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Where have all the nail antifungals gone?

Discussion in 'General Issues and Discussion Forum' started by Snowstorm, Sep 5, 2013.

  1. Snowstorm

    Snowstorm Active Member


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    I believe recent MHRA action has removed a number of nail antifungals from the market, among them Phytex and monphytol, which proved to be cost effective options.
    Podiatrist/ supplementary prescribers, must be given a broader spectrum of prescription medicines in this field or face loosing their patients confidence.

    Does anyone from experience recommend any good alternatives which are "cost effective" and proved efficient?
    :craig:
    Regards
    Mark
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
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    I not familiar with MHRA action (?) but wasn't Phytex just a low dose of salicylic acid?
     
  3. Boric acid, tannic acid, methyl salicylate and salicylic acid. Although somewhat dated, this 2003 review suggested the following: "There are no published studies on the efficacy of salicylic acid (PhytexÒ; Pharmax, Bexley, U.K.) and methyl undecenoate (MonphytolÒ; LAB, London, U.K.) in fungal nail infection and their use cannot be recommended." http://www.bad.org.uk/Portals/_Bad/Guidelines/Clinical Guidelines/Onychomycosis.pdf N.B. the potential conflict of interest of the lead author.

    Perhaps someone knows of a more recent study which recommends the use of Phytex based upon sound scientific evidence?
     
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