AgentAdministrationClinical cure rate (%)Mycotic cure rate (%)Comments
Ageratina pichinchensis (snakeroot) extract33 Apply every third day for the first month, twice per week for the second month, then once per week for the third month7159Study of 110 patients; therapeutic effectiveness was similar to that in the control group, which used ciclopirox
Cyanoacrylate, undecylenic acid, and hydroquinone (Renewed Nail)34 Soak and debride affected nails, then apply solution every two weeks for three to four visits; patients may also apply at homeNA50 to 65 (mild to moderate cases)Study of 154 patients with cure rates reported after three months
35 (severe cases)
Dual-wavelength near-infrared laser (Noveon)35 Treatment on days 1, 14, 42, and 120Mild cases: 65 (3 mm of nail clearance) 26 (4 mm of nail clearance)30Toenails were evaluated on day 180
Moderate to severe cases: 63 (3 mm of nail clearance)
Melaleuca alternifolia (tea tree) oil36 Apply twice per dayNANACochrane review found no evidence of benefit31
Mentholated ointment (Vicks Vaporub)37 Apply small amount with cotton swab daily2828Pilot study of 18 patients; 56% had partial clearance, and 17% had no clearance
Neodymium: yttrium-aluminum-garnet laser (Patholase Pinpointe)38 One to three sessions four to six weeks apartNA61 (complete cure)Study of 37 toenails with onychomycosis
19 (significant improvement)
11 (moderate improvement)