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47    <title>Toenail fungus (about) | JUBLIA® (efinaconazole)</title>
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50        <meta name="description" content="Learn about toenail fungus (onychomycosis), a common condition that includes symptoms of discoloration, thickening of the nail, and brittleness." />
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237                    <strong><a href="/toenail-fungus/">What Is Toenail Fungus?</a> </strong>
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240                <a href="/toenail-fungus/nail-fungus-questionnaire/">Toenail Fungus Questionnaire</a>
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395<h2>For Health Care Professionals</h2>
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399<div class="innerpage">
400<h2>If you&rsquo;ve got toenail fungus, you&rsquo;re not alone</h2>
401<p>Onychomycosis (on-ick-oh-my-CO-sis), a condition that may involve the toenails, is relatively common. It may affect as many as 35 million people in the US &mdash; but toenail infections are particularly common. JUBLIA is indicated for onychomycosis of the toenail only.</p>
402<h3>What is toenail fungus?</h3>
403<p>Toenail fungus is an infection that lives underneath the nail, in the skin of the nail bed. Toenail fungus is more than a cosmetic concern.</p>
404<div class="row image-right">
405<h3><strong class="purple-text">Symptoms of toenail fungus may include:</strong></h3>
406<ul class="colored split-list-mobile">
407<li>Change in nail shape</li>
408<li>Loosening/lifting of nail</li>
409</ul>
410<ul class="colored split-list-mobile">
411<li>Thickening of the nail</li>
412<li>Discoloration</li>
413</ul>
414<ul class="colored split-list-mobile">
415<li>Brittleness</li>
416<li>Crumbling of nail edges</li>
417</ul>
418</div>
419<div class="disease-severity">
420<ul class="toenail-images">
421<li><img src="/siteassets/images/toenail-1-180x180-img.png" alt="Toenail" /></li>
422<li><img src="/siteassets/images/toenail-2-180x180-img.png" alt="Toenail" /></li>
423<li><img src="/siteassets/images/toenail-3-180x180-img.png" alt="Toenail" /></li>
424<li><img src="/siteassets/images/toenail-4-180x180-img.png" alt="Toenail" /></li>
425</ul>
426<p class="img-caption">Images depict varying degrees of disease severity and are for illustrative purposes only. For an official diagnosis, please consult your doctor about any symptoms you're experiencing.</p>
427</div>
428<div class="cont-chall">
429<div class="factor-left">
430<h3>Contributing factors</h3>
431<p>Factors that can increase the risk of developing toenail fungus include:</p>
432<div class="row">
433<ul class="colored split-list">
434<li>Wearing closed-toe shoes</li>
435<li>Getting pedicures with improperly sanitized tools</li>
436<li>Having a chronic illness, such as diabetes or HIV</li>
437<li>Having a deformed nail or a nail disease</li>
438</ul>
439</div>
440</div>
441<div class="chall-right">
442<h3>Treatment challenges</h3>
443<p>Several things make it especially challenging to treat toenail fungus:</p>
444<ul class="colored">
445<li>The thickness of the nail can pose a barrier between treatment and the fungus under the nail</li>
446<li>Additionally, the time it takes for a healthy nail to grow back varies from person to person. Even after the fungus has been eliminated, <strong>nail regrowth can sometimes take a year or longer</strong></li>
447<li>Recurrence is a common problem with onychomycosis</li>
448</ul>
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545<h3 style="margin-bottom: -1px; margin-top: 11px;">INDICATION</h3>
546<p>JUBLIA<sup>&reg;</sup> (efinaconazole) topical solution, 10%, is a prescription medicine used to treat fungal infections of the toenails.</p>
547<h3>IMPORTANT SAFETY INFORMATION</h3>
548<ul class="blue">
549<li>JUBLIA is for use on nails and surrounding skin only. Do not use JUBLIA in your mouth, eyes, or vagina. Use it exactly as instructed by your doctor.</li>
550<li>It is not known whether JUBLIA is safe and effective for use in children under 6 years of age.</li>
551<li>Before you or your child uses JUBLIA, tell your doctor about all medical conditions, including if you are pregnant, are breast feeding, or plan to breastfeed, because it is not known whether JUBLIA can harm an unborn fetus or nursing infant.</li>
552<li>Tell your doctor about all medications you or your child is taking, and whether you or your child has any other nail infections.
552</li>
553<li>JUBLIA is flammable. Avoid heat and flame while applying JUBLIA to your toenail.</li>
554<li>JUBLIA may cause irritation at the treated site. The most common side effects include: ingrown toenail, redness, itching, swelling, burning or stinging, blisters, and pain. Tell your doctor about any side effects that bother you or do not go away.</li>
555</ul>
556<p>To report SUSPECTED ADVERSE REACTIONS, contact Ortho Dermatologics at <span class="nowrap">1-800-321-4576</span> or the FDA at <span class="nowrap">1-800-FDA-1088</span> or visit <a href="http://www.fda.gov/medwatch" target="_blank" rel="noopener"><strong>www.fda.gov/medwatch</strong></a>.</p>
557<p><a href="https://www.bauschhealth.com/Portals/25/Pdf/PI/Jublia-PI.pdf" target="_blank" rel="noopener"><strong>Click here for Prescribing Information, including Patient Information</strong></a>.</p></div>
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619<h3 class="mobile-isi">IMPORTANT SAFETY INFORMATION</h3>
620<ul class="colored">
621<li>JUBLIA is for use on nails and surrounding skin only. Do not use JUBLIA in your mouth, eyes, or vagina. Use it exactly as instructed by your doctor.</li>
622<li>It is not known whether JUBLIA is safe and effective for use in children under 6 years of age.</li>
623<li>Before you or your child uses JUBLIA, tell your doctor about all medical conditions, including if you are pregnant, are breast feeding, or plan to breastfeed, because it is not known whether JUBLIA can harm an unborn fetus or nursing infant.</li>
624<li>Tell your doctor about all medications you or your child is taking, and whether you or your child has any other nail infections.
624</li>
625<li>JUBLIA is flammable. Avoid heat and flame while applying JUBLIA to your toenail.</li>
626<li>JUBLIA may cause irritation at the treated site. The most common side effects include: ingrown toenail, redness, itching, swelling, burning or stinging, blisters, and pain. Tell your doctor about any side effects that bother you or do not go away.</li>
627</ul>
628<h3 style="margin-bottom: -1px; margin-top: 11px;">INDICATION</h3>
629<p>JUBLIA<sup>&reg;</sup> (efinaconazole) topical solution, 10%, is a prescription medicine used to treat fungal infections of the toenails.</p>
630<p>To report SUSPECTED ADVERSE REACTIONS, contact Ortho Dermatologics at <span class="nowrap">1-800-321-4576</span> or the FDA at <span class="nowrap">1-800-FDA-1088</span> or visit <a href="http://www.fda.gov/medwatch" target="_blank" rel="noopener">www.fda.gov/medwatch</a>.</p>
631<p><a href="https://www.bauschhealth.com/Portals/25/Pdf/PI/Jublia-PI.pdf" target="_blank" rel="noopener">Click here for Prescribing Information, including Patient Information</a>.</p>
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