Information and frequently asked questions about our prescription nail fungus formula.
Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment.
If you have any questions or concerns about your health, please talk to a doctor.
Strut Nail Formula is a physician and pharmacist formulated blend of antifungal ingredients with a powerful driving agent to get the medication through tough nails. This medication may help treat nail fungus in less time by using high-quality antifungal ingredients in a deep penetrating base cream.
A compounded medication is a prescription that is mixed up specifically for you based on your doctor’s request for a specific strength and dosage form. Compounded medications are not manufactured, but made in compounding pharmacies that follow a formula ‘recipe’ customized to your condition to create an individualized medication for you.
Strut Nail Formula combines antifungal medications with a driving agent in a deep penetrating cream. Terbinafine has antifungal and antibiotic properties and is commonly used on fingernails and toenails. Ketoconazole is a topical antifungal agent. DMSO is a driving agent that helps medications permeate through the nails into the infection site. Hydrocortisone is a mild topical steroid that helps locally with inflammation, redness, itching, and swelling. Biotin is a B vitamin used to strengthen and support the healthy growth of your nails.
Topical nail formula is for use only on the nails and skin directly surrounding nails. Avoid getting this medication in your eyes, lips, or mouth. Wash your hands before and after applying the formula. Before applying, clean and dry the skin and nail area to be treated. Apply to the affected area and allow to dry thoroughly before covering the area. If you are treating your feet, wear clean cotton socks and sandals or shoes that allow for air circulation. Keep your feet as dry as possible. Follow your doctor's specific orders if you are unsure how to use the medication.
The most common side effects of Strut Nail Formula are itching, redness, scaling, and dryness on the application site. In rare instances, severe irritation, blistering, or oozing may occur. If side effects are severe contact us and your doctor.
You should use the nail formula as directed by your doctor for at least 6-8 months to get the full effects of the medication and fully clear the nail fungus. For some people, it can take a year or more for the fungus to clear. Even after it looks like the fungus has cleared, continue applying the medication for at least 2-3 months to prevent the fungus from coming back.
If you are a few months into treatment and your nail fungus does not seem to be clearing at all, please speak to your physician about prescribing a stronger option that may require the use of additional ingredients.
Compound Ingredients:
Ketoconazole, Terbinafine, DMSO, Hydrocortisone, Biotin
in Prescription High Penetration Base Cream
This treatment plan may help: penetrate into nails to help fight fungal infections and increase healing speed. It may take up to several months to see maximum results. Use this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Do not take by mouth. Topical nail medicine is for use only on the nails and skin directly surrounding nails. Avoid getting this medication in your eyes, lips, or mouth. Do not use on sunburned areas, open wounds, or healthy skin and nail areas. Wash your hands before and after applying formula. Before applying, clean and dry the skin and nail area to be treated. Do not wash the treated area or apply other products for at least 1 hour after applying formula to allow formula to penetrate. Apply to affected area and allow to dry thoroughly before covering area. Store at room temperature. Protect from light and do not refrigerate or freeze. Keep the bottle tightly closed when not in use. Avoid using other products that also contain antifungal agents, DMSO, or topical steroids. If you are treating your feet, wear clean cotton socks and sandals or shoes that allow for air circulation. Keep your feet as dry as possible. Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime.
This medication may cause allergic reactions if you are allergic to a component of the medication or medications similar to the ingredients in this product. If you are allergic to any of the ingredients listed (Ingredients: Ketoconazole, Terbinafine, DMSO, Hydrocortisone) please stop the compound, reach out to us and contact your doctor. Ask a doctor or pharmacist if this medicine is safe to use if you have: asthma or a sulfite allergy; an allergic reaction to an antifungal medicine, such as clotrimazole, econazole, or miconazole. If you are experiencing any of the following symptoms: hives, difficult breathing, swelling of your face, lips, tongue, or throat, you may be having an acute allergic reaction and you need to get emergency medical help immediately.
We have evaluated your health history and the specific health information you provided us, however if anything changes and you develop or discover any new condition please contact us and your doctor to make sure this medication is still appropriate for you. Some medications can have interactions with conditions and we will help you evaluate that risk and decide on an appropriate treatment plan.
This compounded medication has not been evaluated for use with pregnancy. You should not breastfeed while using this medication since it contains topical ketoconazole. If you are pregnant or planning to become pregnant use only at the discretion of your medical provider.
You may experience side effects with these medications.
These side effects are common and may go away with time and daily use:
Stop using the formula and call your doctor at once if you have:
You should also avoid other products known to cause skin irritation on the area of treatment such as: medicated or abrasive soaps, chemical hair removers or waxes, electrolysis, products with alcohol or astringents, and cosmetics with a strong drying effect.
We have evaluated your health history and the specific health information you provided us, however if anything changes and you start or discover that you are taking any additional medicines or supplements please contact us and your doctor to make sure this medication is still appropriate for you. Some medications can have interactions and we will help you evaluate that risk and decide on an appropriate treatment plan.
We have evaluated the specific health information provided by you to identify if this product is appropriate for you. If you forgot to provide us with any information or incorrectly provided the information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. If you need to update or clarify any information about your health you can call us and update your profile so that we may reevaluate if this is appropriate for you.
This treatment is not 100% effective for every patient. It may not work for every patient or may only work partially to resolve the condition that it is meant to treat. If the treatment is not working, or if you find that you are experiencing new or worsening symptoms, contact us as well as your doctor to identify if you should continue this treatment. If it is an emergency, call 911 or seek immediate medical help. We are providing this treatment for you because the potential benefits outweigh the risks in our estimation based on the medical information provided. You should evaluate this information and any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you.
We recommend that you update all of your physicians, pharmacists, and the rest of your healthcare team to let them know about any new medicines or supplements that you are taking or any changes in your health. You can also ask us questions anytime regarding your therapy and we are happy to help you share any information about your health with anyone in your personal healthcare team.
The following links provide further information on the potential risks and benefits of this medication: