1. First read about Keralac Nail Gel and learn more about its indications and  contraindications and read and agree to the Waiver of Liability.
2. Next, accurately and truthfully complete and submit a medical consultation questionnaire
3. Your medial consultation will be reviewed by one of our Physicians and if approved you will receive a Keralac Nail Gel prescription with 6  refills which can be filled at any U.S. pharmacy of your choice. No medication purchase required- you can choose any pharmacy where your medical insurance accepted.
4. This physician evaluation is RISK-FREE.  If  Keralac Nail Gel prescription is not appropriate for you there is No charge.  The initial consultation fee for the physician evaluation is only $49.95. 

• Do NOT user Keralac Nail Gel  if you are pregnant, attempting to become pregnant, or at a high risk of becoming pregnant. Keralac Nail Gel (50% urea)  is a Pregnancy Category B which means that there are no adequate studies of Keralac Nail  Gel in animals or humans.  Therefore Keralac Nail Gel  may pose potential risk to the fetus and should not be used by pregnant women.
• Do NOT use Keralac Nail Gel if you are breast feeding.
• Do NOT use Keralac Nail Gel if you are allergic  or sensitive to any of the ingredients: 50% urea, lactic acid, zinc, PEG-6, Propylene Glycol, Trolamine, Xanthan Gum, Edetate Disodium, Hydroxyethylcellulose.
• Keralac Nail  Gel is contraindicated if you have diabetes, diabetic neuropathy since small infections or tiny lacerations can become major infections and result in loss of limb.  All treatment in diabetics should be done my a medical professional.
• Keralac Nail  Gel is contraindicated if you have severe case of nail fungus infection involving many nails and involving the entire nail to the cuticle with the nail crumbling and lifting from the nail bed accompanied by pain.
• We do NOT prescribe Keralac Nail Gel to anyone under the age of 18 
• Keralac Nail  Gel is ONLY for use on toe and finger nails and immediately adjacent skin and thickened skin areas.  Do NOT use in eyes, orally, on mucous membranes or in vaginal area.
• Keralac Nail Gel is for EXTERNAL use only!  Avoid contact with wyes, lips or mucous membranes.

• Keralac Nail  Gel is for EXTERNAL USE ONLY.  Avoid getting Keralac Nail  Gel in your eyes, nose or mouth.  Flush with water and seek immediate medical attention!
• Apply Keralac Nail  Gel only to the nails and immediately adjacent skin and thickened skin areas.  Do not apply intravaginally or to mucous membranes or lips.
• Do NOT use nail polish, artificial nails, or any other cosmetic nail product on the nails with Keralac Nail Gel.
• For thickened nails due to nail fungal infection, it is recommended that Keralac Nail  Gel be used along with an antifungal agent such as Penlac Nail Lacquer.
• If the area of application shows signs of increased irritation such as increased redness, swelling, burning, blistering, or oozing, DISCONTINUE USE and seek immediate medical attention from your regular physician. Keralac Nail  Gel  is to be used as part of a comprehensive skin and nail care program.  In some cases regular periodic trimming  and filing of infected nail by a professional may be necessary in addition to your own regular nail care.
• Keep away from children.

 

1. Step 1: Before starting treatment remove any loose nail or nail material using nail clippers or nail files (emery board).
2. Step 2: Apply a single, even coat of gel directly to the problem area once or twice a day.    Apply evenly over the entire nail.  Where possible, apply  to the underside of the nail and to the skin beneath the nail. 
3. If using Keralac Nail Gel concomitantly with other topical antifungal or steroid therapies, apply Keralac Nail  Gel first.  Allow gel to completely dry before apply other topicals on top of gel.
4. Allow gel to completely dry before putting on socks or stockings.
5. Apply Keralac Nail gel  daily to affected skin and nails over the previous coats..
6. Always close bottle tightly and protect from light by placing bottle into carton after each use.
7. It's WORTH THE WAIT:  It may take several months to start to see improvement.

ADVERSE REACTIONS - SIDE EFFECTS:

• The  majority of patients using Keralac Nail Gel experience no side effects and side effects are mild if any.  The side effects when used topically as directed are limited to transient stinging, burning, itching or irritation at site of application which disappears on discontinuing the medication.    If  you experience increasing redness, swelling, pain.... stop use of Keralac Nail  gel and contact your doctor. 
• If you get the medication in your eyes, rinse immediately with water and contact your regular physician! 
• There are NO systemic effects when used appropriately