Current Status of Onychomycosis Topical Therapy Conducted at Home

Yoshitaka Yoneta, Yoshihiro Imazu, Emiko Uchida, Katsunori Yamaura, Junko Suzuki

Research output: Contribution to journalArticle


 Patients usually consult a dermatologist for the treatment of onychomycosis. However, in the case of home care, visiting nurses may assist with bathing, which offers the opportunity to observe patients' feet for possible signs of onychomycosis without causing anxiety. It is estimated that more than 30% of patients receiving home care have onychomycosis. Before the approval of efinaconazole, healthcare personnel hesitated to treat onychomycosis because of: 1) possible side effects, especially liver dysfunction and pain due to repeated blood collection, as a major goal of home care is to minimize pain; and 2) the questionable efficacy of previously available antifungal medications. In addition, many patients report fear of "transmitting athlete's foot to others" and "do not want to show my dirty toenails". On the other hand, caregivers reportedly worry about "athlete's foot being transmitted to them".

Original languageEnglish
Pages (from-to)607-609
Number of pages3
JournalYakugaku zasshi : Journal of the Pharmaceutical Society of Japan
Issue number5
Publication statusPublished - 2018 Jan 1



  • dermatology
  • efinaconazole
  • home care
  • onychomycosis

ASJC Scopus subject areas

  • Pharmacology
  • Pharmaceutical Science

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