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

6 Answers

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