If you have a fungal nail infection you have probably contemplated either topical medications, oral medications, or both. However, not everyone knows which to try first or which one would be more efficient of a treatment.
Topical medications for antifungal treatment are in the form of creams, ointments, lacquers, and sprays. These are to be applied to the skin and nail area only to kill fungal pathogens. Topicals should be used for those who have half of the nail or less infected, or for those whose liver cannot tolerate the oral medications. Although these are a form of antifungal remedy, topicals have a very low curate, as they are unable to penetrate through the skin and nail deep enough to kill fungi. Furthermore, topicals are recommended to be used more so for aftercare or alongside another treatment option.
Oral medications are in the form of pills. These work from the inside out and are much stronger than topical medicines. As a result they have many side effects, as with most pills. These side effects include nausea, stomach pain, liver damage, heart failure, conflict with other medicines you may be taking, and other less serious side effects.
In addition to topical and oral remedies there are surgeries, homeopathic remedies, and laser treatment. A surgery would only be in the form of removing the nail entirely, which is likely to not cure the nails and could potentially leave you nailless forever. Homeopathic remedies are up there with topicals in their low curate and likelihood of working. Lastly, laser treatment, which has been a new breakthrough for nail fungus, has been known to resolve issue in a painless, safe, and most effective form with a higher curate than any other treatment option.
If you are trying to decide on a treatment option for your nail fungus, your best bet is to do your research and likely to try laser treatment.