Skin Therapy Letter: Canadian Edition
Comprehensive Treatment Information for Canadian Dermatologists
Skin Care Guide - Canadian Edition
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Fungal Infections - Patient's guide

Fungal Treatment: Understand The Objective and Limitations of Therapy

  • Have your doctor confirm the clinical diagnosis by having a KOH examination of skin scrapings and fungal culture.
  • Skin biopsy can also confirm fungal infection
  • Select appropriate medication from:

    - Topical creams ie/ Loprox®
    - Nail lacquer: ie/ Penlac®
    - Systemic drugs ie/ Lamisil®
Penlac® (Ciclopirox)

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  • INTRODUCTION
    Penlac is the first topical anti-fungal preparation approved specifically for the treatment of onychomycosis. The product was available for use in Canada in...   |   Read more ...


  • DRUG
    Ciclopiroxs' mechanism of action is fungicidal by affecting intracellular metabolic processes reducing the organisms ability to process nutrients and detoxify toxic metabolites...   |   Read more ...


  • DELIVERY SYSTEM
    Ciclopirox is incorporated into a clear nail lacquer at an 8% concentration which is applied directly onto the nail plate.This transungual delivery system is unique allowing...   |   Read more ...


  • PHARMACOKINETICS
    The penetration of ciclopirox through the nail plate is well documented by invitro studies utilizing cow horn and sheep and bovine nailplate. Studies of penetration in human finger and...   |   Read more ...


  • APPLICATION TECHNIQUE
    Ciclopirox nail lacquer (Penlac) is applied evenly by brush to the entire nail plate including the undersurface at the distal end and at the sites of onycholysis...   |   Read more ...


  • CLINICAL EFFICACY
    The two pivotal US trials were double blind placebo controlled trials involving 549 patients randomized 1:1, placebo:drug who applied ciclopirox daily for 48 weeks to their great toenails...   |   Read more ...


  • SAFETY
    The data gathered from clinical trials and post-marketing reports have not shown any significant systemic side effects related to the topical application of Penlac nail lacquer...   |   Read more ...


  • PATIENT SELECTION
    In my experience, the patients most likely to have the best experience and be most successful with the use of Penlac are...   |   Read more ...

View the entire Penlac® (Ciclopirox) presentation.