Fungal nail infections (onychomycosis) are surprisingly common, and they can be notoriously difficult to treat. If you’ve ever dealt with them, you know how frustrating they can be! If you’re looking for more information on prevention and other treatments, check out this article about nail fungus.
One treatment option your doctor might suggest is ciclopirox. Ciclopirox is an antifungal medication that you can only get with a prescription. If this isn’t the right treatment for you, Fungisol might be an alternative to fight the fungus. It comes as a topical solution that you paint onto your nails.
This article will give you a complete overview of using ciclopirox for nail fungus, including how it works, how to apply it, what precautions to take, and what side effects you might experience. It’s your guide to understanding if ciclopirox is the right choice for you.
What is ciclopirox and how does it work?
Ciclopirox is the generic name for a prescription antifungal medication.
It’s available in several forms, including:
- cream
- gel
- lotion
- shampoo
- topical solution
When it comes to nail fungus, ciclopirox works by interfering with a fungal cell’s ability to take in nutrients. Without the proper nutrients, the fungus can’t thrive.
To get the best results from ciclopirox, you have to use it consistently and as directed. However, if you’re exploring other options, you might want to learn about Betadine for toenail fungus.
When is ciclopirox used?
Ciclopirox topical solution is primarily used for treating onychomycosis, which is a fancy word for fungal nail infections. Specifically, it’s used to treat tinea unguium, otherwise known as ringworm of the nails.
However, ciclopirox isn’t just for nails! It can also treat other fungal infections of the skin, such as:
- Tinea pedis (athlete’s foot)
- Tinea cruris (jock itch)
- Tinea corporis (ringworm of the body)
How to use ciclopirox for nail fungus
How to apply
Here’s how to apply ciclopirox topical solution to your nails:
- Apply the medication to all affected nails and the skin around them.
- Use enough medication to make sure you’ve covered the whole affected area.
While you’re being treated, it’s important to trim and file your nails on a regular basis. Regular nail trimming is crucial during treatment. Remove any loose material with clippers or a file.
Finally, don’t use nail polish or other cosmetic products on your nails during treatment.
How often to use it
Apply ciclopirox daily and at the same time each day.
It can take six months or longer to see improvement. Even if your symptoms improve, keep using the medication.
Precautions and warnings
As with any medication, it’s essential to understand the precautions and warnings associated with ciclopirox to ensure safe and effective use.
Who should NOT use ciclopirox?
You should not use ciclopirox if you have known allergies to ciclopirox or any of the other ingredients in the medication. Always check the label and consult with your doctor or pharmacist if you have any concerns.
General precautions
When using ciclopirox, avoid contact with your eyes and mucous membranes. Keep the medication away from your eyes.
Be aware that ciclopirox is flammable, so keep it away from heat and open flames.
For best results, avoid swimming, bathing, or showering for at least eight hours after applying ciclopirox. This will allow the medication to be fully absorbed into the nail.
Drug interactions
Be aware that ciclopirox might interact with other medications you’re taking. To avoid any problems, keep a list of all medications, supplements, and over-the-counter products you use, and share it with your healthcare provider during appointments.
Special populations
Check with your doctor before using if you are pregnant, breastfeeding, or have any existing medical conditions.
Many medications haven’t been specifically studied in older adults, so if you’re an older adult, talk to your doctor about whether ciclopirox is right for you.
Potential side effects
Like most medications, ciclopirox can have side effects. Most are mild, but it’s important to know what to watch out for.
Common side effects
Some people who use ciclopirox may experience:
- Redness
- Irritation
- Itching
- Burning
If you experience any of these, let your doctor know. They may have suggestions to help you manage these symptoms. For example, they may suggest a moisturizer to relieve itching or irritation.
Serious side effects
While rare, some people may experience more serious side effects. If you notice any of the following, contact your doctor right away:
- Swelling
- Blisters
- Oozing
- Increased pain
It’s also important to report any adverse reactions to your doctor or the FDA. You can report side effects to the FDA at 1-800-FDA-1088 or online at fda.gov/medwatch.
Allergic reactions
Although uncommon, allergic reactions are possible. Seek emergency medical help if you experience any of the following signs of an allergic reaction:
- Hives
- Difficulty breathing
- Swelling of your face, lips, tongue, or throat
Storage and disposal
Make sure you’re storing and disposing of your ciclopirox topical solution correctly. Keep it in a safe place where kids can’t get to it.
You’ll also want to make sure you’re discarding your old medicine safely. Ask your pharmacist about local drug take-back programs or other safe disposal methods.
Frequently Asked Questions
How good is ciclopirox for nail fungus?
Ciclopirox is a topical antifungal medication often used to treat mild to moderate nail fungus infections. While it can be effective for some, its success depends on factors like the severity of the infection and adherence to the treatment regimen. It generally has a lower cure rate compared to oral medications.
What is the success rate of ciclopirox for nail fungus?
The success rate of ciclopirox nail lacquer varies, but clinical trials have shown complete cure rates ranging from about 5.5% to 8.5% after 48 weeks of treatment. It’s important to note that “success” can also mean improvement in nail appearance, even if the fungus isn’t completely eradicated.
What is the strongest toenail fungus treatment?
Oral antifungal medications, such as terbinafine and itraconazole, are generally considered the most effective treatments for toenail fungus due to their higher cure rates. However, they can have potential side effects and require monitoring by a healthcare professional.
Should I cut my toenail off if it has fungus?
It’s generally not recommended to cut off your toenail yourself if it has fungus. While removing the affected part of the nail might seem like a solution, it can lead to complications like infection or ingrown toenails. Consult with a doctor or podiatrist to discuss appropriate treatment options, which may include partial or complete nail removal in certain cases.
What is the debris under my toenail?
The debris under your toenail is often a mixture of dead skin cells, keratin, and fungal organisms. This buildup is common in nail fungus infections and can contribute to nail thickening and discoloration. Proper hygiene, trimming the nail, and using antifungal treatments can help manage this debris, but professional debridement may be necessary in severe cases.
Putting It All Together
If your doctor prescribes ciclopirox for nail fungus, it’s important to use it the right way and to trim your nails regularly. You should follow your doctor’s instructions carefully and let them know if you have any side effects or if you’re concerned about something.