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Medical devices for the treatment of onychomycosis
Author(s) -
Gupta Aditya K.,
Simpson Fiona C.
Publication year - 2012
Publication title -
dermatologic therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.595
H-Index - 68
eISSN - 1529-8019
pISSN - 1396-0296
DOI - 10.1111/j.1529-8019.2012.01519.x
Subject(s) - medicine , iontophoresis , adverse effect , pharmacotherapy , photodynamic therapy , clinical trial , intensive care medicine , dermatology , drug , antifungal , pharmacology , chemistry , organic chemistry , radiology
Device‐based therapies are the most rapidly expanding area of onychomycosis treatment. Traditional pharmacotherapy of onychomycosis has a low to moderate efficacy and is associated with adverse reactions and drug interactions that limit its use in many patients. These new therapies include laser systems, photodynamic therapy, iontophoresis, and ultrasound. Device‐based therapies are procedures conducted in the clinic by a trained professional, which mitigates the requirement for long‐term patient compliance. In addition, the drug component of these therapies is topical, preventing the adverse events associated with systemic antifungal administration, and potentially allowing for the treatment of individuals who were previously excluded due to drug interactions. Device‐based therapy is a nascent field, so clinical data is still in an emergent stage; however, preliminary clinical trials of laser, photodynamic therapy, and iontophoresis suggest that some devices may have a degree of efficacy. More studies are required to better determine their ability to treat onychomycosis.