Most patients will initially try over the counter treatments like  Daktarin or Canesten in our opinion these don’t seem to make any difference to the nail even if used for a prolonged period.

Loceryl is a newer class of drug and the claims suggest that it will cure nail fungus,  in my personal experience I have never seen a toenail infected with nail fungus cured of this condition by this drug. The only exceptions may be superficial white onychomycosis as this is only a superficial infection and never goes any deeper than the top surface of the nail plate.

Surgical treatments work in many patients but the downside is the post operative pain and the fact that there is no nail for up to a year. Female patients find this difficult as wearing open shoes can be embarrassing.