Dr. Dhepe Snehal Madhav
Venereology
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Patient's Query
Hi doctor,
I noticed that my toenail was not growing four months back. I started using tea tree oil and nail polish after that, and it did not help. I suspect I have a fungal infection on my left toe. Could you please help me with the treatment? Thank you.
Hi,
Welcome to icliniq.com.
I suspect it is a fungal infection of the nail. Please answer the following questions. What is your occupation? Are you usually involved in any work that keeps your feet wet for a prolonged period? Do you do gardening? Did you cause any injury to your toe? Are you diabetic? Do you experience pain in your nail? Thank you.
Patient's Query
Hi doctor,
Thank you for your reply. I have answered your questions below. I am working from home (marketing). No doctor, I do not get involved in any wet work. No, I do not do gardening. I do not remember if I injured my toe, possibly not because I would remember it. I am not diabetic. It is not painful at all. Thank you.
Hello,
Welcome back to icliniq.com.
I suspect it is onychomycosis. I suggest you the following. Apply five percent Amorolfine nail lacquer twice weekly for 16 weeks on the infected nail. Apply one percent Luliconazole lotion daily at night on the infected nail for eight weeks. Take Tablet Terbinafine 250 mg once a day after food for 15 days. Maintain proper nail hygiene. Avoid injury to nail. Avoid wet work. Avoid prolonged contact with water. Avoid gardening. Avoid occlusive footwear. Wear loose comfortable footwear. Keep a check on your sugar levels. Regards.
Patient's Query
Hi doctor,
Thank you for your concern. I think Terbinafine and Luliconazole need a prescription. How should I access these medicines? Thank you.
Hi,
Welcome back to icliniq.com.
You will get over-the-counter topical creams. See if you can get Terbinafine over-the-counter too. Get a prescription from your local general physician or a dermatologist as prescription cannot be given to overseas countries. Toe nail infection takes time to heal. It will require treatment for 12 months. Follow up after 16 weeks. Regards.
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Venereology
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