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Finger/Toe nail Fungal Infection
Sep 10, 2003

I love your allows me a rare opportunity to learn from others about the management of my general health and HIV/AIDS in particular. Thank you. My question relates to finger and toe-nail fungal infection. Many of my toe-nails and one finger nail have become soft, flaky whiteish in color and just plain unsightly to look at. Years ago I took Lamasil pills for several months with little improvement. I was concerned about the potential of liver damage due to this medication. I have been on Sustiva/Viread/Epivir regimen for the past year. My bloodwork has been pretty decent (625 CD-4 and 521 Viral Load ) over the last few years.

Can you recommend any treatment for this kind of nail infection ?

Nail-less in San Diego

Response from Dr. Henry

Nothing works great or quickly. Terfinafine, itraconazole or fluconazole are among the options. They should be OK with your current HIV regimen though I would watch for liver and other adverse effects. I often seek the assistance of a podiatrist/dermatologist in tough cases. KH

Peripheral Neuropathy / D4T

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