In Podiatry Rescources

Fungal nail – Treatment and options

Topical Treatment Options

A long process no matter what solution you use.  It is important you continue to treat the fungal nail until all the discoloration has grown out – this may take up to 12 months for a big toenail as toenails grow approx. 1mm per month.


  •  Apply  1-2 times per week
  • File down nail each time you apply solution
  • Approximate cost:  $80.00
  • Find out more –Loceryl


  • Apply  daily to fungal nail, 5mm surrounding skin and under the nail
  • Apply at night/leave on for at least 5hrs, wash off with water in the morning
  • Approximate cost:  $50
  • Find out more – Rejuvenail


  • Apply daily to affected nails
  • File down nails once per week with an emery board
  • Approximate cost:  $35.00
  • Find out more – Gordochom


  • Apply daily to affected nails
  • File down nails once per week with an emery board
  • This solution will form a black film over the nail
  • Approximate cost:  $20.00
  • Find out more – Daktarin 

Tea tree oil

  • (suggest Thursday Plantation brand) daily application on cotton wool to all nails. Will not necessarily eliminate fungal infection, but will help to prevent the infection spread from the nails to the skin.


  • Can also use topical fungal creams/oils such as Lamisil or canesten to the affected nails and skin to treat infection depending on type of fungal infection and severity.

Oral Tablet Treatment 

  • Terbinafine. Is the ‘Gold standard treatment’, if you are able to take this medication. Does have some side effects, particularly not indicated if any form of liver disease or pathology or if on a multitude of medications. The nail must be tested by pathology for presence of fungus and to be prescribed this medication.

Other – laser therapy 

  • A newer form of fungal treatment. Reported to have approximately 70% success rate. Advantages: quick visit to laser clinic, approx. 15min duration, only mild discomfort reported. May continue to use nail polish in-between visits. Usually takes between 4-6 treatment sessions. Works best if the nail has been thinned out significantly by a podiatrist prior to treatment.

For any form of treatment a regular visit with a podiatrist for thorough filing of the nail will assist the speed at which the fungal infection clears

Home, shoe and self-care maintenance to assist in the treatment of fungal infections in the nails and skin –

This advice is important to follow for the best outcome when treating skin or nail fungal infections via topical, oral or laser treatment methods.

  • Wash your feet daily and dry them well all over, particularly between the toes
  • Change your socks during the day if you have overly sweaty feet
  • Try to keep your shoes clean and dry. Fungal spores can be found in shoes and can cause re-infections. Tea tree oil sprays can be purchased to treat shoes, also removing liners and placing shoes and liners in the hot sun for several hours can assist to kill fungal spores.
  • Add Canesten Hygiene Laundry Rinse, or similar, (available at the supermarket) to your washing machine to aid elimination of fungal spores in hosiery, linen and towels.
  • Clean your shower thoroughly, and either replace, or clean any nail trimming devices with a bleach cleaning product
  • Discard all nail polish that has been applied to fungal nails. Do not use nail polish whilst applying topical treatments to the nails
  • Wear footwear such as thongs when in communal or public areas, such as pools, hotels, spas
  • Treat your feet with a topical antifungal agent whilst undergoing fungal nail therapy. We recommend mixing a solution of approximately 10ml tea tree oil (Thursday plantation is a good brand) with 1 cup of white vinegar in a spray bottle and applying this to your feet after your shower. Alternatively Lamisil or similar antifungal creams can be used daily to all surfaces of the feet including the toenails and between the toes.
  • Be aware that topical treatment requires diligent use for approximately 12 months for a successful outcome for a fungal big toenail.
  • Once you have finished treatment check skin and nails regularly for any re-infection
  • For any form of treatment a regular visit with a podiatrist for thorough filing of the nail will assist the speed at which the fungal infection clears.

At Foot Centre Group our podiatrists treatment fungal nails successfully. Call us on 9553 0044 or book online to see one of our podiatrists – We will provide you with a tailored treatment plan.

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    Highly descriptive blog, I enjoyed that a lot. Will there be a part 2?

    • Avatar
      Tess Beddome

      There will be now 🙂

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