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Fungal infection of the nail plate (nail mycosis or onychomycosis) is a dermatological disease in which pathogenic microscopic fungi develop on the human nail and on the surrounding skin. The fungus can also spread to other areas of the skin, causing damage to large areas of the limbs. This unpleasant disease is quite difficult to treat, since its development is influenced by many factors, in particular a violation of the body’s immune function. However, with timely initiation and well-chosen therapy, fungal infection of the nail plate can be successfully cured.

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How does fungal infection occur?

Nail and limb fungus is essentially an inflammatory process in which pathogenic fungi begin to develop on the skin and nails. The most common causative agents of this disease in adults are fungi of the genus Trichophyton, and slightly less frequently – fungi of the genus Epidermophyton and Candida.

There are three ways for a pathogen to enter the body:

  • in direct contact with a sick person (carrier of a pathogenic fungus);
  • through personal items (shoes, clothes, manicure tools, towels);
  • visiting public places with high humidity, where a person can walk without shoes (swimming pools, saunas, gyms, water parks, beaches).

What risk factors are there?

In addition to how the fungus is transmitted, there are certain factors that increase the risk of infection.

These include:

  • violation of the integrity of the skin;
  • trauma to a body area;
  • hyperhidrosis;
  • skin maceration;
  • dehydration of the body;
  • severe dry skin;
  • flat feet;
  • wearing uncomfortable shoes made of non-breathable material;
  • vascular diseases;
  • hormonal disorders;
  • problems with metabolism;
  • high blood sugar;
  • dysfunction of the immune system.

It was noted that in patients with diabetes mellitus and autoimmune diseases. HIV infection and some blood diseases, fungal infection of the nail plate can become chronic and generalized. Also at risk are people who take immunosuppressants, glucocorticosteroids and strong antibiotics. Such patients have a high risk of spreading the fungus to other areas of the body, in addition to the nails and nearby skin.


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How does fungal infection of the nail plate manifest?

The main signs of mycosis of the nails and feet include:

  • itching of the skin near the nails, especially between the fingers;
  • feeling of discomfort;
  • skin inflammation;
  • excessive peeling;
  • thickening of the skin with excessive keratinization;
  • superficial or deep cracks in the affected areas of the skin;
  • change in the color, shape or structure of the nail plate of one or more fingers;
  • hyperemia, swelling and maceration of the skin between the fingers with blisters.

There are several clinical forms of the disease depending on the type of pathogenic agent. Some fungal infections of the nails occur with predominantly cracking of the epidermis and peeling, others with the appearance of weeping areas and diaper rash.

How are fungal nail infections diagnosed?

Only a dermatologist can make the correct diagnosis. It is diagnosed based on the patient’s complaints, external signs (symptoms of a fungal infection), as well as the results of laboratory tests. Of the laboratory diagnostic tests, the most important is scraping the scales of the skin and nail plate, followed by microscopy of the samples taken. To identify the type of pathogen, molecular biological research is often used.

For an accurate diagnosis, the doctor must also exclude diseases with similar external signs.

These include:

  • psoriasis;
  • eczema;
  • seborrheic dermatitis;
  • lichen planus;
  • skin lymphoma.

What treatment is indicated for fungal nail infection?

Drug therapy is used to treat fungal infections.

As a rule, these are products for external use, such as:

  • creams;
  • ointments;
  • solutions for external use;
  • special antifungal nail polishes;
  • sprays;
  • gels.

If the fungus spreads intensively and affects large areas of the body, it is advisable to use oral fungicidal preparations.

The choice of the type of drug and its therapeutic form is made by a dermatologist, based on the severity and duration of the disease. In some cases, before starting treatment, detachment of the superficial stratum corneum of the skin is required for better penetration of the active substance into the lesion.

Therapy for fungal infection of the nail plate should result in a complete recovery of the patient, which should be noticeable both externally and according to test results. Typically, a follow-up examination and repeated laboratory diagnostics are recommended three months after completion of the course of treatment.

If long-term treatment does not produce results, it is recommended to change the antifungal drug to a drug from a different pharmacological group. It is also advisable to do an ultrasound examination of the vessels of the lower extremities (both superficial and deep). If the form of the disease has gone beyond the local zone and acquired a widespread course, or if the disease is stable during outpatient therapy, hospitalization in a specialized dermatological department is indicated.

The most common treatment option for nail fungus is the use of a topical solution – the drug Diflucan for sale. It is developed on the basis of the active substance fluconazole, which is an active fungicidal drug. Over-the-counter fluconazole causes a disruption in the synthesis of sterols in fungi, which leads to their death. Diflucan can be purchased at a pharmacy or ordered online.

Where can I buy Diflucan without a prescription?

In our online pharmacy you can order generic Diflucan – a high-quality analogue of the original drug. It is developed in the same dosage form and contains a similar active ingredient – fluconazole. Generic Diflucan not only effectively treats fungal nails, but also has a low cost.