A gift to our MLC students and friends. 200 over the counter treatment options for fungal nails.

1. Two Hundred Plus (200+)
OTC Nail Treatments for
Fungal Nails
Dr. Robert Spalding, President
MediNail Learning Center
www.MediNail.com

2. 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

3. 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.

4. Promises, Promises

5. Approach for Hopeful Companies
• Find an active ingredient or approach
• Build-a-Brand or design a “Catchy Name”
• Trade off an Existing Brand Name

6. 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.

7. 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.

8. 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

9. 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.

10. Back in 1999
• I counted 80 OTC products
• In 2006 I counted 176
• Today over 230 products are on the market

11. As a Podiatrist, I entered this market in
1999 with www.JustForToenails.com and I
learn more about this market everyday

12. VARSI - My All-Time Favorite
Vendors would drink product to prove “safety factor”

13. Yoffee Nail Care

14. Zeta Clear

15. 3 (Overseas)

16. Hope White

17. H-NAIL

18. Ceylon Cinnamon

19. Claripro

20. Vinegar

21. Canesten

22. Toenail & Nail Fungus

23. Cleocil

24. Dr. Win’s Fungal Nail
Advertises improvements in 2 weeks/Active Clortrimazole

25. NO MORE Fungus

26. PediMD

27. Nail Tek

28. Dr. Scholls Fungal Nail

29. Scholl Fungal Nail Treatment

30. Boots Fungal Nail Treatment Pen

31. Fixa Fungus

32. FungiFix

33. Nail Fungus Control

34. Kerasal nail Fungal Nail Renewal

35. Clear Zal

36. Toe Fungus Kit

37. blue goo Nail Fungus Triple Relief

38. rejuve nail

39. Tineacide

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

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

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

43. Nailtiues Formula 2

44. Naturasil Nail Fungus

45. Flexitol

46. Nailner Repair Pen

47. Fungi Nail

48. ProClearz Fungal Shield

49. Crystal Nail Anti-Fungus

50. Fungus Stop

51. “5” Stop Fungus

52. Daktarin

53. PODOSAN

54. eXCILOR

55. Clear Zal

56. “31” or your best Guess

57. Dr. Paul’s Piggy Paste

58. emtrix

59. emuaidMAX

60. fungusfix

61. GEHWOL (Salon Based)

62. MYCOSAN

63. Cruex Nail

64. NAILMEDIC

65. Vick’s Vapor Rub

66. Polinail

67. Overseas

68. Revana

69. MYCOCIDE

70. AP-AP Solution

71. FUNGINIX

72. Anti-Fungal Pen

73. emoniNail

74. NutaNail FUNGI FREE

75. GORDOCHOM
(sold to podiatrists for resale)

76. Pedinol Fungoid Tincture

77. NAILIT

78. Dragonfly Dreaming

79. H-Warts

80. Dr. G’s Clear Nail (sold in salons)

81. mani+Cure

82. Natural Remedy

83. Fungus Killer

84. AFY

85. BNSHT

86. terrasil

87. pedisil

88. FUNGUS MD

89. Tea Tree Oil

90. LCN Mykosept ( Salon Based)

91. Nail Fungus Foot Soak

92. NailFungi-Dr

93. FungiCure

94. Fungi-Cide

95. Ruan Store No

96. Spa professional

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

98. HUANJIA

99. ASTI Restore

100. Nail MD

101. NativeRemedies Nail-Rx

102. Develop 10 Cleary Fungal Free

103. Thymol

104. RainDrop

105. Wild Oregano Oil

106. Nailstat

107. ORLY FUNGUS MD

108. AntiFungal

109. Dr. Remedy

110. Danipro

111. FutSpa

112. Nailexpert by Wartner

113. Antifungal Nail Oil

114. Nail ReNu

115. Roots

116. FUNG-OFF

117. Fungus Rx

118. SPARITUAL FAREWELL
FUNGUS TREATMENT

119. PediFix Funga Soap

120. Krystal Clean Nails

121. Black Pearl

122. NorISH

123. Toenail Fungus Zapper

124. Anti-Nail Fungus

125. FungiCure Intensive

126. Therapeutic Soap

127. FUNGA-FREE

128. TAMANU OIL SkinZeal

129. Hongosan miracle Brush

130. Manu Manuka Oil

131. NSKin Cural

132. Anti Nail Fungus

133. Fungus Free Nails

134. Premier Anti-Fungal Liquid

135. Mayan

136. probella
Natural Fungal Nail Treatment

137. Jason tea tree oil

138. NOW essential oil (tea tree oil)

139. Clearly Confident

140. Lamisil topical drops

141. Beeur naloc

142. Herbal Nail Fungus Soak

143. Magic One Antifungal Nail Drop

144. Nail Fungus No More

145. STOP FUNGUS

146. Emtrix Nail Restore

147. Laser Nail Therapy Clinic
(Medical Office only)

148. Joycetown

149. HNZ

150. Toenail & Fungal Relief

151. Miracle Anti-Fungal

152. Overseas

153. Ameri-Fine Anti-fungal Nail Treatment

154. fungusfix Nail Serum

155. Pur Nail

156. Nail RENEW

157. derma e Skinbiotics Treatment Oil

158. OMIERA PODIAZOLE Fungal Care

159. clearance

160. ProClearz Fungi-Cide PM

161. Neem 40

162. NAIL-IT

163. peda Fungal Nail Renew

164. FUNGAVIR

165. Curanail

166. OPI Nail Envy

167. White Rx Nails Nail Bath Solution (powder)

168. Tinea Clear

169. Gone AWAY

170. Nail Creations

171. White Rx Nail Fungus Solution

172. Cure Toenail Fungus

173. FangPaste
(search engine pulled up with fungal nails)

174. Omega Labs FUNGUS Treatment

175. Melalluca Oil (Tea Tree)

176. ICE King Nail Fungus

177. Nueva Nail

178. NonyX Nail Gel

179. Listerine

180. Onypen

181. Vite20 Nail Oil

182. Foot Relief Bar

183. Sephorris

184. eScential Nail Fungus Fix

185. Loceryl Anti-fungal Nail Treatment

186. Miconazole 1

187. CVS Toe & Nail Treatment

188. Dr. Sheffeild’s Anti-Fungal Cream

189. BIO FUNGUSIN

190. Himalava AntiSeptic

191. Podactin Anti-Fungal Cream

192. Pedifix ClotrimazOil
(Medical Offices)

193. Professional Formadin

194. Ciclodan TOENail Fresh

195. EverStride Fungus RX Defense

196. Anti-fungal Cream

197. Moisture Barrier Antifungal Cream

198. Fxxk Off Fungus Salve

199. TiNG

200. Micatin

201. Tolnaftate

202. Overseas

203. Beenefits

204. TNT Cream

205. onyourTOES

206. Overseas

207. Honey Girl Cuticle and Nail Cream

208. Fungus Gone

209. Purty Nail fungus less

210. SKINEAL

211. Phytozine

212. OxyFend

213. Fungal Nail Treatment Pen

214. Diabeti Derm Toenail and Foot Fungus

215. TetraOils Toe and Foot

216. Unesia

217. KEDEM Sephorris Nail Fungus

218. FUDES

219. Nail Bright Nail Fungus Cream

220. MYKORED forte

221. Nuxe

222. Nail Fix Nu

223. Curail

224. Toenail Soft

225. Treatment Hands and Nail Cream

226. Purify

227. Healthy Nail Antifungal Treatment

228. All Stop

229. Moraz Polyungenium

230. ARAGAN

231. Cidacin

232. ClearNails pro
(Medical Office Use)

233. Antifungal Spray

234. Clear Nail

235. Dr. Numb
(also marketed for painful thick nails)

236. Overseas

237. NOVANAIL

238. Fungus Guard

239. S

240. Blis-To-Sol Liquid

241. Sanvall Violeta Genciana
(Gentin Violet)

242. Dermicol Clear

243. NovaNail PLUS

244. Cure-EX Laser
(OTC laser) Not Topical, Low Power
Not FDA approved Class IV medical device

245. Examples of FDA Approved
High Power Class IV Lasers for Onychomycosis
Aspen, Cool Touch, Cutera/Genesis, Q-Clear, Noveon, etc.

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

247. FDA APPROVED by prescription only
TOPICAL TREATMENTs

248. Penlac / Ciclopriox

249. Newest FDA approved products
Jublia & Kerydin

250. 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.

251. 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.

252. THE END
Complied by Robert Spalding, DPM
www.justfortoenails.com
Area Podiatry Center 1225 Taft Hwy
Signal Mountain, TN 37377
423-756-FOOT (3668)
President of MediNail Learning Center
www.medinail.com
Member of the APMA, ACFAOM, and ABMSP