Onychomycosis Clinical Considerations and Recommendations

Mickey Hart, PharmD Candidate 2015; Lynne Fehrenbacher, PharmD, BCPS-AQ ID


US Pharmacist 

In This Article


Pharmacists are an important source of information for patients and other healthcare providers regarding the prevention and treatment of onychomycosis, a common disease with several treatment options. Pharmacists should be prepared to discuss the pros and cons of oral and topical antifungal treatments, as well as nonpharmacologic and alternative treatments. In general, using an oral antifungal (particularly terbinafine) is the most effective option, but that may be inappropriate for some patient populations, such as those with liver dysfunction. Due to the long duration of therapy required for any onychomycosis treatment regimen, it is important for pharmacists to emphasize and support adherence to the chosen therapy