Outcome evaluation

For infections of the skin, patients should notice relief of symptoms, including pruritus, scales, and inflammation, within 1 to 2 weeks. Therapy should be continued at least 1 week after complete resolution of symptoms. If the condition worsens or does not resolve within 4 weeks, the patient should be treated with oral therapy.

For onychomycosis, relief of symptoms is slow. The infected nail will need months to grow out. The practitioner should advise the patient not to become frustrated by the slow resolution. Despite the slow progress, the antifungal agent is curing the infection. The practitioner should also advise the patient that even after the infection is cured, the nail may not look "normal."

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