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Just wondered if anyone has used Excilor as a treatment for onychomycosis and what the outcomes were.
I was a given a leaflet on this product at the SCP Conference in November and although the information provided sounds promising, wondered what the real-life experiences were.
Just wondered if anyone has used Excilor as a treatment for onychomycosis and what the outcomes were.
I was a given a leaflet on this product at the SCP Conference in November and although the information provided sounds promising, wondered what the real-life experiences were.
Excilor® is a Class IIa medical device, not a medicinal product. It does not have a pharmacological effect on the mycosis. Its effect is based on a physical principle: the long-term acidification of the microenvironment around and under your nail.
As the tin says; it doesn`t actually `treat` OM as it does not contain either a fungicide (destroying the dermatophyte) nor a fungistatic (preventing spore reproduction) ingredient. It claims to make it difficult for dermatophytes to thrive by altering the pH of the nail apparatus. Personally, I would question how this device could penetrate to subungal level where the fungus is active. But that`s just me.
A quick search does not reveal any trials, nor even case studies, for the effectiveness of what is essentially a vinegar (it has its uses, I know) and solvent compound for OM.
Hope that helps!
Bel
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Katie and Bel
It begs the question as to why the SCP allows products like this to be given out at conference, or advertised in their journal, considering that we are supposed to pursue an evidence based practise.
Katie and Bel
It begs the question as to why the SCP allows products like this to be given out at conference, or advertised in their journal, considering that we are supposed to pursue an evidence based practise.
CM
Indeed. Not as if they need the support of any ol`trade to fund the conference, considering the high attendance fees.
I was sent these by email today. So, the 2 `studies` only recruited participants with SWOM and/or light distolateral OM, cos that`s really difficult to treat, isn`t it? Any thoughts?
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i also have received a leaflet on this product...OM is one common complaint that pts seem to struggle with sticking to the advice and compliance is fairly low. having thought about it (for all of about 5 mins!) after reading the vinegar thing...i wondered if anyone had thought of trying soaking the nail/s in vinegar and then applying an antifungal product straight after? i havnt tried it myself...just throwing a thought out there at this point:)
what else do you guys use to treat OM? do you always take a clipping? what products work in your opinion/experience and do you give other advice eg footwear, nail varnish, diet etc?