Review Article

Onychomycosis: Potential of Nail Lacquers in Transungual Delivery of Antifungals

Table 3

Topical drug delivery via several other carriers for the treatment of onychomycosis.

DrugSystemConcluding remarksReference

CiclopiroxGelEnhanced permeation into the nail[13]
TerbinafineTransfersomesSignificant antifungal activity [14]
ItraconazoleMicroemulsion gelMicroemulsion based gel exhibited better retention, penetration, and antifungal activity [15]
FluconazoleMicroemulsion gelBetter antifungal activity against Aspergillus niger as compared to the commercial gel[16]
CiclopiroxNanoemulsion gelBetter retention ability was observed for nanoemulsion based gel[17]
Terbinafine-HClLiposomes/ethosomesEffective formulations for ungual delivery, suggesting that liposome based poloxamer gel formulation could be a potential carrier for ungual drug delivery[18]
CiclopiroxFormulation based on lipid diffusion enhancersEffective in the topical treatment of onychomycosis[19]
ClotrimazoleNanoemulsion gelEffective antifungal activity against Candida albicans[20]
CiclopiroxPoloxamer
407-based
formulations
Permeation coefficient from P407-based formulations was higher in comparison to the nail lacquer [21]
EfinaconazoleSolutionEffective transungual delivery of efinaconazole [22]
Terbinafine-HClLiposomal filmLiposomal film based formulation showed better antifungal activity on fungal infected nails[23]
SertaconazoleNail penetration enhancer containing nanovesicles (nPEVs)1.4-fold higher hydration and drug uptake enhancement into nail clippings showed significantly higher zone of inhibition for Trichophyton rubrum than the marketed cream [24]