Hematologist (Blood Specialist) | Hematology Questions Hematologist

Toenail fungus treatment that doesn't interact with warfarin?

I take warfarin for antiphospholipid antibody syndrome and I have toenail fungus currently. Which products and/or active ingredients are safe to use?

Female | 57 years old
Complaint duration: 2 months
Medications: warfarin
Conditions: Antiphospholipid antibody syndrome

8 Answers

I recommend you to seek consult with local podiatrist. Find out what fungus is infectious in your nail. Then come up with treatment options. There are topical and laser options.

It's best to be evaluated by a specialist
I would treat the fungus with a laser. No medications required.
Ciclopirox 8% sol (penlac). Apply every night.
Topical treatments that work are: Formula 7, Jublia, and Kerydin. See your local podiatrist for safe, effective treatments.
The best way to treat toenail fungus is with a medication called Lamisil. Taking warfarin with this medicine is safe, but there may be an increased risk of bleeding with the combination of the 2 medications, and close monitoring of your bleeding times will have to be monitored. There may be a dose adjustment for the warfarin while taking the Lamisil, but the course of Lamisil is only 3 months. All other treatments, including laser, are topical, so there is no contra-indication for any of them with Warfarin. But most topical treatments do not work
Any medication in this class taken by mouth can interact with warfarin. I recommend you discuss with a foot and ankle surgeon (podiatrist) other treatment options, such as topical or surgical
Fungus nails need biopsy then treatment can be cosidered