Fungal nail infections, also known as onychomycosis, are a common problem. If you have one, you’ll notice that one or more of your nails is discolored, thick, and possibly crumbling.
One way to treat fungal nail infections is with ciclopirox nail lacquer. Ciclopirox is an antifungal medication that requires a prescription. You paint it right onto your nails to treat the infection.
If your doctor has prescribed ciclopirox nail lacquer, you probably want to make sure you’re using it correctly. Here’s a complete guide on how to use ciclopirox nail lacquer to get rid of that nail fungus for good.
What is ciclopirox nail lacquer?
Ciclopirox is an antifungal medication that stops fungus from growing. It comes in several forms, including creams, gels, lotions, shampoos, and solutions.
Ciclopirox nail lacquer is a special formulation of the medication that’s designed to treat fungal infections of the fingernails and toenails, also called onychomycosis. Toenail fungus is a common condition that can affect people of any age, but it’s more common in older adults.
Fungal infections of the nails may not cause discomfort at first. But as the infection progresses, the nails may:
- Thicken
- Crack or crumble
- Become discolored
- Separate from the nail bed
If you have a severe nail infection, you may feel pain when walking or standing.
Before you begin: Important considerations
Before you start using ciclopirox nail lacquer, keep these things in mind:
When to consult a doctor
It’s very important to talk to your doctor before using ciclopirox nail lacquer. You need to be sure you have a proper diagnosis of a fungal nail infection before you start using this medication.
Contraindications and precautions
Tell your doctor if you have any allergies, especially if you’re allergic to ciclopirox or other antifungal medications.
Also, it’s important to mention if you have any pre-existing medical conditions, such as diabetes or numbness in your fingers or toes.
Be sure to tell your doctor about all the medications you’re taking, including prescription drugs, over-the-counter medicines, and any herbal remedies.
If you’re pregnant or breastfeeding, talk to your doctor before using ciclopirox nail lacquer. You should only use it during pregnancy if it’s absolutely necessary. It’s not known if this medication passes into breast milk, so it’s essential to consult your doctor for advice.
What to expect during treatment
Keep in mind that treatment with ciclopirox nail lacquer can take several months, sometimes up to a year. It’s important to be patient and stick to the treatment plan your doctor gives you. Don’t get discouraged if you don’t see immediate results. Just keep following the instructions, and eventually, you should see improvement in your nail.
Ciclopirox nail lacquer: How to use
Here’s how to apply ciclopirox nail lacquer:
Preparing the nail
- Cleaning: Before you start, wash and dry the affected nails well.
- Trimming: Trim your nails regularly with clippers or a nail file, and remove any loose nail material. This is important because the medication needs to reach the nail bed to work effectively.
Application technique
- Apply the medication as directed by your healthcare provider, usually once a day at bedtime.
- Apply the lacquer to the entire affected nail and the skin around it (about 5mm, or 1/4 inch).
- Be sure the nail and the surrounding skin are completely dry before you apply the medication.
Drying and post-application care
- Give the medication time to dry completely before you put on socks or stockings.
- Don’t wash the treated area for at least 8 hours. It’s best to apply the medication at bedtime so it can work overnight.
- Avoid getting the medication on skin that is not affected by the fungal infection.
Removing the lacquer
- It’s important to remove the old lacquer buildup regularly and reapply the medication as directed by your doctor.
- Once a week, use ordinary nail polish remover to remove the buildup of lacquer.
Important reminders
- Don’t use nail polish or other nail products on the nails you’re treating with ciclopirox.
- Avoid swimming, bathing, or showering for at least 8 hours after you apply the medication.
Dosage and treatment duration
You’ll usually apply ciclopirox nail lacquer once per day, right before you go to bed.
It’s vital to adhere to the prescribed treatment duration, which can be up to a year, even if your symptoms improve. If you stop using the medication too early, the infection can come back.
So, even if your nails start to look better, keep using the medicine for as long as your doctor tells you to. You may not see the full results of the treatment for up to a year.
Potential Side Effects and What To Do
Like any medication, ciclopirox nail lacquer can cause side effects. It’s important to know what to look for and when to seek medical attention.
Common Side Effects
The most common side effects are usually mild and occur at the application site. These may include:
- Redness
- Burning sensation
- Itching
- Changes in the shape or color of the nail
These side effects often go away on their own as your body adjusts to the medication.
Serious Side Effects
Although rare, some people may experience more serious side effects. If you notice any of the following, seek immediate medical attention:
- Blistering at or near the application site
- Swelling
- Oozing or pus
- Signs of an allergic reaction, such as rash, itching, or swelling of the face, tongue, or throat
Allergic reactions are rare, but they can be serious and require immediate medical help.
When to Contact Your Doctor
It’s important to keep your doctor informed about your progress and any side effects you experience. Contact your doctor if:
- Your condition worsens
- Your condition does not improve after six months of treatment
- Side effects worsen or do not go away
Storage and Disposal
To store your ciclopirox nail lacquer safely and correctly, keep these tips in mind:
- Store at room temperature, away from heat and direct light. Don’t store it near an oven or other hot appliances.
- To dispose of this medicine, don’t flush it down the toilet or pour it down the drain. Contact your local waste disposal company to find out the best way to dispose of medicine in your area.
- Keep out of reach of children. As a general rule, always keep an updated list of all the medications you take, and share it with your doctors at your appointments.
Frequently Asked Questions
What is the number one cure for toenail fungus?
Unfortunately, there’s no single “number one cure” that works for everyone. Toenail fungus treatment varies in effectiveness depending on the severity of the infection and individual factors. Ciclopirox nail lacquer is one option, but oral antifungal medications and other topical treatments are also frequently used. Consulting with a doctor is the best way to determine the most appropriate course of treatment for your specific situation.
How long does it take for ciclopirox nail lacquer to dry?
Ciclopirox nail lacquer typically dries within about 30 seconds after application. It’s important to allow it to dry completely before putting on socks or shoes to ensure the medication adheres properly to the nail.
When is the best time to apply ciclopirox?
The ideal time to apply ciclopirox nail lacquer is typically at bedtime after you’ve showered or washed your feet. This allows the medication to remain on the nail undisturbed for an extended period, maximizing its effectiveness. Also, remember to file away any loose portions of the infected nail before application.
Does ciclopirox penetrate the toenail?
Yes, ciclopirox is designed to penetrate the toenail and reach the underlying fungal infection. However, nail penetration can be limited, which is why consistent and long-term use is usually required for successful treatment. Filing the nail regularly can also enhance penetration.
How can I make ciclopirox more effective?
To maximize the effectiveness of ciclopirox, diligently follow your doctor’s instructions, consistently apply the lacquer as directed, file down the infected nail regularly, and maintain good foot hygiene. Additionally, consider combining ciclopirox with other treatments, like oral antifungals, as recommended by your healthcare provider.
The Bottom Line
If your doctor prescribes ciclopirox nail lacquer for your fungal nail infection, it’s important to follow the directions carefully and to use the product consistently. Results won’t happen overnight; it can take six months or longer to see improvement.
Talk to your doctor if you have any questions or concerns about the medication. If you experience any side effects that bother you, let your doctor know. You can also report any adverse reactions to the FDA.