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WHAT IS KERALAC NAIL GEL?
Keralac Nail Gel is the most potent medical breakthrough prescription medication that softens thickened skin tissue like corns and calluses and treats thickened nails from conditions such as psoriasis and nail fungal infections. Keralac Nail Gel is a clear, odorless, quick-drying gel that can be used by itself or concomitantly with topical antifungals or steroids. It's a gentle yet potent tissue softener for nails and skin. The active ingredients are 50% Urea, lactic acid, and zinc.
HOW DOES KERALAC NAIL GEL WORK?
Keralac Gel breaks down the tightly-linked keratin by dissolving the intracellular matrix of the nail, which results in the softening and eventual debridement of the nail.  Keralac Gel also increases the hydration of the nail by inhibiting nail keratin from becoming excessively packed and cross-linked which allows for better penetration of concomitant therapies.
WHAT ARE THE INDICATIONS FOR KERALAC NAIL GEL?
Keralac Gel can be used alone as a treatment for thickened skin of calluses and corns and hyperkeratotic (thickened) nails.  Or Keralac Gel can be used concomitantly with other topical antifungal or steroid therapies for thickened psoriatic nails or thickened nails from nail fungal infections.  THE END TO NAIL INFECTIONS BEGIN WITH Keralac GEL.
WHAT ARE CORNS AND CALLUSES?
Cons and calluses are thick-skinned areas on the feet that develop as a natural response to friction and pressure. Corns usually show up on non-weight bearing areas of the foot, most commonly on the joints of toes and between toes. The most common sites of calluses are on the balls of the foot and the heel.  A corn is usually smaller than a quarter inch in diameter and has a hard, upside-down pyramid-shaped core which is often painful.  Almost everyone develops calluses and corns which can be due to ill fitting shoes or may be due to underlying foot disorders.  Therefore it is important if you frequently develop corns or calluses to visit a podiatrist.  It is important to never cut corns or calluses yourself because infections can easily develop.
WHAT IS A NAIL FUNGUS INFECTION, ONYCHOMYCOSIS?
Onyhomycosis or nail fungus infection is a medical condition that is treatable.  Nail fungal infections are caused by dermatophytes, a fungus that infects skin, nails and hair.  Most often the fungus enters just under the top of the nail and moves steadily toward the cuticle, the white half moon area. The infected nails become discolored, yellowish-brown, thickened, misshaped and eventually (if left untreated) separate from the nail bed and the nail crumbles off. If left untreated the nail plate eventually separates from its nail bed and crumbles off and the infections spreads to other nails.  The condition progresses from what initially appears to just be a "cosmetic" discoloration of the nail to a painful debilitating condition affecting ones ability to walk or use their fingers.
WHO QUALIFIES FOR AN ONLINE KERALAC NAIL GEL CONSULTATION?
If you have previously been diagnosed by a health care profession as suffering from mild to moderate nail fungal infection (click here for photos of nail fungal infection)  you may finally have find a safe and simple solution to the embarrassing condition of discolored, thickened and hardened nails due to a dermatophyte fungal infection. Penlac antifungal nail polish is applied directly at the site of the fungal infection and may work for you when other treatments have failed.  Penlac prescription is not for those with severe fungal infections involving the entire nail Mild to moderate infections are those involving only several nails and more than half of the nail may be affected but NOT including the cuticle white half moon area at the top of the nail where it joins onto the finger. If you have many nails affected, the entire nail is involved, brittle and has lifted off from the nail bed and is accompanied by ulceration of surrounding skin and pain you do NOT qualify for an online consultation, you must seek immediate medical attention from your own physician.  If you have long-term conditions affecting your immune system such as diabetes, organ-transplant recipient, HIV-positive, regular user of steroids or steroid inhalers you do not qualify for an online consultation.
WHEN & HOW OFTEN DO I USE KERALAC NAIL GEL?
Keralac Gel is applied once or twice daily only to the affected skin or nails with the applicator brush provided. Keralac Gel is clear and odorless and quick drying.  It's just as easy as using nail polish.  After removing loose nail or nail material with a nail clipper or file, apply a single, even coat of gel directly to the problem area once or twice a day to relieve and soften devitaliized, thick or diseased nails.  Keralac Gel may be used alone to soften thickened tissue or concomitantly with other topical antifungal or steroid therapies. If apply concomitant therapy, apply the Keralac  Gel first, allow to dry and then apply antifungal or steroid preparation. For nail fungal infections we recommend also treating with Penlac Nail lacquer.  Persons with thickened, hardened nails may also need a health professional to trim away unattached infected nails regularly.
HOW LONG BEFORE I SEE RESULTS?
Nail infections are very difficult to cure and it may take many months of treatment to see the effects as the nail grows very slowly.   Fingernails grow faster than toe nails:  fingernails may clear within 6 months and toenails can take 12 months to completely regrow.  But don't despair and discontinue treatment if you do not see improvement right away. It may take 6 months or longer to start to see improvement. 
HOW IS KERALAC NAIL DIFFER FROM THAN OTHER TREATMENTS?
Keralac Gel is potent but gentle to the skin.  It brushes on softness and brushes away a barrier to antifungal and steroid treatment. Keralac Gel is applied directly to the site of the affected skin or nail and it does NOT have systemic effects.  Since treatments may need to be continued for many months, Keralac Gel is advantageous as it has no systemic toxicity and is well tolerated and safe.  The concomitant use of Keralac Gel with other topical antifungal or steroid treatments increases the efficacy of other treatments by softening the tissue and allowing for deeper penetration. For calluses, corns and thickened psoriatic nails, Keralac Gel may be used alone to soften the tissue.  But for Nail Fungal infections we recommend the concomitant use of Penlac Nail Lacquer, the ONLY FDA-approved topical prescription treatment proven effective for treating mild to moderate fungal nail infections in immunocompetent candidates.
CAN KERALAC NAIL GEL BE USED WITH NAIL POLISH?
DO NOT use nail polish, acrylic nails, or any other cosmetic nail products during treatment regimen with Keralac Gel.
WHAT IF I MISS KERALAC NAIL GEL APPLICATION?
If you miss a Keralac Gel application it is best to just skip the missed dose and continue on with your daily nail care regimen.  Never double-up  or use a greater amount to make- up for missed dose, this may only enhance the likelihood of more severe skin irritations.
WHAT ARE THE SIDE EFFECTS OF KERALAC NAIL GEL?
Keralac Gel does not have any systemic effects when used appropriately.  There are No know drug interactions and No laboratory monitoring is needed. The majority of patients using Keralac Gel experience no side effects, and any side effects are mild if any. The only side effects reported are transient stinging, burning, itching or irritation may occur and these side effects normally disappear on discontinuing the medication. If nails start to change shape or you have prolonged swelling and pain around your nails, discontinue use and contact your regular doctor.  If you get the medication in your eyes, rinse immediately with water and seek immediate emergency treatment! Keralac Gel is for EXTERNAL use only.  Avoid contact with eyes, lips or mucous membranes.
WHO SHOULD NOT USE KERALAC NAIL GEL?
WHAT ARE THE CONTRAINDICATIONS FOR KERALAC NAIL GEL?
  • Do NOT use Keralac Gel if you are pregnant or attempting to become pregnant or breast feeding.
  • Do NOT use Penlac Nail Lacquer if you are breast feeding.
  • Do NOT use Penlac Nail Lacquer f you are allergic to any of the ingredients: 50% urea, Lactic acid, zinc.
  • Do NOT use on advanced severe fungal nail infections involving the entire nail
  • Do NOT us if you are diabetic and have nail fungal infections as a result of diabetes.  Infections can easily develop and therefore you need to seek professional help.
  • Do NOT use in eyes. Do NOT use orally.  Do NOT use on mucous membranes on intravaginal
We will not prescribe Keralac Nail Gel to anyone under the age of 18. Also Keralac Gel should NOT be used by pregnant women or women who are breast feeding. 
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