Why is this medication prescribed?

Efinaconazole topical is prescribed primarily for the treatment of fungal infections of the toenails and fingernails, a condition known as onychomycosis. Onychomycosis is caused by various types of fungi, including dermatophytes, which can infect the nails, causing them to become thickened, discolored, brittle, and distorted in shape.

Efinaconazole belongs to a class of medications known as antifungal agents. It works by inhibiting the synthesis of ergosterol, an essential component of fungal cell membranes. By disrupting the integrity of the fungal cell membrane, Efinaconazole effectively kills the fungus responsible for the infection and helps to clear up the nail infection.

How should this medicine be used?

Efinaconazole topical should be used as directed by your healthcare provider. Here are general guidelines for using Efinaconazole:

• Preparation: Before applying Efinaconazole, ensure that the affected nails are clean and dry. Remove any nail polish or cosmetic products from the affected nails.
• Application: Apply a thin layer of Efinaconazole topical solution to the affected toenails or fingernails and the surrounding skin. Use the applicator brush or dropper provided with the medication to apply the solution evenly.
• Coverage: Ensure that the entire surface of the affected nail(s) is covered with the solution. Also, apply the solution to the undersurface of the nail and the area around the nail.
• Frequency: Efinaconazole is typically applied once daily. Follow your healthcare provider’s instructions regarding the frequency of application.
• Allow to Dry: Allow the medication to dry completely before covering the treated nails with socks, shoes, or gloves. This helps prevent the medication from being rubbed off and allows it to penetrate the nail effectively.
• Wash Hands: Wash your hands thoroughly after applying Efinaconazole unless the hands are being treated.
• Duration of Treatment: Treatment with Efinaconazole may take several months to achieve optimal results. It’s important to continue using the medication as prescribed by your healthcare provider, even if you do not see immediate improvement in the appearance of your nails.
• Follow-up: Follow up with your healthcare provider as scheduled to monitor the progress of the treatment and to address any concerns or questions you may have.
• Discontinuation: Do not discontinue Efinaconazole treatment without consulting your healthcare provider, even if your symptoms improve. Stopping the medication prematurely may allow the fungal infection to return.
• Storage: Store Efinaconazole topical solution at room temperature away from moisture and heat. Keep the container tightly closed when not in use.

If you have any questions or concerns about how to use Efinaconazole topical, consult your healthcare provider for guidance and clarification. It’s essential to use the medication exactly as prescribed for the best results in treating fungal nail infections.

Other uses for this medicine

Efinaconazole topical is primarily indicated for the treatment of fungal infections of the toenails and fingernails (onychomycosis). However, it’s essential to note that medications may sometimes be used off-label for conditions not specifically listed in the prescribing information. Off-label use refers to the use of a medication for a purpose not approved by regulatory authorities but based on clinical judgment and evidence. However, the off-label use of Efinaconazole should only be done under the supervision of a healthcare provider.

What special precautions should I follow?

Special precautions to follow when using Efinaconazole topical include:

• Avoid Contact with Eyes, Mouth, and Mucous Membranes: Efinaconazole is for external use only. Avoid getting the medication in your eyes, mouth, or mucous membranes. If accidental exposure occurs, rinse thoroughly with water.
• Do Not Swallow: Efinaconazole topical is not intended to be swallowed. If accidental ingestion occurs, seek medical attention immediately.
• Allergic Reactions: Inform your healthcare provider if you have a known allergy to Efinaconazole or any of its ingredients. Seek medical attention if you experience signs of an allergic reaction, such as rash, itching, swelling, dizziness, or difficulty breathing.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Efinaconazole with your healthcare provider. It is not known whether Efinaconazole can harm an unborn baby or pass into breast milk.
• Use in Children: The safety and effectiveness of Efinaconazole topical in children have not been established. Consult a healthcare provider before using this medication in children.
• Medical Conditions: Inform your healthcare provider about any medical conditions you have, especially if you have a history of skin sensitivities or allergies.
• Other Medications: Inform your healthcare provider about all the medications, vitamins, and supplements you are currently taking, including over-the-counter and prescription medications. This will help prevent potential drug interactions.
• Use as Directed: Use Efinaconazole topical exactly as prescribed by your healthcare provider. Do not use more or less of it or use it more often than prescribed.
• Follow-up: Attend all scheduled follow-up appointments with your healthcare provider to monitor the progress of the treatment and address any concerns or questions you may have.

If you have any questions or concerns about the use of Efinaconazole topical or specific precautions to follow, consult your healthcare provider for guidance. They can provide personalized advice based on your individual medical history and circumstances.

What special dietary instructions should I follow?

Regarding special dietary instructions, there are no specific dietary restrictions associated with the use of Efinaconazole topical.

What should I do if I forget a dose?

If you forget to apply a dose of Efinaconazole topical, apply it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not apply extra medication to make up for the missed dose. If you have any concerns or questions about missed doses, consult your healthcare provider for advice.

What side effects can this medication cause?

Efinaconazole topical, like any medication, may cause side effects in some individuals. It’s essential to be aware of potential side effects and to promptly report any adverse reactions to your healthcare provider. Common side effects of Efinaconazole topical may include:

• Ingrown toenail: This may occur in some cases due to the nature of the infection and the treatment process.
• Skin irritation: Some individuals may experience mild skin irritation, such as redness, itching, burning, or stinging at the site of application.
• Contact dermatitis: In rare cases, Efinaconazole may cause an allergic skin reaction, resulting in contact dermatitis. Symptoms may include rash, hives, swelling, or blistering.
• Changes in nail texture: The affected nails may become brittle, discolored, or develop an abnormal texture during treatment. However, this is often part of the healing process as the infected nail grows out.
• Other: Less commonly, individuals may experience headache or changes in taste sensation.

It’s important to note that not everyone will experience these side effects, and many people using Efinaconazole topical do not have any significant adverse reactions. If you experience any persistent or severe side effects while using Efinaconazole, contact your healthcare provider for further evaluation and guidance. Additionally, if you have concerns about the side effects or need advice on managing them, your healthcare provider can provide personalized recommendations based on your individual medical history and circumstances.

What should I know about storage and disposal of this medication?

Storage and Disposal:

Storage:

• Store Efinaconazole topical solution at room temperature, away from moisture and heat.
• Keep the container tightly closed when not in use.
• Do not freeze the medication.
• Keep Efinaconazole out of reach of children and pets.

Disposal:

• Dispose of unused Efinaconazole topical solution properly according to local regulations or as instructed by your healthcare provider or pharmacist.
• Do not flush medications down the toilet or pour them into a drain unless instructed to do so.
• Contact your local waste disposal facility for guidance on the proper disposal of medication.

In case of emergency/overdose

• If you suspect an overdose of Efinaconazole topical or if someone has ingested the medication, contact your local poison control center or seek emergency medical attention immediately.
• Symptoms of overdose may include severe skin irritation, allergic reactions, or other adverse effects.

What other information should I know?

• Follow all instructions provided by your healthcare provider and pharmacist regarding the use of Efinaconazole topical.
• Inform your healthcare provider about all medications, vitamins, and supplements you are currently taking, including over-the-counter and prescription medications, to avoid potential drug interactions.
• Do not share Efinaconazole topical with others, even if they have similar symptoms, as it may not be appropriate for their condition.
• Continue to use Efinaconazole topical for the full prescribed duration, even if symptoms improve before the treatment is completed.
• Attend all scheduled follow-up appointments with your healthcare provider to monitor the progress of the treatment and address any concerns.
• If you have any questions or concerns about Efinaconazole topical, consult your healthcare provider or pharmacist for guidance.

By following these guidelines, you can ensure the safe and effective use of Efinaconazole topical for the treatment of fungal nail infections.