How to treat gray nail fungus

Jul 03, 2024 Source: Cainiu Health
Disease description:

My grandfather has gray nail fungus and wants to go to the hospital for treatment. How is gray nail fungus treated?

Doctor's answer (1)
Dr. Wang Xiaoyan
The treatment of gray nail (onychomycosis) requires a comprehensive approach to ensure effectiveness and safety. The main treatment methods include: 1. Topical medication: For superficial or mild cases of gray nail, antifungal drugs such as 30% acetic acid or 5% amorolfine nail lacquer can be applied locally. These medications act directly on the affected nail to inhibit fungal growth. Consistent application is required during treatment, and it usually takes several months to observe therapeutic effects. 2. Oral medication: For patients with multiple affected nails or more severe infection, combination therapy with oral antifungal drugs such as itraconazole or terbinafine may be necessary. These medications effectively kill fungi but require careful attention to dosage and duration to avoid side effects. 3. Surgical treatment: In specific situations, such as when the nail is severely damaged or complications such as paronychia are present, surgical options such as nail avulsion may be considered. However, this method is invasive and associated with a high recurrence rate, so it should be carefully selected. 4. Traditional Chinese Medicine (TCM) therapy: TCM treatments include the external application of vinegar or ointments prepared from herbal ingredients. For example, soaking the affected nails in a solution containing traditional herbs such as Pseudolarix kaempferi (土槿皮) or Mylabris phalerata (斑蝥), or using acupuncture or moxibustion as adjunctive therapies.