Nailrox Nail Lacquer 5ml

Introduction About NAILROX SOLUTION

NAILROX SOLUTION contains Ciclopirox, which belongs to the group of medicines called antifungals. It is used to manage mild to moderate fungal infections of fingernails and toenails without involvement of the nail lunula (the white half-moon of the nail) in patients with a normal immune response.

Fungal nail infections may cause nails to become thick, discoloured, fragile, cracked, and also separate from the nail bed.

Before using NAILROX SOLUTION, inform your doctor if you have diabetic neuropathy or insulin-dependent diabetes, a history of immunosuppression, fits, a history of organ transplantation, an HIV infection, tinea pedis (fungal infections of the foot), painful or seriously damaged nails, psoriasis, oedema, or breathing disorders (yellow nail syndrome). Consult your doctor before using it.

NAILROX SOLUTION should be used during pregnancy only if it is considered necessary, and it should be used with caution by breastfeeding women. Consult your doctor before using it.

NAILROX SOLUTION is safe for use in children aged twelve years and older, and it should be used with caution in elderly patients above 65 years of age. Consult your doctor before using NAILROX SOLUTION.

The most common side effects of using NAILROX SOLUTION are periungual erythema (redness of the skin surrounding the nail) and erythema, or redness, of the proximal nail fold. Consult your doctor if any of the symptoms worsen.

Uses Of NAILROX SOLUTION

• To manage mild to moderate fungal infections of fingernails and toenails without involvement of nail lunula

How NAILROX SOLUTION Works

NAILROX SOLUTION is a broad-spectrum antifungal medication that works by inhibiting or killing a wide range of fungi that cause nail infections. Thus, it helps to manage fungal infections of the nail effectively.

How to use NAILROX SOLUTION

Always use NAILROX SOLUTION as directed by your physician. It is for external use only. Before starting management, remove any loose nail or nail material using nail clippers or nail files. 

Carefully wash and dry the nails. Apply NAILROX SOLUTION, once daily (preferably at bedtime) to all affected nails with the applicator brush provided. Apply the medicine evenly over the entire affected nail and immediate adjacent skin.

Allow the medicine to dry (for 30 seconds) before putting on socks or stockings. Wait for 8 hours before taking a bath or shower after applying medication.

Apply NAILROX SOLUTION, daily over the previous coat and once a week, remove the medicine, with alcohol and remove as much as possible of the damaged nail using scissors, nail clippers, or nail files.

Avoid contact with skin other than skin immediately surrounding the managed nails, mucous membrane and eyes.

Side Effects Of NAILROX SOLUTION

Warning & Precautions

Pregnancy

Safe

NAILROX SOLUTION should be used during pregnancy only if it is considered necessary. Consult your doctor before using it.

Breastfeeding

Use with Caution

NAILROX SOLUTION should be used with caution in breastfeeding woman as it is not known whether this medicine passes into breast milk. Consult your doctor before using it.

Driving and Using Machines

Use with Caution

NAILROX SOLUTION has no effects on the ability to drive or operate machines. However, consult your doctor before using it.

Allergy

Consult your doctor

Do not use NAILROX SOLUTION if you are allergic to ciclopirox or any other ingredients of this medicine.

Use In Pediatrics

Consult your doctor

NAILROX SOLUTION is safe for use in children aged twelve years and older. Your doctor will decide the correct dose and duration of therapy for your child depending upon the age, body weight and severity of the infection.

Use In Geriatrics

Use with Caution

NAILROX SOLUTION should be used with caution in elderly patients above 65 years of age. Consult your doctor before using NAILROX SOLUTION.

Interactions

A. Drug - Drug interactions:

Before using NAILROX SOLUTION, inform your doctor if you are taking any of the following medicine:

• topical corticosteroids (medicines used to reduce skin inflammation and irritation)
• steroid inhalers (medicines used to manage asthma, COPD)
• oral antifungal agents (medicines used to manage fungal infections)

Overdosage:

If you or anyone else accidentally used or ingested too much of NAILROX SOLUTION, consult your doctor immediately or visit the nearby hospital.

Synopsis

More Information

• Keep NAILROX SOLUTION out of reach of children
• Store between 15°C- 30°C. Keep away from heat and flame

FAQs About NAILROX SOLUTION

What are the uses of NAILROX SOLUTION?

NAILROX SOLUTION is used to manage mild to moderate fungal infections of fingernails and toenails without involvement of nail lunula (white half-moon of the nail) in immunocompetent patients. Contact your doctor before using NAILROX SOLUTION.

Do I need to trim the affected nails?

Before starting the management with NAILROX SOLUTION, remove or trim any loose nails if present with nail clippers or nail fails. If you are having diabetes or numbness related problems in your toes or fingers, consult your doctor before trimming or removing the loose nails.

How long should I use NAILROX SOLUTION?

Always use NAILROX SOLUTION as long as advised by the doctor. Normally, management duration of fingernails is for about 6 months while for toenails it is about 9 to 12 months. Management should be continued until the problem has disappeared, that means till the nail(s) is/are clear or their appearance is improved significantly, and healthy nails has/have grown again. Do not stop using it on your own as it may worsen the nail infection.

Can I put nail polish over the NAILROX SOLUTION?

No, you should not use nail polish or any other cosmetic products over the managed nails as it may reduce the effectiveness of the management or worsens the condition.

What should I tell my doctor before using NAILROX SOLUTION?

Before using NAILROX SOLUTION, inform your doctor if you have diabetic neuropathy or insulin dependent diabetes, history of immunosuppression, medicine dependent epilepsy or fits, are immunocompromised (Ex. received organ transplant), have HIV infection, tinea pedis (fungal infections of foot), peripheral vascular disease, had injury, painful or seriously damaged nails and skin conditions such as psoriasis or any other chronic skin condition, oedema or have breathing disorders (yellow nail syndrome).

References

1. KD. Tripathi. Antifungal drugs. Essentials of medical pharmacology. Eighth edition. 2019. Page –848.

2. Bethesda (MD). Ciclopirox. National Institute of Health NLM, National Centre for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 30th November 2022] https://pubchem.ncbi.nlm.nih.gov/compound/Ciclopirox

3. A K Gupta, P Fleckman, R Baran. Ciclopirox nail lacquer topical solution 8% in the treatment of toenail onychomycosis. NIH National Library of Medicine, National center for biotechnology information. PubMed.gov. October 2000. [Accessed on 30th November 2022] https://pubmed.ncbi.nlm.nih.gov/11051136/

4. Almirall Hermal GmbH. Health Products Regulatory Authority (HPRA). [Accessed on 30th November 2022] http://www.hpra.ie/img/uploaded/swedocuments/c73ad797-14ae-4995-af1a-9f7847c78ce2.pdf             

5. Ciclopirox topical solution. DailyMed: National Library of Medicine: National Institute of Health. [Revised in May 2022]. [Accessed on 30th November 2022] https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=3ef301b7-c40a-0635-4a76-185141473dba&type=display

Author Details

Written By Dr. N. Sai Swaroop - Pharm.D

Reviewed For Accuracy By Dr. Karthikeyan Rajagopal - M. Pharma, Ph.D (Pharmacology)

Last updated on 12 Dec 2023 | 11:24 AM(IST)