Sublingual Semaglutide (generic Ozempic®) now available! Get Started
Dashboard
Formulas

Fluconazole 2%/Ibuprofen 2%/Ketoconazole 2%/Thymol 4% Topical Nail Lacquer

The Fluconazole 2%/Ibuprofen 2%/Ketoconazole 2%/Thymol 4% Topical Nail Lacquer is a specialized liquid formulation crafted for direct application to the nails. This unique combination of antifungal agents and anti-inflammatory medication addresses a variety of nail conditions. Fluconazole and Ketoconazole serve as potent antifungal components, effective against fungal infections that can cause onychomycosis, leading to nail thickening, discoloration, and brittleness. Ibuprofen offers its anti-inflammatory properties to reduce nail bed swelling and discomfort associated with infections or trauma. Thymol, with its antiseptic qualities, helps to maintain a healthy nail environment, preventing further fungal growth and promoting nail strength. This nail lacquer is designed to enhance nail health, ensuring the delivery of therapeutic agents for the treatment of fungal infections and the improvement of nail appearance and integrity.

Want a different strength?
Click the Text Us button below.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
Must be E-Prescribed
Get Started
Generate LeafletShow Leaflet
This medication requires a prescription from your doctor
Trusted by 60,357 patients to date.
A group of faces of our past satisfied patients.
A svg symbol of a mortar and pestle with ingredients going in.
Custom made in our compounding labs.
Sliders that show the customization of ingredients.
Personalized treatment for better results.
User with a gear showing the personalization of the formulation.
All strengths and ingredients are tailored to your needs.
This medication is not available at retail pharmacies. It is compounded, and may be more effective at treating you or your patient.
Fluconazole
Ibuprofen
Ketoconazole
Thymol
Nail Solution
6564b9d8859adbc03e76bcc8
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Dosing Calculator

Get general dosing information for a patient by using this calculator.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Formula Information

A small arrow pointing down

Our unique formulation combines Fluconazole, Ibuprofen, Ketoconazole, and Thymol into a 2%/2%/2%/4% topical nail lacquer, meticulously crafted to address various nail conditions, including fungal infections, brittleness, and discoloration. This liquid formulation is specifically designed for ease of application directly onto the nails, ensuring that the active ingredients are delivered to the site of infection or damage for maximum efficacy.

Fluconazole and Ketoconazole are both antifungal agents that work synergistically to inhibit the growth of a wide range of fungi by interfering with the synthesis of the fungal cell membrane. This action is particularly effective in treating onychomycosis, a common nail fungus that causes thickening, discoloration, and separation of the nail from the nail bed. The inclusion of Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), helps to reduce inflammation and pain that can sometimes accompany severe nail infections or trauma to the nail.

Thymol, a natural compound with antifungal and antibacterial properties, complements the antifungal action of Fluconazole and Ketoconazole and contributes to the overall health of the nail. Additionally, Thymol has been shown to have a keratolytic effect, which can help to soften and break down the brittle, damaged layers of the nail, promoting the growth of healthy nail tissue.

This topical nail lacquer formulation is designed to penetrate the nail plate and reach the site of infection, providing a localized treatment that minimizes systemic absorption and potential side effects. It is suitable for patients seeking a targeted approach to nail care, particularly those who may have experienced limited success with oral antifungal treatments or who prefer a topical treatment option.

For optimal results, the nail lacquer should be applied as directed by a healthcare professional, typically once or twice daily to clean, dry nails. Consistent use over several weeks to months is often necessary to achieve full therapeutic benefits, as nails grow slowly and fungal infections can be stubborn. Patients should be advised to maintain good nail hygiene and monitor for signs of improvement or any adverse reactions.

If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support to both patients and prescribers to ensure the safe and effective use of our customized medication solutions.

Drug Interactions

A small arrow pointing down

The Fluconazole 2%/Ibuprofen 2%/Ketoconazole 2%/Thymol 4% Topical Nail Lacquer is a specialized formulation intended for the treatment of various nail conditions, including fungal infections, brittleness, and discoloration. Fluconazole and Ketoconazole are antifungal agents that work by inhibiting the growth of fungi, effectively treating onychomycosis and other fungal infections of the nail. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that may provide relief from pain and inflammation associated with nail disorders. Thymol has antifungal and antibacterial properties, which can further assist in treating and preventing nail infections.

When using this topical nail lacquer, it is important to consider potential drug interactions, especially if the patient is taking systemic medications. Although the systemic absorption of these agents when applied topically to the nails is expected to be minimal, interactions can still occur. Fluconazole can interact with a wide range of medications, including warfarin, certain antidiabetic drugs, and other antifungals. It can inhibit the metabolism of these drugs, potentially leading to increased blood levels and risk of adverse effects. Ketoconazole, similarly, can interact with drugs metabolized by the cytochrome P450 enzyme system, leading to increased plasma concentrations of these drugs.

Ibuprofen, even when used topically, may interact with anticoagulants such as warfarin, increasing the risk of bleeding. It can also interact with other NSAIDs, aspirin, or corticosteroids, enhancing the potential for gastrointestinal ulceration or bleeding. Additionally, ibuprofen may affect the efficacy of antihypertensive drugs and diuretics. Thymol is generally considered to have fewer interactions; however, it should be used with caution in patients who are sensitive to phenolic compounds.

Patients should be advised to inform their healthcare providers of all medications they are currently taking, including over-the-counter drugs, supplements, and herbal products, to assess for potential drug interactions. Prescribers should carefully evaluate the patient's medication profile for interactions before recommending this topical nail lacquer. It is also important to monitor for signs of adverse effects or unusual symptoms that may suggest an interaction, and patients should be instructed to report any such occurrences to their healthcare provider immediately.

For any questions or concerns regarding the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide guidance and support to ensure the safe and effective use of this medication.

How Does it Work

A small arrow pointing down

The Fluconazole 2%/Ibuprofen 2%/Ketoconazole 2%/Thymol 4% Topical Nail Lacquer is a specially compounded medication designed to treat a variety of nail conditions, including fungal infections, brittleness, and discoloration. This unique formulation combines the antifungal properties of fluconazole and ketoconazole with the anti-inflammatory benefits of ibuprofen and the antiseptic qualities of thymol to create a comprehensive treatment for nail health.

Fluconazole and ketoconazole are both azole antifungal agents that work by inhibiting the growth of a wide range of fungi. They interfere with the synthesis of ergosterol, a key component of fungal cell membranes, leading to increased membrane permeability and ultimately cell death. By incorporating these agents into a nail lacquer, the medication can be applied directly to the affected nails, allowing for a high concentration of the drug to come into contact with the fungal cells over an extended period.

Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is included in the formulation for its ability to reduce inflammation and pain. While not a typical ingredient in antifungal treatments, ibuprofen can help alleviate the discomfort associated with fungal nail infections and other nail disorders. Its inclusion in the nail lacquer allows for localized relief without the systemic side effects that can occur with oral administration.

Thymol, derived from the herb thyme, is known for its antiseptic and antifungal properties. It helps to create an inhospitable environment for fungal growth and can aid in the treatment of fungal nail infections. Thymol also has a protective effect on the nails, promoting the integrity of the nail structure and potentially preventing future infections.

The topical application of this nail lacquer ensures that the active ingredients are delivered directly to the site of infection or damage. This localized approach minimizes systemic absorption and reduces the risk of adverse effects commonly associated with oral antifungal and anti-inflammatory medications. The lacquer forms a protective layer over the nail, which not only allows for sustained release of the active ingredients but also shields the nail from external contaminants and moisture, factors that can exacerbate nail conditions.

For optimal results, the nail lacquer should be applied as directed by a healthcare provider, typically once or twice daily. The affected nails should be clean and dry before application. Consistent use over the prescribed treatment period is crucial for the effectiveness of the medication. Improvement in nail conditions may take several weeks to months, as nails grow slowly and the medication must penetrate the nail plate to reach the site of infection.

Patients and prescribers interested in using this formulation should be aware of the potential for local irritation or allergic reactions, although these are relatively uncommon. It is important to monitor for signs of improvement and report any adverse effects to the healthcare provider. If you have any questions or require further information about the Fluconazole 2%/Ibuprofen 2%/Ketoconazole 2%/Thymol 4% Topical Nail Lacquer, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to support you with your nail health needs.

Other Uses

A small arrow pointing down

The Fluconazole 2%/Ibuprofen 2%/Ketoconazole 2%/Thymol 4% Topical Nail Lacquer is a multi-component formulation designed primarily to treat fungal nail infections (onychomycosis) by providing a potent antifungal effect derived from both fluconazole and ketoconazole. The inclusion of ibuprofen offers its unique anti-inflammatory properties that may aid in reducing nail bed inflammation caused by infections or other nail traumas. Thymol not only serves as an additional antifungal component but also brings in its antiseptic properties that can assist in preventing secondary bacterial infections and promoting a healthier nail environment.

Aside from its primary usage for addressing fungal nail infections, this topical nail lacquer may also benefit individuals with other related conditions such as nail dystrophy, where nails become discolored or deformed; or psoriatic nail disease, which can also manifest with both nail discoloration and fungal infections. The anti-inflammatory effect of ibuprofen in the formula makes it suitable for cases where nail pain or inflammation is a significant concern.

Further potential uses, though off-label, could include contributions to managing nails affected by yeast infections (caused by Candida), where fluconazole and ketoconazole have demonstrated effectiveness. Moreover, the antifungal combination could be used prophylactically by individuals prone to recurrent fungal nail infections, such as athletes or those frequently exposed to warm, moist environments. However, as with any medication, the off-label use should be considered and supervised by a healthcare professional familiar with the patient's medical history and condition.

It is important to note that while there can be various beneficial uses for this nail lacquer formulation, its effectiveness can be highly individualized, depending on the specific causative agents and the overall condition of the nails. Therefore, prescribers should conduct a thorough patient history and consider possible interactions with the patient's existing medications or health conditions. Similarly, patients should consult with their healthcare provider to ascertain the suitability of this nail lacquer for their particular case. Proper application technique and adherence to the prescribed course of treatment are crucial to achieving the best outcomes. If you have any questions or require further guidance on the potential uses of this formulation, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

A small arrow pointing down

What is the purpose of this topical nail lacquer?

This compounded nail lacquer is designed to treat a variety of nail conditions, including fungal infections, brittleness, and discoloration. Its formulation aims to promote healthy nail growth and improve nail appearance by delivering a combination of therapeutic agents directly to the affected area.

How do I apply the Fluconazole/Ibuprofen/Ketoconazole/Thymol nail lacquer?

Before applying the lacquer, ensure your nails are clean and dry. Apply a thin layer of the lacquer with the provided brush applicator to the affected nails, typically once or twice a day as directed by your healthcare provider. Allow the lacquer to dry completely before putting on socks or gloves.

Can this nail lacquer be used on both fingernails and toenails?

Yes, the nail lacquer is suitable for use on both fingernails and toenails. However, always follow your healthcare provider's instructions regarding the application site and frequency.

How long does it take to see results from using this compounded nail lacquer?

Improvement in nail conditions can vary depending on the individual and the severity of the condition. Some may see improvements within a few weeks, while others may require several months of consistent application. Consult with your healthcare provider for guidance specific to your situation.

Are there any known side effects of Fluconazole/Ibuprofen/Ketoconazole/Thymol nail lacquer?

As with any medication, there can be side effects. Possible side effects include local irritation, itching, redness, or rash. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

Can this nail lacquer be used with other nail products, such as polish or artificial nails?

Using other nail products in conjunction with this medicated nail lacquer is not generally recommended, as it may affect the lacquer's efficacy. Consult your healthcare provider for advice specific to your treatment plan.

Should I remove the lacquer before reapplying a new coat?

It is usually not necessary to remove the previous layer before applying a new coat; however, the lacquer should be removed according to your healthcare provider's instructions, which may involve weekly removal before applying a fresh coating.

Is a prescription required to obtain this nail lacquer?

Yes, this is a compounded medication combining several active ingredients, and it requires a prescription from a licensed healthcare provider.

What should I do if I accidentally apply the nail lacquer to the skin around my nails?

If you accidentally apply the lacquer to the skin, wipe it off gently with a tissue or clean cloth. While the formulation is intended for nail use, if you notice any irritation or adverse reaction on the skin, wash the area with soap and water and contact your healthcare provider.

Can I use the Fluconazole/Ibuprofen/Ketoconazole/Thymol nail lacquer if I am pregnant or breastfeeding?

Consult with your healthcare provider if you are pregnant or breastfeeding before using this nail lacquer. They will advise whether it is safe for use based on your specific condition and the safety profile of the medication.

Related Formulas

Related Products
Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.