1. First read about Penlac Antifungal Nail Lacquer 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 Penlac Nail Lacquer  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  Penlac prescription is not appropriate for you there is No charge.  The initial consultation fee for the physician evaluation is only $49.95. 

• Do NOT use Penlac if you are pregnant, attempting to become pregnant, or at a high risk of becoming pregnant. Penlac (ciclopirox)  is a Pregnancy Category B which means that animal studies did not indicate any significant fetal malformations, but there are NO adequate studies of topically applied ciclopirox in pregnant women and therefore may pose potential risk to the fetus
• Do NOT use Penlac if you are breast feeding.
• Do NOT use Penlac if you are allergic  or sensitive to any of the ingredients: ciclopirox in a solution base containing ethyl acetate, NF; isopropyl alcohol, USP; and butyl monoester of poly (methylvinyl ether/maleic acid) in isopropyl alcohol. 
• Penlac is contraindicated if you have diabetes, diabetic neuropathy
• Penlac is contraindicated if you have a history of immunosuppression or immune system disease, if you are HIV-positive, if you are on cancer chemotherapy treatment.
• Penlac is contraindicated if you are an organ transplant recipient
• Penlac is contraindicated if you are taking anti-seizure medication to control epilepsy
• Penlac is contraindicated if use topical corticosteroids on a repeated monthly basis or you use steroid inhalers regular basis.
• Penlac 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.
• Penlac is NOT approved for pediatric use, and we do NOT prescribe Penlac to anyone under the age of 18 
• Penlac is ONLY approved for use on toe and finger nails and immediately adjacent skin.  Do NOT use in eyes, orally, on mucous membranes or in vaginal area.

• Penlac Nail Lacquer is for EXTERNAL USE ONLY.  Avoid getting Penlac in your eyes, nose or mouth.  Flush with water and seek immediate medical attention!
• Apply Penlac nail lacquer only to the nails and immediately adjacent skin.  Do not apply intravaginally or to other areas of skin.
• Do NOT use nail polish, artificial nails, or any other cosmetic nail product on the nails with Penlac nail lacquer.
• Do NOT combine topical Penlac nail lacquer with any other systemic antifungal NAIL treatment.
• 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.
• Penlac is to be used as part of a comprehensive 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.
• Penlac lacquer is flammable. Keep away from heat and flame.
• Always store Penlac nail lacquer bottle in carton to keep away from light.
• 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 thin layer of Penlac once daily to all the affected nails and adjacent skin (preferably at bedtime waiting 8 hours before taking a bath or shower).   Apply evenly over the entire nail  Where possible, apply Penlac to the underside of the nail and to the skin beneath the nail
3. Wait at least 30 seconds to  minute until lacquer  completely dries before putting on socks or stockings.
4. Apply Penlac daily to affected nails over the previous coats.
5. Step 3:  Once a week remove Penlac layers with alcohol.  Trim nails and file away any loose nail materials with an emery board or nail file weekly.  Persons with thickened, hardened nails may also their nails trimmed on a monthly basis by a professional.
6. Repeat the daily application and weekly removal processes until nail shows clearing for a maximum of 48 weeks.
7. Always close bottle tightly and protect from light by placing bottle into carton after each use.
8. It's WORTH THE WAIT:  It may take up to 6 months before seeing improvement and up to 48 weeks to achieve  maximal benefit.

ADVERSE REACTIONS - SIDE EFFECTS:

• The  majority of patients using Penlac nail lacquer experience no side effects.  Penlac is fragrance-free and any side effects are mild if any.  The side effects when used topically as directed are limited to possible redness around nails, slight swelling.   Less than 5% of users experience any side effects.  If irritation and you experience increasing redness, swelling, pain.... stop use of Penlac 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