Fungal nail infections (onychomycosis) are incredibly common, and they can have a big impact on the way your nails look and feel. If you’re dealing with nail fungus, you’ve probably already explored different treatment options.
One of those options is econazole nitrate cream, a topical antifungal medication designed to combat fungal infections, but it’s important to know what works and what doesn’t, including whether acetone can cure nail fungus. You may have seen econazole nitrate cream available over the counter or perhaps your doctor has recommended it.
This article provides a comprehensive overview of econazole nitrate cream and its use in treating nail fungus. We’ll explore how it works, what to expect during treatment, and other important information you should know before using it.
Understanding nail fungus (onychomycosis)
Nail fungus is a common condition that can be unsightly and sometimes painful. For example, fingernail fungus can be easily identified with photos, and it’s important to understand what it is and how to treat it.
What is nail fungus?
Nail fungus, also known as onychomycosis, is a fungal infection that affects the nails. It’s often caused by dermatophytes, a type of fungus that thrives on keratin, the protein that makes up your nails.
Common symptoms of nail fungus include:
- Thickened nails
- Discoloration (yellowish or brownish)
- Brittle or crumbly nails
- Distorted nail shape
Risk factors for nail fungus
Several factors can increase your risk of developing nail fungus, including:
- Older age
- Poor hygiene
- Nail trauma or injury
- Diabetes
- Weakened immune system
It’s important to get an early diagnosis and treatment for nail fungus to prevent the infection from spreading and potentially causing further complications.
Econazole Nitrate: How It Works
Econazole nitrate is an antifungal medication that can sometimes be used to treat nail fungus.
How it works
Econazole works by interfering with the way that fungus cells produce a substance called ergosterol. Without ergosterol, the cells can’t survive, and the fungal infection dies.
Forms and Availability
Econazole nitrate comes in a cream form that you put directly on the affected area.
You can get econazole nitrate by prescription from your doctor, or you can buy it over-the-counter at a pharmacy.
Be sure to follow the directions on the package or from your doctor, and only apply the cream to the affected skin.
How to use econazole nitrate cream for nail fungus
Econazole nitrate cream can be an effective way to treat nail fungus if you use it correctly. Here’s a step-by-step guide:
Before you apply the cream
- Wash and dry the area thoroughly.
- If your nail is thick, use a nail file to gently thin it. This will help the cream penetrate the nail better.
How to apply the cream
- Apply the cream once a day. If you’re treating a nail infection, you may need to cover the area with a plaster after applying the cream.
- Use enough cream to cover the entire affected area and the skin around it.
- Gently rub the cream into the skin.
How long to continue treatment
Even if your symptoms clear up, continue using the cream for one to two weeks to prevent the fungus from coming back. Consistent use is key to getting rid of the infection completely. A missed dose can allow the fungal infection to continue to grow.
What to know before using econazole nitrate cream
Before you begin using econazole nitrate cream, there are a few things you should discuss with your healthcare provider.
Medical history and allergies
Be sure to tell your doctor or pharmacist about any other medications you use, as well as any allergies you have. Also, let them know if you are pregnant or breastfeeding.
It’s important to discuss any existing medical conditions you have with your doctor or pharmacist.
Drug interactions
Also, let your doctor know about all the medications you take, including prescription medications, over-the-counter drugs, and supplements. It’s important that your doctor is aware of everything you’re taking in case of potential interactions with other topical or systemic medications.
Pregnancy and breastfeeding
It’s essential to consult with a doctor before using econazole nitrate cream if you are pregnant or breastfeeding.
There are not adequate studies in women to determine the risk to infants when using this medication while breastfeeding. Your doctor can help you weigh the risks and benefits in your specific situation.
What are the side effects and precautions to know about?
Econazole nitrate cream is generally considered safe, but like all medications, it can cause side effects in some people.
Common side effects
Some people experience mild side effects, such as irritation or allergic reactions. These reactions can cause:
- redness
- itching
- burning
- stinging
…at the site of application.
Rare but serious side effects
In rare cases, econazole nitrate cream can cause more serious allergic reactions. These reactions can cause:
- rash
- hives
- swelling
- difficulty breathing
If you experience any of these symptoms, seek immediate medical attention.
Precautions
When using econazole nitrate cream, take the following precautions:
- Avoid contact with your eyes and mucous membranes.
- Only use this as an external treatment.
Maximizing treatment effectiveness and preventing recurrence
To ensure your econazole nitrate cream does its job and to keep the nail fungus from coming back, remember these tips:
- Keep your feet clean. Wash your feet every day with soap and water, and dry them thoroughly, especially between your toes.
- Wear breathable socks and shoes. Avoid socks or underwear made from synthetic materials. Choose well-ventilated shoes that aren’t too tight.
- Use antifungal powder. After you apply the econazole cream, sprinkle antifungal powder between your toes.
- Don’t share personal items. Sharing towels or nail clippers can spread fungal infections.
Frequently Asked Questions
Should I wear socks to bed with toenail fungus?
Wearing clean, breathable socks to bed can actually help manage toenail fungus. Socks keep moisture away from your toes, which is crucial since fungus thrives in damp environments. Opt for cotton or moisture-wicking fabrics and change them daily.
Why does Lamisil say not to use on nails?
Lamisil (terbinafine) oral medication is used for nail fungus. However, the topical Lamisil formulations aren’t as effective for nail infections because they struggle to penetrate the nail plate effectively. Oral Lamisil can reach the infection more directly, but carries its own potential side effects.
What is the best antifungal for nail fungus?
There’s no single “best” antifungal, as effectiveness varies. Oral medications like terbinafine and itraconazole are often prescribed for severe cases. Topical treatments like ciclopirox olamine cream and efinaconazole are options for milder infections. The best choice depends on the severity of your infection and your overall health.
Is econazole nitrate cream better than clotrimazole?
Econazole nitrate and clotrimazole are both azole antifungals, and their effectiveness is generally comparable for skin infections. However, neither is typically considered the best first-line treatment for nail fungus due to limited nail penetration. They might be used to treat fungal infections around the nail, but not usually under the nail.
Can you use econazole for toenail fungus?
While econazole nitrate cream is an antifungal, it is not typically the preferred treatment for toenail fungus itself. This is because topical creams often struggle to penetrate the nail sufficiently to reach the infection. Other treatments are generally recommended, such as oral antifungals or specialized topical nail solutions.
To Conclude
Econazole nitrate cream is a topical antifungal medication sometimes prescribed off-label for nail fungus. While some studies suggest potential benefits, it’s essential to remember that it’s not specifically approved for this use. If you’re considering using econazole nitrate cream for nail fungus, be sure to follow your doctor’s instructions and seek professional medical advice for effective treatment.