A review article on Anti-Fungal Nail Lacquer Using Treatment of Onychomycosis

Yadav, Kanchan

doi:10.29322/ijsrp.9.04.2019.p8848

Cited by 1 publication

(1 citation statement)

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“…The nail unit is considered a shield to the fingers' and toes' edge phalanges against trauma. The nail plate is a rough construction covering a thin glabrous epidermis, which is the nail bed or matrix [1]. At the nail root, the basal cells of the nail matrix are unceasingly divided by mitosis, and thus the plate keeps growing interminably during its lifetime, where the new cells are differentiated, and keratinized, thus forcing the old cells towards the dorsal surface [2].…”

Section: Introductionmentioning

confidence: 99%

Contemporary Techniques and Potential Transungual Drug Delivery Nanosystems for The Treatment of Onychomycosis

Abd-Elsalam

Abouelatta

2023

AAPS PharmSciTech

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The humanoid nail is considered an exceptional protective barrier that is formed mainly from keratin. Onychomycosis is the cause of 50% of nail infections that is generally caused by dermatophytes. Firstly, the infection was regarded as a cosmetic problem but because of the tenacious nature of onychomycosis and its relapses, these infections have attracted medical attention. The first line of therapy was the oral antifungal agents which were proven to be effective; nevertheless, they exhibited hepato-toxic side effects, alongside drug interactions. Following, the opportunity was shifted to the topical remedies, as onychomycosis is rather superficial, yet this route is hindered by the keratinized layers in the nail plate. A potential alternative to overcome the obstacle was applying different mechanical, physical, and chemical methods to boost the penetration of drugs through the nail plate. Unfortunately, these methods might be expensive, require an expert to be completed, or even be followed by pain or more serious side effects. Furthermore, topical formulations such as nail lacquers and patches do not provide enough sustaining effects. Recently, newer therapies such as nanovesicles, nanoparticles, and nanoemulsions have emerged for the treatment of onychomycosis that provided effective treatment with possibly no side effects. This review states the treatment strategies such as mechanical, physical, and chemical methods, and highlights various innovative dosage forms and nanosystems developed in the last 10 years with a focus on advanced findings regarding formulation systems. Furthermore, it demonstrates the natural bioactives and their formulation as nanosystems, and the most relevant clinical outcomes. Graphical Abstract

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Section: Introductionmentioning

confidence: 99%