Hiding Those Toes? Custom Compounding for Nail Fungal Infections and Warts

Hiding Those Toes? Custom Compounding for Nail Fungal Infections and Warts

i-microscopeIn this world, no one likes to deal with the problems of fungus or warts. We all want to be a handsome prince or beautiful princess, and we know that the beautiful people never get fungus or warts, right? Wrong! According to the numbers alone, almost 12 percent of Americans suffer from toenail fungus, so at least a few people in the in-crowd are likely trying to hide their feet at the beach.

Custom compounding has a host of great solutions for people with various fungal infections and a range of convenient choices for medication delivery.

Nail Fungus (Onychomycosis)

Onychomycosis is a fungal infection of the fingernail or toenail, usually caused by a dermatophyte, but sometimes caused by yeasts or nondermatophyte molds. Although it is not a fatal disease, nail fungus does amount to a serious public health issue because it strikes so many—approximately 10 percent of Americans—is easily transmitted, and is difficult to treat. It can cause pain and embarrassment for patients as nail fungus tends to discolor nails and render them unsightly.

In order to correctly diagnose nail fungus healthcare providers must use both fungal culture and direct microscopy techniques. This is because there is a need to distinguish between actual nail fungal infections, onychomycosis, and sometimes similar looking possibilities. These include lichen planus, onychogryphosis, psoriasis, and simple nail trauma.

Compounding for Nail Fungus

Compounding offers excellent customized treatment alternatives for patients with nail fungal infections. Compounded topical medications including fluconazole and urea are more effective in the treatment of nail fungus than are typical over-the-counter fluconazole nail lacquers. And although many patients undergo systemic antifungals as part of their treatment for nail fungus, this kind of oral antifungal medication can cause serious side effects. Compounded topical prescriptions offer an effective and low-cost alternative; in addition to the fluconazole/urea option, preparations including butenafine and tea tree oil are available to patients.

Compounding for Fingernail Lichen Planus

As a sidenote, compounding pharmaceutical science does have something to offer in the treatment of fingernail lichen planus. Fingernail lichen planus, one variety of lichen planus which can occur all over the body, is typically seen in elderly patients and is usually resistant to treatment. Researchers have found that this problem can be treated effectively with compounded topical gel containing tazarotene and clobetasol. This course of treatment is also free of the side effects that accompany traditional systemic treatments.

Compounding for Plantar Warts

Caused as the human papillomavirus (HPV) enters tiny flaws in the skin, plantar warts are tough, grainy growths on the skin, usually on the hardest parts of the foot such as the balls or heels. Although plantar warts aren’t dangerous and may not demand treatment, they can be painful and embarrassing.

Compounded treatments offer patients — especially children, who often experience plantar warts — safe and exciting alternatives. Custom compounded topical creams containing 5-fluorouracil and salicylic acid have been proven effective and safe in the treatment of plantar warts. Researchers have also found that contact immunotherapy with squaric acid dibutylester (also called SADBE) is safe and effective even for use on multiple warts on children.

Customized topical prescriptions is one of the most popular areas of practice for pharmaceutical professionals with compounding expertise. The fact that these kinds of health problems are so recalcitrant to treatment means that traditional oral treatments are less effective and more dangerous to continue over long periods of time due to the risk presented by side effects. It is clear that the benefits of compounded topical medications for fungal infections and warts are many; no wonder so many health care providers are prescribing unique compounded treatments for their patients.

Compounding topical treatments for fungal infections and warts is a fruitful area for compounding pharmaceutical professionals, and there are many choices out there when it comes to both products and information. Fortunately, you can purchase your products and receive information from a reliable source. For more about pharmaceutical compounding and purchasing bulk APIs, please contact Pharmaceutica North America, your trusted compounding resource.


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