I recently started using Tolcylen for an infection on my nails.
I think its been like 2 weeks now for me, ans the nails no longer have yellowish scarring when dry, instead being whiteish in the parts that were once yellowish.
I’m guessing the whiteish scarring are previously infected areas that have been purged of fungus, and that once the nail grows out in a few months time there will be no more scar marks.
How did the progress go for you if you’ve used Tolcylen?
Worked at a podiatry clinic for 3 years and we recommended tolcylen a lot. I’ve seen great results on patients who were very compliant with applications and didn’t have nails that were too far gone (think thicker than they are long). It’s important to note that you aren’t looking for any changes to the existing nail, just the new growth from the base of the nail. If you’re seeing at least 1mm of clear growth a month you’re good, do not stop until the entire nail has grown out healthy.
I supposed surgery when too far gone?
Also, what if I miss an application in the morning or evening, but resume the 12h cycle again the next chance? Is that okay?
Obligatory ‘not a doctor’
The final options are surgery vs ‘do nothing’. Onychomycosis (fungal nail infection) often doesn’t need a treatment, unless you’re immunocompromised it’s just a cosmetic thing. Surgery, in this case, involves removing the nail, and killing the matrix, which is the nail bed. This means you won’t have toenails anymore. This isn’t a problem as we don’t use our toenails, but some people will opt to apply fake nails for cosmetic reasons.
Missing applications here and there will have a negligible impact on your treatment, you don’t need to worry about it. We would regularly tell people that if they’re going on vacation for a week, feel free to paint your nails and stop treatment until you come back, then resume. Fighting nail fungus is a long game, it can take upwards of a year to knock those bastards out. As long as you’re using the topicals >90% of the time, you have a good shot. That being said, even thebest treatments are only proven ~60-70% effective, but that includes the aforementioned “too far gone” nails trying treatments admittedly in vain.
