How to treat a neglected form of fungus?

Stages of neglect in pictures You can get infected with a fungus in a shoe store, if a couple before you has tried on a person who has such a disease, in the shower, bath or pool. Due to inadequate treatment, the disease can progress rapidly enough.

At the initial stage, many patients are unaware of the problem, since there is no pain and discomfort, and the appearance does not say much. Therefore, the severe form of mycosis is not so rare. Fortunately, it is treated, you just need to be patient.

Before treatment:

  1. It is important to eliminate the cause of severe mycosis. It can be a constant visit to a public bath without your slates or, for example, using someone else's shoes at work. Anything that can contribute to infection should be ruled out.
  2. You should always remember hygiene - keep your feet clean and dry, wear clean socks every morning, keep the house clean. Sometimes it seems that all this is trifles, but in fact it is hygiene that avoids infection. After the course of treatment, all footwear should be disinfected .
  3. To maintain immunity, you should drink vitamins, eat healthy food and give up harmful habits.
  4. Finally, treatment should be continuous. You can not forget to take pills and apply local medications, otherwise all treatment will fail.

More details about the forms and stages of neglect here (photo).


Treatment of a nail fungus of a neglected form requires an integrated approach. At this stage it is impossible to recover using only the drug for external use (ointment or lacquer, for example), a complex of medicines is needed:

  • Local remedies (gels, lacquers , ointments and creams , drops).
  • Systemic agents ( tablets for oral administration).
  • Mechanical removal. This can be a neat cutting / cutting off of the damaged part of the nail, a medical pedicure in the hospital or a suitable preparation for softening the nail.
  • Common restorative drugs (multivitamins are mandatory) and the means that activate immunity.

Let us consider specific examples from medical practice:

Case1 1. The nail on the big toe is struck. The patient turned to the clinic after the part of the nail had collapsed.

A sample was scraped and sown. Infection with dermatophytes was revealed.

Orungal tablets are prescribed for courses of 1 week, a break between courses is 3 weeks, only 3 courses.

In the first 3 months, Exodermil droplets were prescribed, after which there was a significant improvement, the damaged part of the nail was removed by the patient independently. This was done with the help of a nail file, gradually, before each application of drops.

After that, the patient was transferred to Loceril lacquer, applied once every 2 weeks. Before each application, the remnants of the old varnish were removed.

In just six months, a significant improvement is noticeable (bottom photo). It is advisable to continue applying the varnish for another six months, disinfecting shoes and living quarters, a multivitamin treatment every 2 months.

Case2 2. A similar case, with the exclusion of the causative agent, is a family of yeast-like fungi.

Lamizil tablets are prescribed for courses of 2 weeks, a break between courses 4 weeks, only 2 courses.

Several machining procedures were performed in the clinic with a special lacquer applied, after which a significant portion of the nail was removed. In parallel, the patient applied antifungal drops daily.

The second photo was taken after 8 months, markedly improved, not as rapid as in the first case, in view of the patient's more solid age.

It is recommended to apply an antifungal lacquer and further supervision by a doctor.

Here's another good example, varnish + pills courses:


  • Ruslan :

    How much it costs to remove the nail surgically completely. And what are the chances that a healthy nail will grow up

    • Administrator :

      The surgeon in a polyclinic or KVD can remove under the policy free of charge. In paid clinics, usually stole in several sessions, see the video. Therefore, the spread of prices is very large, choose the nearest hospital in the section "Clinics", they can always give advice.

      Regarding the growth - in the case of the fungus, it is extremely rare for the nail to die completely, in 99% of cases it will have to be treated long and hard, but it will continue to grow. It would be a desire to heal.

  • Alexey :

    Mikoderil + Terbinafine, the most effective way to get rid of the fungus. The dermatologist has appointed or nominated it to me.

  • Roman :

    And laser treatment, how much does it increase the chance?

    • Doc :

      Laser treatment is a painless option and most sparing for the nails.

      Removes only the minimum required nail, then the laser beam penetrating to the desired depth kills spores.

      The main thing - patience and consistency, the fungus is a curable disease.

  • Maria :

    My nails on my legs are soft, brittle, changed in color (yellowish brown with a gray tinge) and became convex. When you try to cut your nails, their edges curl and break. There were thickenings and transverse furrows. One private dermatologist during the inspection says that it is onychodystrophy and the fungus on the nails is not (while scraping the fungus did not take). And the other dermatologist (in the clinic) says that this is a fungus (he did not send a scrap, either), and he prescribed treatment - Eszol + Estesifin. Tell me, please, how can I be? It seems to me that I have a fungus, and as a consequence, nail dystrophy. How can I be treated?

    • Doc :


      Unfortunately, everyone can make mistakes. In paid clinics like to draw money from the client, in free-of-charge do everything on the fulfilled scheme.

      Identify remotely that you can not, so the advice is this. It is necessary to insist that the private dermatologist: 1. directed to scrapings, 2. called the causes of onychostrophy and treatment options. Next, proceed based on this information.

      If the dialogue does not work out that way, you can start treatment, which was prescribed in the clinic. If the fungus is there, the tablets and drops will give the result. Nails certainly grow slowly, but somewhere in a month it will be obvious - healthy nails grow or dystrophy continues.

      • Maria :

        And if you start treatment, which is prescribed in the clinic, and the fungus is not really, it can damage the nails?

        And another such question. If now there is no way to go to scrape the fungus, is it possible at home to determine whether there is a fungus or not? Read, that use a solution of potassium permanganate or iodine. And how to determine sugar at home? Tell me please.

        • Doc :

          Iodine is determined by the fungus on the skin, passing a strip across the border of the spot. The affected area is much more intense. But on the nails it is ineffective.

          External means of nails will not harm. If you have prescribed a pill, then it is always stressful for the body, but, again, the doctor is more visible on the spot, whether it is a fungus or not.

  • Sergey :

    Prompt how to be? Already more than a year ago, in a bath, I hit my foot with a fingernail and wounded it to blood. Three weeks later he noticed the infection of the nail with a fungus. He started treatment with exoderil, about a month. In the genus, everything would go away (I did not pay much attention, as nothing was seen visually), and three weeks later I found it on the other leg and more contagious. Treatment began with folk remedies: an egg soluble in vinegar (1.5-2 months of treatment) - extinguishing, but not curing; Iodine (1.5-2 months) - the result is the same, zelenka (about 3 months.) No result. 2 months ago I went to see a doctor, Mikozan and Terbinafine tablets were prescribed, I took a month, there was no result, I would even say vice versa, the fungus began to penetrate into the root of the nail, fingers began to swell. The doctor appointed Mikospor, a week of treatment, while the result is not clear. I doubt the competence of the young doctor (maybe in vain for now). I decided to sow the crop to identify the type of fungus, but this is also a problem, I found it only in INVITRO, called: sowing mushrooms dermatophytes. I do not know if this is an anasis !? Today is Saturday, I signed up on Monday to see a doctor, I'll see what she says, especially the scraping doctor should do the scrape (as they said in the in-vitro). What to do and how to be !? I hope for professional advice.

    • Doc :


      Well, in the first place in a month it is impossible to treat the fungus by an external means, this is done until the healthy nail grows, on average, six months or a year.

      Tablets are prescribed together with external means. If Terbinafine did not help, you can try the others, but after the break, let the doctor appoint.

      Folk remedies usually only aggravate the problem. Therefore, do scraping, choose a drug and treat. The most difficult thing is to apply the drug every day, not missing, throughout the course.

      In addition, you need to disinfect shoes, do wet cleaning, monitor hygiene, because Spores of fungi live long beyond the human body.

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