Fungal Nail Infections
Currently there is no facility to process nail samples for fungal infection at local NHS pathology labs. There are also significant concerns about the side effects of oral antifungals (e.g. Terbinafine and Fluconazole, Itraconazole), such as severe liver toxicity and liver failure, so that, on balance, we feel do not justify the use of these medications for cosmetic nail damage.
We therefore recommend these self-care and topical antifungal nail treatments that are available over the counter at the pharmacy.
In special cases where there is pain and disability from badly distorted nails we might consider referral to a specialist service such as podiatry or dermatology for an opinion.
If patients would like to see a private specialist or GP about this we would be happy to provide a referral letter.
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