Two Hundred Plus (200+) OTC Nail Treatments for

Fungal Nails

Dr. Robert Spalding, President MediNail Learning Center

www.MediNail.com

Good News

• The Entrepreneur spirit is alive and well….

• Did you know that there are well over 230 topical nail fungus treatment products on the market that you can choose from?

• The labels can be very entertaining to read

The Bad News Scenario or “BS”The Bad News Scenario or “BS” is the American Public is confused as to what to do, buy or spend money on.

Promises, Promises

Approach for Hopeful Companies

• Find an active ingredient or approach • Build-a-Brand or design a “Catchy Name”• Trade off an Existing Brand Name

The Best Advice I can Give• The best, most accurate advice I can give after 20 years of practice is that any of these

OTC products are better than not treating the nail fungus problem; even with Vicks Vapo Rub. Many of these products can temporarily bleach the nail, soften the nail for trimming or simply improve the appearance but many of these topical products cannot cure nail fungus. The problem has to be properly diagnosed to treat for best results. Some nails are not fungal, but psoriasis, eczema, trauma or simple genetics.

• Only FDA approved topical and oral products/treatments in combination with FDA approved laser therapy give the best documented results. Only multi-therapy combinations of these FDA modalities and/or medical office dispensed topicals have the highest rate of cure in my experience.

• Most of the OTC treatments are less than 5% effective. Some companies have over promoted or inappropriately stated their claims of cures. Even the FDA treatments are not 100% effective. At the very best, the FDA therapies in combination are 70% effective . This would include ongoing yearly or periodic monitoring and prophylactic use of FDA topicals, orals and/or laser to prevent reoccurrence in many patient populations. Interdigital and plantar athletes foot is a major cause of nail fungus. You have to treat both the skin of the entire foot and nails for the nail fungus to resolve.

Disclaimer• Many listed antifungal creams were marketed or sold in online nail

treatment search categories.• Nearly 230 nail fungus or related nail treatments are listed but others

are periodically being added and some may be missing or rebranded.• Not all label's are readable or spelled correctly in the slide show• A few labels are repeated with different graphics• This is not a complete list of all treatments• All labels are copyrighted per each company• The intent of this presentation is to show the enormous international

product variety and extreme marketing of OTC topical antifungal nail treatments but not to comment on the effectiveness of any particular brand unless I have had direct experience with a product’s use or marketing.

Money Spent on Antifungal Treatments for nails

• The amount of money to try the following items for nail fungus of just one of most every OTC product listed you would have spent over $2000 with less than a 5% cure rate based on my OTC use experience depending when the treatment was started.

• The total antifungal nail treatment market is over a ($1 Billion) One Billion Dollar a year market.

• The Average Cost of a medical office based treatment with prescription based FDA approved topical, oral and including approved FDA Laser treatments could be as much as $1000 with up to a 70% cure rate based on my results.

• The reoccurrence rate of nail fungus is very high; over 40%• Topical treatments can last over one year and beyond

Nail Salons*Nail Salons contribute a large number of new nail fungal infection cases each year due four main reasons:

1. Poor disinfection protocols with contaminated instruments

2. Poor education as to what constitutes “normal nails”

3. Working out of their scope of practice by servicing clients or “diagnosing” clients with nail fungus

4. Nail techs are encouraged by clients to “treat” their fungal nails, thick nails or ingrown nails without physician referral and by dispensing or marketing “nail fungus” treatment products.

*TIP- Download the app, www.SafeSalonRating.com to find ways to locate safe salons or find nail techs with MediNail certifications..

Back in 1999

• I counted 80 OTC products• In 2006 I counted 176• Today over 230 products are on the market

As a Podiatrist, I entered this market in 1999 with www.JustForToenails.com and I

learn more about this market everyday

VARSI - My All-Time FavoriteVendors would drink product to prove “safety factor”

Yoffee Nail Care

Zeta Clear

3 (Overseas)

Hope White

H-NAIL

Ceylon Cinnamon

Claripro

Vinegar

Canesten

Toenail & Nail Fungus

Cleocil

Dr. Win’s Fungal NailAdvertises improvements in 2 weeks/Active Clortrimazole

NO MORE Fungus

PediMD

Nail Tek

Dr. Scholls Fungal Nail

Scholl Fungal Nail Treatment

Boots Fungal Nail Treatment Pen

Fixa Fungus

FungiFix

Nail Fungus Control

Kerasal nail Fungal Nail Renewal

Clear Zal

Toe Fungus Kit

blue goo Nail Fungus Triple Relief

rejuve nail

Tineacide

CTS KERA NAIL UREA GEL 47%Medical Office only (not OTC)

CTS CLARIS (Active Tolnaftate) (Medical office dispensed only)

The Treatment Formula 3 Professional (sold only by podiatrists) (active ingredient Tolnaftate)

Nailtiues Formula 2

Naturasil Nail Fungus

Flexitol

Nailner Repair Pen

Fungi Nail

ProClearz Fungal Shield

Crystal Nail Anti-Fungus

Fungus Stop

“5” Stop Fungus

Daktarin

PODOSAN

eXCILOR

Clear Zal

“31” or your best Guess

Dr. Paul’s Piggy Paste

emtrix

emuaidMAX

fungusfix

GEHWOL (Salon Based)

MYCOSAN

Cruex Nail

NAILMEDIC

Vick’s Vapor Rub

Polinail

Overseas

Revana

MYCOCIDE

AP-AP Solution

FUNGINIX

Anti-Fungal Pen

emoniNail

NutaNail FUNGI FREE

GORDOCHOM (sold to podiatrists for resale)

Pedinol Fungoid Tincture

NAILIT

Dragonfly Dreaming

H-Warts

Dr. G’s Clear Nail (sold in salons)

mani+Cure

Natural Remedy

Fungus Killer

AFY

BNSHT

terrasil

pedisil

FUNGUS MD

Tea Tree Oil

LCN Mykosept ( Salon Based)

Nail Fungus Foot Soak

NailFungi-Dr

FungiCure

Fungi-Cide

Ruan Store No

Spa professional

Dioxi Rinse and Dioxi-Brite(bioflim/whitener for teeth but pulls up with online search for nail fungus)

HUANJIA

ASTI Restore

Nail MD

NativeRemedies Nail-Rx

Develop 10 Cleary Fungal Free

Thymol

RainDrop

Wild Oregano Oil

Nailstat

ORLY FUNGUS MD

AntiFungal

Dr. Remedy

Danipro

FutSpa

Nailexpert by Wartner

Antifungal Nail Oil

Nail ReNu

Roots

FUNG-OFF

Fungus Rx

SPARITUAL FAREWELL FUNGUS TREATMENT

PediFix Funga Soap

Krystal Clean Nails

Black Pearl

NorISH

Toenail Fungus Zapper

Anti-Nail Fungus

FungiCure Intensive

Therapeutic Soap

FUNGA-FREE

TAMANU OIL SkinZeal

Hongosan miracle Brush

Manu Manuka Oil

NSKin Cural

Anti Nail Fungus

Fungus Free Nails

Premier Anti-Fungal Liquid

Mayan

probella Natural Fungal Nail Treatment

Jason tea tree oil

NOW essential oil (tea tree oil)

Clearly Confident

Lamisil topical drops

Beeur naloc

Herbal Nail Fungus Soak

Magic One Antifungal Nail Drop

Nail Fungus No More

STOP FUNGUS

Emtrix Nail Restore

Laser Nail Therapy Clinic (Medical Office only)

Joycetown

HNZ

Toenail & Fungal Relief

Miracle Anti-Fungal

Overseas

Ameri-Fine Anti-fungal Nail Treatment

fungusfix Nail Serum

Pur Nail

Nail RENEW

derma e Skinbiotics Treatment Oil

OMIERA PODIAZOLE Fungal Care

clearance

ProClearz Fungi-Cide PM

Neem 40

NAIL-IT

peda Fungal Nail Renew

FUNGAVIR

Curanail

OPI Nail Envy

White Rx Nails Nail Bath Solution (powder)

Tinea Clear

Gone AWAY

Nail Creations

White Rx Nail Fungus Solution

Cure Toenail Fungus

FangPaste (search engine pulled up with fungal nails)

Omega Labs FUNGUS Treatment

Melalluca Oil (Tea Tree)

ICE King Nail Fungus

Nueva Nail

NonyX Nail Gel

Listerine

Onypen

Vite20 Nail Oil

Foot Relief Bar

Sephorris

eScential Nail Fungus Fix

Loceryl Anti-fungal Nail Treatment

Miconazole 1

CVS Toe & Nail Treatment

Dr. Sheffeild’s Anti-Fungal Cream

BIO FUNGUSIN

Himalava AntiSeptic

Podactin Anti-Fungal Cream

Pedifix ClotrimazOil (Medical Offices)

Professional Formadin

Ciclodan TOENail Fresh

EverStride Fungus RX Defense

Anti-fungal Cream

Moisture Barrier Antifungal Cream

Fxxk Off Fungus Salve

TiNG

Micatin

Tolnaftate

Overseas

Beenefits

TNT Cream

onyourTOES

Overseas

Honey Girl Cuticle and Nail Cream

Fungus Gone

Purty Nail fungus less

SKINEAL

Phytozine

OxyFend

Fungal Nail Treatment Pen

Diabeti Derm Toenail and Foot Fungus

TetraOils Toe and Foot

Unesia

KEDEM Sephorris Nail Fungus

FUDES

Nail Bright Nail Fungus Cream

MYKORED forte

Nuxe

Nail Fix Nu

Curail

Toenail Soft

Treatment Hands and Nail Cream

Purify

Healthy Nail Antifungal Treatment

All Stop

Moraz Polyungenium

ARAGAN

Cidacin

ClearNails pro (Medical Office Use)

Antifungal Spray

Clear Nail

Dr. Numb (also marketed for painful thick nails)

Overseas

NOVANAIL

Fungus Guard

S

Blis-To-Sol Liquid

Sanvall Violeta Genciana(Gentin Violet)

Dermicol Clear

NovaNail PLUS

Cure-EX Laser (OTC laser) Not Topical, Low Power

Not FDA approved Class IV medical device

Examples of FDA Approved High Power Class IV Lasers for Onychomycosis

Aspen, Cool Touch, Cutera/Genesis, Q-Clear, Noveon, etc.

Trosyd (Tioconazole)Not approved in United States. By physician prescription only.

FDA APPROVED by prescription only TOPICAL TREATMENTs

Penlac / Ciclopriox

Newest FDA approved products Jublia & Kerydin

In Review• The market for fungal nail treatment is very active.

• There are significant problems with OTC fungal nail treatment product purchases. Not all nails that are dystrophic, discolored or have debris are always fungal in nature until you have a professional working diagnosis obtained by a good medical history backed up by a nail biopsy and/or nail culture. BAKO pathology labs is one of the foremost dermo-pathology labs in the country that provide those advanced identification services.

• Any of these products may help some individuals or the individual may perceive improvement depending on the respective pathology.

• Some products work much better than others for patients to obtain results. Some nail problems are well beyond the scope of topical treatments.

End Goal of Presentation

• To make podiatric, allopathic and osteopathic medical professionals, medical assistants, nursing staff, medical nail technicians, salon personnel and the general public aware of the numerous options to treat fungal nail problems.

THE END

Complied by Robert Spalding, DPMwww.justfortoenails.com

Area Podiatry Center 1225 Taft HwySignal Mountain, TN 37377

423-756-FOOT (3668)President of MediNail Learning Center

www.medinail.comMember of the APMA, ACFAOM, and ABMSP