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Dear Pharmacist: I have toenail fungus, three toenails that are thick, discolored and broken. I've taken prescription medications, but they don't work, and I've had this problem for many years. Will you help me? -- L.J., Dallas

Toenail fungus is termed "onychomycosis" by doctors. Keep in mind that just like your tongue, your fingernails and toenails are the outward expression of what's going on inside of you. Long-standing toenail fungus could mean you have diabetes or very poor immunity.

And while this seems obvious, I must remind you: Toenail fungus is a fungus! The laws of nature govern that fungus thrives in moisture. Sweaty feet will exacerbate fungus, so make sure your shoes and socks consist of breathable material, and let your tootsies go bare sometimes. Fungus flourishes in areas where healthy normal flora has been destroyed. If you lack a healthy stash of intestinal flora (i.e., probiotics) then the yeast can take over.

Here are some nonprescription treatments you can try:

Vicks Vaporub: This is a cough/cold formula sold at pharmacies that contains menthol as its primary active ingredient. You rub it into your toenail about three times daily for a few months.

Apple cider vinegar or ACV: Sold at health food stores. ACV contains natural antifungals (including carbolic acid) and helps many people. Don't use this if your nail is lifted off your nail bed because it may sting. Make a foot bath with one part ACV to two parts warm water and soak 20 minutes/day, for 3 to 6 months.

Saccharomyces boulardii: This oral dietary supplement is just a friendly yeast that helps drive out dangerous fungus. I recommend you take this along with a high-quality probiotic formula.

Clotrimazole: It's just generic Lotrimin sold at pharmacies, and it has anti-fungal properties.

Tea tree oil or cream: It contains "terpenoids" which are antiseptic and anti-fungal. Tea tree fights toenail crud just as well as clotrimazole, according to the Journal of Family Practice.

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