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cheapest cialis Oral Consider baseline LFTs Terbinafine 250 mg daily for 6 weeks for fingernails; 12 weeks for toenails may need to repeat or pulse regimen 250 mg 1 week a month every 2 or 3 months Higher efficacy compared to other oral agents Itraconazole 200 mg daily for 6 weeks for fingernails or 12 weeks for toenails Pulse dose itraconazole at 200 mg BID 1 week per month for 3 4 months Fluconazole 150 450 mg once weekly for 6 months for fingernails or 9 months for toenails Oral is best treatment for distal subungual affecting lunula and proximal subungual onychomycosis Outside the Box Treatment Options Surgical removal of nail This is a required treatment for dermatophytoma ALA PDT 31 Consider in patients that cannot tolerate oral therapies Can also treat more unusual dermatophytes Recommend pre treatment of infected nail with 20 urea to soften the nail plate, microabrasion or complete nail avulsion ALA incubation of 1 5 h, followed by photodynamic therapy Perform 3 6 treatments every 2 weeks, if using higher fluences during irradiation Nd YAG 32 Moderate results Treated every 4 weeks for total of 5 treatments Settings 6 mm spot size, 5 J cm 2 fluence, 0
HeepHoife | 26.11.2022