Onychomycosis (Tinea unguium)

- Terbinafine is more effective than fluconazole, itraconazole or oral griseofulvin.

- Terbinafine cream is NOT effective.

- 25-30% relapse rate.

Usual Pathogens

Trichophyton spp

Empiric Therapy	Dose	Duration
Terbinafine	250mg PO daily	6 weeks (fingers) / 12 weeks (toes)

Empiric Therapy	Dose	Duration
Itraconazole	200mg PO daily	8 weeks (fingers) / 12 weeks (toes)