Feb 6, 2003
Here's another question I have regarding toenail fungus. Over the past few years, I've have toenail fungus and my doctor said it wasn't much to worry about. A year and a half ago, I decided to try again and my doctor prescribed a medication for me. (As I write this e-mail, I cannot remember the medication name). Anyway, he stated that treatment for the fungus is somewhat taxing on the liver. I started the therapy but stopped as I developed a crixivan kidney stone shortly after that. This medication is not covered my insurance and is quite expensive. I want to try again to work on this problem. Is there another treatment for toenail fungus you could recommend. I think over the last two years, I've lost at least two nails on each toe. Any suggestions you may have will be appreciated. Thanks in Advance.
Response from Dr. Henry
Treatment options include: terbinafine 250 mg daily for 12 weeks (30 tabs= $234.15) itraconazole 200 mg daily for 12 weeks or BID x 1 week/month for 3-4 months (30 100 mg capsules=$223.77) fluconazole 150-300 mg PO once per week for 6- 12 months 1 tab= $14.00 As you can see all are fairly expensive. Liver status should be monitored during treatment. Seeing a podiatrist for nail trimming during treatment sometimes is useful. KH
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