Jublia, recently approved by the FDA to cure toenail fungus has been touted as the latest and greatest treatment for this stubborn condition, but does it really work? Jublia and another recently approved medication, Kerydin, are topical versions of a new class of antifungals called oxaboroles. They are believed to be better at penetrating the thick nail plate to reach the fungus growing beneath it. Current over-the-counter and prescription antifungals are not effective in penetrating the nail bed. Oral antifungals have been used for years but have potentially dangerous side effects and can interact with other medications.
Although a stronger and more localized treatment sounds promising, both Jublia and Kerydin have mediocre results at best. First of all, these medications need to be applied daily for 48 weeks, and can have potential side effects, such as ingrown toenails, redness, itching, swelling, burning or stinging, blisters and pain. Secondly the cost is prohibitive, a small (4ml) bottle going for $560 dollars – not covered by most insurance. Thirdly, during the entire year of using Jublia, you are prohibited from getting a pedicure or painting your toenails. Most importantly, however is the low efficacy rate. In clinical trials daily use of Jublia for 48 weeks resulted in complete cure of nail fungus in 15-18% of patients. Daily use of Kerydin resulted in cure for 6-9% or study subjects.
Laser toenail fungus removal remains the best option to treat the thick, brittle and unsightly toenails of onychomycosis infection. At Inkfree, MD our unique dual laser protocol has an efficacy of 80-90% and requires only three brief visits to our clinic. During the treatment you are allowed to continue with pedicures and to paint your toenails. Additionally our current specials of $199 for one foot and $299 for two feet, make this treatment affordable and allow you to finally be fungus free!