PACT® Nail Fungus Therapy Photodynamic Therapy for nail fungus using light.... safely and gently.
Onychomycosis is a fungal infection of the nail and is estimated to affect up to 1.6 million Australians. Two currently available treatments include antifungal nail lacquers that are applied daily/weekly and prescription medications. It can be frustrating to have to apply the lacquers daily/weekly especially considering it takes at least 3 months to see improvement, given the slow growth of toenails. Furthermore, prescribed oral medications can interact with other drugs and can produce adverse effects making them unsuitable for some people.
There is now an alternative.... Photodynamic Therapy.
All fungi possess a cell wall, whereas human cells only have a membrane. Upon application of the PACT Fungal Nail Gel, the dye selectively targets the fungal cells wall making them sensitive to light.
The fungal cells can then be destroyed upon exposure to light of a specific wavelength (630nM). This results in a chemical reaction that kills targeted cells without harming healthy tissue.
Treatment regime is as follows:
1 · NAIL DEBRIDEMENT -
The nail must be debrided as much as possible to allow maximum penetration of the gel.
2 · GEL APPLICATION -
The PACT Nail Fungus Gel liberally applied.
3. LIGHT APPLICATION
Apply the PactMED LED at a distance of at least 1 cm for 9.5 minutes positioning the anti-glare shield over the nail and in contact with the toe itself.
Frequency of Application
The frequency of treatment should be determined by the severity and duration of the infection, as well as the general health and age of the patient and any other health issues
Example of Treatment Progress
5 weeks post PactMED treatment
11 weeks post PactMED treatment
Contra-indications and Side Effects
There are no known contra-indications for the PactMED, however it is important to note the ingredients of the gel and identify those patients who may experience an allergic reaction. The nail retains a blue discolouration that will vanish soon after treatment, however in rare cases it may remain for up to one week.
The effectiveness of the treatment can only be assessed after a period of approximately 3 months due to the time it takes for the nail to grow. If the affected part of the nail fails to grow out and spreads to the base of the nail, application can be repeated and prolonged if required.
For the purpose of prophylaxis after a successful treatment it is recommended to repeat the treatment every 6 months for 9.5 minutes. Note that extended exposure does not have any adverse affects.
Ingredients of the Nail Gel
Water, Propylene Glycol, Natrosol (Hydroxyethyl Cellulose), Potassium Sorbate, Lactic Acid, Tolonium Chloride
Tips to Prevent Re-Infection
To optimise the success of the PactMED treatment, it is essential to minimise the risk of re-infection.
Some tips include :
- Use of a topical anti-fungal solution applied daily
- Regular rotation of patient's shoes for drying and aeration
- Treat shoes with an anti-fungal prior to commencement of treatment and regularly after its completion.
- A UV light sanitiser can be used as an alternative to treat the shoes
- Wash hosiery in hot water and even apply antifungal solution to the washing cycle
- Patients should be encouraged to wear thongs in public showers and swimming centres
- The use of hosiery/socks containing silver can also minimise re-infection
- Disinfect shower floor
- Minimise micro trauma to the nails (which makes the nails more susceptible to infection) by ensuring correct shoe fit
- Patient should not share nail clippers