Oral medicines: Antifungal pills can help severe infections
- Surgery: Doctors can remove the nail or destroy the nail matrix to prevent regrowth

Natural remedies: Try Vicks VapoRub, Listerine, or tea tree oil
Toenail fungus, or onychomycosis, is a common fungal infection of the toenail. It is characterised by white, brown, or yellow discolouration of one or more toenails, which may spread and cause the nails to thicken or crack. While there are many treatments available, some prefer to opt for natural remedies.
Vicks VapoRub is a popular natural treatment for toenail fungus. It is a topical ointment containing thymol, menthol, camphor, and eucalyptus oil, which have antifungal and antimicrobial properties. A small 2011 study found that 83% of participants showed a positive treatment effect, with a quarter of users being cured after 48 weeks. To use Vicks VapoRub for toenail fungus, apply a small amount to the affected area with a cotton swab, working it under the nail. You can then put on a sock to keep the product in place. Repeat this process at least once a day, three to four times a week, although daily use is also safe.
Listerine mouthwash is another natural remedy for toenail fungus due to its antifungal and antibacterial properties. It contains menthol, thymol, and eucalyptus, which may help fight fungal infections. To use Listerine for toenail fungus, fill a basin with enough mouthwash to submerge your foot and nails. Soak your foot for 15 minutes, two to three times a week, for several months. You can also add two parts of warm water or equal portions of white vinegar to the basin, which may help get rid of the fungus.
Tea tree oil is a natural essential oil with antifungal and antiseptic properties, which may be effective against toenail fungus. To use tea tree oil, apply up to three drops of undiluted tea tree oil directly to the fungus with a cotton swab. Alternatively, you can dilute the tea tree oil with a carrier oil, such as coconut oil, and apply it with a cotton swab or cotton ball. You can also add five drops of tea tree oil to a half-ounce of carrier oil and stir the mixture into a bucket of warm water to create a foot soak. Soak your feet for 20 minutes, a few times a week. Keep your nails trimmed and clean during the healing process, which may take several weeks or months.
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Over-the-counter treatments: Look for antifungal creams, mentholated salve, or snakeroot extract
Onychomycosis, or nail fungus, is a common condition that can affect toenails and fingernails. It can cause unsightly and uncomfortable symptoms, such as nail discolouration, thickening, and cracking. While there are prescription medications available, you may want to start by trying over-the-counter treatments.
Antifungal creams containing ingredients like clotrimazole or miconazole can be effective in treating nail fungus. These creams can be found at your local drugstore and may also be available over the counter. Look for products specifically formulated for nail fungus, as they often have better penetration. Additionally, mentholated salve, which contains menthol, camphor, and eucalyptus oil, can be used to help manage the infection. This salve can be found in most drugstores and may already be in your home in the form of Vicks VapoRub. While research on its effectiveness is limited, menthol's analgesic properties can temporarily relieve pain associated with nail fungus.
For a more natural approach, consider snakeroot extract, an antifungal made from plants in the sunflower family. In one study, snakeroot extract was applied to the affected area every third day for the first month, twice a week during the second month, and once a week in the third month. Tea tree oil, an essential oil with antifungal and antiseptic properties, can also be painted directly onto the affected nail twice daily using a cotton swab.
It is important to note that while these over-the-counter treatments can help manage mild cases of nail fungus, they may not eliminate the infection entirely. If these treatments do not work, consult your doctor about prescription topical or oral antifungal medications.
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Topical medicines: Doctors can prescribe stronger antifungal creams or solutions
Topical medicines are a common treatment for nail fungus. Doctors can prescribe stronger antifungal creams or solutions than those available over the counter. One such medication is ciclopirox, which is used to treat fungal infections of the fingernails and toenails. It works by stopping the growth of nail fungus. Ciclopirox is applied to the nails and the skin surrounding and under the nails. It is important to follow the directions on the prescription label and to use ciclopirox exactly as directed by your doctor. It is usually applied once a day, at the same time every day, and it is important to keep the nails clean and dry during treatment.
Another topical medication is efinaconazole (JUBLIA®), which is an FDA-approved prescription topical solution for toenail fungus. It is important to tell your doctor about all medications you are taking and any other nail infections you may have. JUBLIA® may cause irritation at the treated site, and it is flammable, so it is important to avoid heat and flames while applying it. Common side effects include ingrown toenails, redness, itching, swelling, burning, stinging, blisters, and pain.
Topical medications are often used in conjunction with regular nail trimming to treat nail fungus. It is important to trim your nails properly before beginning treatment and to use different nail care tools for infected and healthy nails. Additionally, if your toenails are affected, it is recommended to wear well-fitting, low-heeled shoes and to avoid going barefoot in public areas.
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Oral medicines: Antifungal pills can help severe infections
Oral medications are often necessary when several nails are infected by fungus, or if the infection has spread across a large portion of the nail. If the infection has started at the base of the nail, tablets are usually the only treatment option. Oral medication is also the best course of action for severe nail fungus infections.
Tablets are often used in combination with nail polish or cream. For example, if the nail is very thick, urea cream can be used to gradually remove the affected nail. This can be done by filing the nail down or softening it with the cream and then scraping it off. The bifonazole cream is then used to treat the skin beneath the nail for four weeks.
Tablets are much more effective than topical treatments, but they also have more side effects. Oral medications generally work faster than topical treatments and have higher cure rates. However, it can take 9 to 12 months to see full results, and the pills often need to be taken for several weeks or months. Common side effects include headaches, skin rashes, vomiting, stomach upset, and respiratory infections.
If you are experiencing nail fungus, it is important to seek medical advice before starting any treatment. An experienced doctor will be able to advise you on the best course of action, which may include oral medication.
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Surgery: Doctors can remove the nail or destroy the nail matrix to prevent regrowth
Surgical nail removal is usually performed when a large portion of the nail is diseased and damaged or if the nails are very painful. The procedure can be done in the doctor's office. The doctor will first inject your finger or toe to prevent pain. They will then use a tool to loosen the skin around the nail and separate it from the skin. If only part of the nail is infected, only the diseased part is removed.
If you want to avoid future infections by preventing the nail from growing back, your doctor can destroy the nail matrix. This is done by applying a chemical to the cuticle area after the nail plate is removed. An ointment is then applied to the wound, which is covered with gauze and tape. It is important to follow the doctor's instructions on wound care. If no specific instructions are given, it is generally advised to wash the wound with clean water twice a day, avoiding hydrogen peroxide or alcohol, which can slow healing. You may also cover the wound with a thin layer of petroleum jelly and a non-stick bandage, reapplying and replacing as needed.
The wound should heal within a few weeks, but the speed of nail regrowth varies. Fingernails may take 6 months to grow back, while toenails may take 12 to 18 months. When the nail grows back, it may be odd in shape and appearance.
It is important to note that nail fungus can recur even after successful treatment. If you notice any signs of nail fungus, it is recommended to make an appointment with a dermatologist, who has experience treating such cases.
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Frequently asked questions
Some home remedies to treat nail fungus include:
- Soaking your feet in Listerine mouthwash
- Applying mentholated salve or Vicks VapoRub to the affected area
- Using over-the-counter antifungal creams and lotions
- Applying natural antifungals like snakeroot extract or tea tree oil
- Soaking your feet in a mixture of vinegar and water
You should see a doctor about your nail fungus if:
- Your nail has turned brown or black
- Your nail hurts or has pulled away from the nail bed
- You have diabetes and notice any changes in the appearance of your toenails
- Home remedies have not cleared up the infection
If home remedies are unsuccessful, your doctor may recommend the following medical treatments:
- Prescribing stronger topical antifungal medications or nail lacquers
- Gently scraping under your nail to remove the fungus
- Taking oral antifungal medications for severe infections
- Laser treatment using high doses of light to destroy the fungus
- Surgical nail removal, either through chemicals or in-office surgery











































