DEAR DR. GOTT:
I have been using Miranel for toenail fungus. It leaves so much white powder on my nails that I can’t tell whether they are healing or not. It is interesting to note that in the directions it says “not effective on nails”. Would you please reply?
DEAR READER:
The packaging information specifies “Do not apply Miranel Antifungal Treatment over the previous application…remove with alcohol…wash affected area (before new application)”. Are you are applying the product twice daily without cleansing, causing the buildup? If so, the miconazole nitrate ingredient cannot penetrate properly when a barrier is present.
Unlike many medications, Miranel does not damage the liver. The FDA monograph is written for skin treatment, yet the product works for nail fungus. Manufacturers of anti-fungals must include a disclaimer indicating their products are not effective on nails since there has been no formal research done.
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