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References

• Oral fluconazole is an option, but for most patients oral terbinafine is the treatment of choice because of its superior effectiveness, tolerability, and low cost.
• However, some patients resist systemic treatment, and ciclopirox nail lacquer (Penlac) can be offered together with information about its low cure rate.
• Because toenails grow slowly, assessment of cure takes nine to 12 months.