Nail-fungus tablets guide

Nail fungus tablets online, if you already have your test results

For adults with toenail or fingernail fungus who already hold a nail test report and a liver blood test report. A doctor reads both and may send terbinafine tablets. We do not order tests.

Start online

Start a $59 online review for Nail fungus tablets.

Nail fungus makes a nail thick, yellow, and crumbly. A tablet called terbinafine can treat it, but it can hurt the liver. So this visit is only for adults who already have a nail test report that found fungus and a liver blood test report with normal ALT and AST. You type in the results or upload the reports. We do not order tests. If more than one sign in the list on this page fits, follow the first one.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Already in ongoing care with us for this? Check-ins are $39 (your first one is free).

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

A thick, yellow, or crumbly toenail or fingernail
Slow change over many months
A nail test report that found fungus
A liver blood test report with ALT and AST in the normal range

May fit online care

Adults 18 and older
Age 18 or older
A nail test report from the last 12 months that found fungus (a KOH test, a fungal culture, or a nail biopsy with a PAS stain)
A liver blood test report from the last 30 days with ALT and AST in the normal range
Clear close-up and wider photos of every affected nail

Look for another care setting

Trouble breathing or swallowing, new chest pain or a new fast heartbeat, or swelling of the lips, tongue, face, or throat (call 911 or go to the ER now).
Blisters, peeling skin, or sores in the mouth (call 911 or go to the ER now).
Redness on a foot or leg that is spreading fast, black skin, or feeling very ill with a foot problem (call 911 or go to the ER now).
Confusion or being very hard to wake, with yellow skin or eyes (call 911 or go to the ER now).
Do not drive yourself. If you take the tablets, stop them.
If you are having thoughts of harming yourself or someone else, call or text 988 (Suicide and Crisis Lifeline) or go to the nearest emergency department immediately. If you take the tablets, stop them.
Pus, a fever of 100.4 F (38 C) or higher, or pain that is getting worse in a nail or foot (go to the ER or urgent care today). If you take the tablets, stop them.
Nausea, poor appetite, new tiredness, or vomiting that will not go away (these can be signs of liver trouble: go to the ER or urgent care today). If you take the tablets, stop them.
Pain in the upper right belly, yellow skin or eyes, dark urine, or pale stools (these can be signs of liver trouble: go to the ER or urgent care today). If you take the tablets, stop them.
If you take the tablets: hives, or a rash with a fever (stop the tablets and go to the ER or urgent care today).
If you take the tablets: swollen glands, with or without a rash (stop the tablets and go to the ER or urgent care today).
If you take the tablets: chills or a sore throat that will not go away (stop the tablets and go to the ER or urgent care today).
If you take the tablets: bruising or bleeding that you cannot explain (stop the tablets and go to the ER or urgent care today).
If you take the tablets: a new cough or blood in your urine (stop the tablets and go to the ER or urgent care today).
If you take the tablets: you took more tablets than the doctor told you to take (stop the tablets and go to the ER or urgent care today, and do not wait for a message).
A foot wound, such as an open sore, a cut that will not heal, or broken skin on a foot (see a doctor in person today).
If you take the tablets: a new rash that is spreading or getting worse, with none of the signs above (stop the tablets and see a doctor in person today).
A new dark or brown streak in a nail, one dark or black nail, dark color on the skin around a nail, bleeding from a nail, or a nail that is changing fast (see a doctor in person within 7 days).
No nail test report from the last 12 months, or it was not a KOH test, a fungal culture, or a PAS stain (see your own doctor).
A nail test that found no fungus, or only yeast or a mold that is not a dermatophyte (see your own doctor).
No liver test report from the last 30 days that shows ALT and AST (see your own doctor).
ALT or AST outside the normal range, or you are not sure what it showed (see your own doctor, and if you take the tablets, stop them).
Liver disease told to you by a doctor, such as hepatitis, cirrhosis, or fatty liver (see your own doctor).
8 or more drinks of alcohol in a usual week, or a clinician told you to cut down (see your own doctor).
Lupus, kidney disease, or a weak immune system (see your own doctor).
A past allergic reaction to terbinafine tablets (see your own doctor).
Diabetes, poor blood flow in your feet, or numb feet (see your own doctor).
An SSRI or tricyclic antidepressant, a beta-blocker, a heart rhythm medicine, an MAO-B inhibitor, an antipsychotic, tamoxifen, warfarin, rifampin, cimetidine, fluconazole, ketoconazole, or cyclosporine (see your own doctor).
Pregnant, might be pregnant, or breastfeeding (see your own doctor).
Under 18 (see your pediatrician or family doctor).
You cannot send clear photos of your nails (see your own doctor).
If you take the tablets: a rash that is scaly, red, or leaves scars, loss of skin color, or the sun bothers your skin more than usual (stop the tablets and see your own doctor).
If you take the tablets: you become pregnant or think you might be (stop the tablets and see your own doctor).
If you take the tablets: a doctor starts, or tells you to start, one of the medicines listed above (stop the tablets and see your own doctor).
If you take the tablets: your sense of taste or smell changes or goes away (stop the tablets and message us).
If you take the tablets: you feel sad or worthless, your sleep changes, you have less energy or interest, you feel restless, or your mood changes (stop the tablets and message us).
If more than one fits, follow the first one.

What to have ready

Your nail test report: type in the results or upload the report
Your liver test report with ALT and AST: type in the results or upload the report
Clear close-up and wider photos of every affected nail
A list of every medicine and supplement you take, with the dose

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

About Ankur Fadia, MD Verify Virginia medical license Verify West Virginia medical license Verify board certification

Do you order the nail test or the liver test?

No. We do not order tests. You must already have both reports. You can type in the results or upload a photo of the reports. A doctor reads them. If you do not have both, your own doctor can order the tests and treat you.

Why do I need a liver test?

This medicine can hurt the liver. Before you start, you need a liver blood test from the last 30 days with ALT and AST in the normal range. If you have a toenail, you send a new liver test from the last 14 days before the second 6 weeks of tablets. If a result is outside the normal range, or you are not sure what it showed, stop the tablets and see your own doctor.

How long do I take the tablets?

You take one tablet a day for 6 weeks for a fingernail and 12 weeks for a toenail. The nail grows out slowly, so it can take many months to look better. A fingernail can take 3 to 6 months to grow out. A toenail can take up to 18 months.

What does the visit cost?

The visit price is shown before you pay. Your first check-in is free. Later check-ins cost extra. The pharmacy and your lab tests also cost extra.

I want cream or lacquer for my nail instead. What can I do?

Our separate toenail fungus visit offers treatments you put on the nail. It does not need a nail test or a liver test, and it does not prescribe tablets.

When should I get help right away?

Do not wait for our reply if a warning sign on this page starts. Our reply can take up to 6 hours. If you take the tablets and a warning sign starts, stop the tablets first. If more than one warning sign fits, follow the first one. Do not drive yourself to the ER.

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