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On the other hand, as of 2015 the price of topical (non-oral) treatment with efinaconazole was $2307 per nail, so testing is recommended before prescribing it. [21] The cost of efinaconazole treatment can be reduced to $65 per 1-month dose using drug coupons, bringing the treatment cost to $715 per nail. [40]
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If the ingrown toenail recurs despite this treatment, destruction of the germinal matrix with phenol is recommended. [1] As an alternative, one may use 10% sodium hydroxide which is less toxic [2] or trichloroacetic acid which may give faster healing time. [3] Antibiotics are not needed if surgery is performed.
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In 2015, the cost of treatment with efinaconazole in the United States was said to be US$2,307 per nail. [13] In 2019, a study by the Canadian Agency for Drugs and Technologies in Health found the cost for a 48-week course to be $178 for a big toe, and $89 for an other toe. [14]
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