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Topical clotrimazole is usually not effective in the treatment of fungal infections of the scalp or nails. [citation needed] When using over-the-counter drug clotrimazole products, use should be discontinued if the condition does not improve after treatment for 2 weeks for jock itch or after 4 weeks for athlete's foot or ringworm. [9]
Before oral antifungal therapies are used to treat nail disease, a confirmation of the fungal infection should be made. [36] Approximately half of suspected cases of fungal infection in nails have a non-fungal cause. [36] The side effects of oral treatment are significant and people without an infection should not take these drugs. [36]
These drugs can also interact with food and various medications. Inform pharmacists or clinicians of existing or contemplated concomitant therapy, including prescription and Over-the-counter drugs, dietary or herbal supplements and any concomitant illnesses. Therefore, topical antifungals should be used with caution after seeking advice from ...
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Over-the-counter (OTC) drugs are medicines sold directly to a consumer without a requirement for a prescription from a healthcare professional, [1] as opposed to prescription drugs, which may be supplied only to consumers possessing a valid prescription.
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Advancing age (usually over the age of 60) is the most common risk factor for onychomycosis due to diminished blood circulation, longer exposure to fungi, nails which grow more slowly and thicken, and reduced immune function increasing susceptibility to infection. [13]
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