Oral Medicine
Treatment with oral antibiotic medications Terbinafine and Itraconazole effectively combat fungal infections about 75% of the time. However the drugs are extremely strong and must be taken for long for long periods in order to be effective. For toenails a minimum of 3 months treatment is required. Severe liver reactions have been observed with these drugs. Other potential side effects include headache, dizziness, drowsiness, nausea, dyspepsia, stomach pain, diarrhea, constipation, reversible loss of taste, hepatitis, neutropenia and pancytopenia. In order to monitor side effects, a physician typically orders monthly blood tests during treatment. Many individuals are not eligible for these ingestible treatments because of the potentially dangerous side effects.
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