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WHAT IS PENLAC ANTIFUNGAL NAIL LACQUER?
Penlac Nail Lacquer is a NEW medical breakthrough: the first-of-its-kind and ONLY TOPICAL Nail Lacquer PRESCRIPTION medicine approved by the FDA for the treatment of mild to moderate fingernail and toenail infections in the immunocompetent patient.   Penlac is a clear, odorless nail lacquer brushed on the nail to treat nail fungus infections, onychomycosis. The active ingredient in Penlac Nail Lacquer cream is ciclopirox 8%, a broad spectrum antifungal agent that inhibits the growth of dermatophytes (fungus on the nails).  Unlike Lamisil tablets nail fungal medications taken orally which can affect the entire body, Penlac nail lacquer works from the outside directly on the nail fungus. Lamisil tablets can result in liver failure. Nail the infection from the outside in with Penlac Nail Lacquer prescription. Although Penlac is newly approved in the United States, it has been used for more than 5 years  in Europe. 
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.
 WHO IS SUSCEPTIBLE to NAIL FUNGAL INFECTIONS?
Over 30 million Americans are affected.  Nail fungus infection is most commonly seen on the toenails of men and the fingernails of women.  Most infections occur in those between the ages of 40 to 65 but anyone can become infected. Some individuals have an inherited tendency to have nail fungal problems.  Also, individuals with a compromised immune system and certain types of long-term conditions such as HIV-positive, diabetes etc. are at an increased risk.  The following are some environmental factors increasing the risk of nail fungal infections: Continuous exposure of hands and feet to moisture, shoes fitting too tightly, not changing shoes often enough, injury to toe or fingernail.
WHY DO I NEED TO TREAT A MILD NAIL INFECTION?
IF LEFT UNTREATED WILL IT GO AWAY BY ITSELF?
Onychomycosis is a progressive fungal infection.  The fungus destroys tissue and organic debris accumulates under the nail leading to nail changes beginning with slight thickening and discoloration.  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 PENLAC 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 PENLAC NAIL LACQUER?
Penlac Nail Lacquer is applied only once a day to the affected nails with the applicator brush provided. Penlac is clear and odorless  and quick drying.  It's just as easy as using nail polish.  Once daily, preferably before bedtime, one layer of Penlac lacquer is applied over the entire affected nail plate and 0.5mm of surrounding skin area with the applicator brush provided.  Do not wet hands for 8 hours after application. Each day for 7 days a new layer is applied over the previous one.  Once a week remove layers with alcohol and trim nails and with an emery board file away loose nail material.  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.  Up to 48 weeks of treatment may be needed for a cure which is defined as 10% or less residual nail involvement. 
HOW IS PENLAC DIFFER FROM THAN OTHER NAIL FUNGAL TREATMENTS?
Nail fungus are very difficult to clear up and if left untreated will only progress.  Penlac Nail Lacquer differs from oral medications because it is applied directly to the site of the infected nail and it does NOT have systemic effects.  Since antifungal nail treatment needs to be continued for many months, Penlac lacquer is advantageous as it has no systemic toxicity and is much better tolerated and safer than other available treatments.  Penlac is the ONLY FDA-approved topical prescription treatment proven effective for treating mild to moderate fungal nail infections in immunocompetent candidates.
CAN THE EFFECTIVENESS OF PENLAC NAIL  LACQUER BE ENHANCED WITH KERALAC NAIL GEL?
Yes! Keralac gel is the most powerful tissue-softener available to help restore healthy appearance of diseased, damaged, brittle and ingrown nails. Keralac gel breaks down the tightly-linked keratin of the nail matrix and increases the penetration of Penlac Nail Lacquer into the nail.  Penlac nail lacquer can be used concomitantly with Keralac nail gel.  Keralac nail gel is applied first and when dry Penlac nail lacquer is applied. The end to fungal nail infections can begin with Keralac nail gel and END with Penlac nail lacquer. For more information about Keralac Gel visit www.MedicalWellnessCenter.com
 CAN PENLAC LACQUER BE USED WITH OTHER ANTIFUNGAL NAIL TREATMENTS OR BE USED WITH NAIL POLISH?
Penlac Nail Lacquer is NOT recommended to be used with any other systemic antifungal agents for nail fungus infection as there are no studies to determine their interactions.  Also DO NOT use nail polish, acrylic nails, or any other cosmetic nail products during treatment regimen with Penlac.
WHAT IF I MISS A Penlac Nail Lacquer APPLICATION?
If you miss a Penlac Nail Lacquer 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 Penlac Nail Lacquer?
Penlac Nail Lacquer does not penetrate into the nail bed and therefore here are NO systemic effects when used appropriately.  There are No know drug interactions and No laboratory monitoring is needed. The majority of patients using Penlac Nail Lacquer experience no side effects, and any side effects are mild if any. Only about 5% of users experience mild and transient redness and swelling when using Penlac topically as directed.  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! 
WHO SHOULD NOT USE PENLAC NAIL LACQUER?
WHAT ARE THE CONTRAINDICATIONS FOR PENLAC NAIL LACQUER?
  • Do NOT use Penlac Nail Lacquer 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: ciclopirox in a solution base containing ethyl acetate, NF; isopropyl alcohol, USP; and butyl monoester of poly (methylvinyl ether/maleic acid) in isopropyl alcohol.
  • Do Not use on skin other than that immediately adjacent to infected finger nail
  • Do NOT use on advanced severe fungal nail infections involving the entire nail
  • Do NOT us if have a history of immunosuppression, history of recurrent shingles, on cancer chemotherapy, HIV-positive, organ transplant recipient, diabetic, diabetic neuropathy, on anti seizure medication to control epilepsy, use topical corticosteroids on a repeated monthly basis, use steroid inhalers on a regular basis - you need to be constantly monitored by a physician during treatment as there is high potential of complications and superinfection.
  • Do NOT use in eyes. Do NOT use orally.  Do NOT use on mucous membranes on intravaginal.
  • Not approved for pediatric use
  • Penlac FDA-approved for the treatment of NAIL FUNGAL infections ONLY!
We will not prescribe Penlac Nail Lacquer to anyone under the age of 18. Also Penlac Nail Lacquer should NOT be used by pregnant women or women who are breast feeding. Penlac Nail Lacquer is ONLY approved for use for fungal infections of the toe and finger nails.
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