TREATMENT SCHEDULE
Intermittent oral antifungal treatment with planned rest periods.
Pulse Therapy
✔ May be considered for eligible oral antifungal treatment cases
✔ Uses planned treatment cycles with rest periods
✔ Designed to reduce cumulative medication exposure when clinically appropriate
✔ Prescribed only after provider review and medical eligibility assessment
THE APPROACH
What is Pulse Therapy?
Traditional oral antifungal treatment may involve continuous daily dosing for a defined treatment period. Pulse Therapy is an intermittent oral antifungal approach that uses planned treatment cycles with rest periods.
For some eligible patients, this approach may help reduce cumulative medication exposure while supporting a structured treatment schedule. A Florida-licensed provider determines whether Pulse Therapy is appropriate based on the patient’s diagnosis, medical history, contraindications, medication suitability, and follow-up needs.
The specific medication, dosing schedule, cycle length, duration, and monitoring are determined by the provider. Pulse Therapy is not appropriate for every patient.
THE PROTOCOL
How a Pulse Therapy cycle may work
Your provider determines the specific protocol if Pulse Therapy is clinically appropriate for your case. The following is a representative example only and may not apply to every patient:
Week 1 Active Treatment
Medication is taken only as prescribed by the provider during the active dosing window.
Week 2–3 Rest Period
A planned rest period may follow the active dosing window. The length of the rest period depends on the provider-directed protocol.
Week 4 Next Cycle
Additional treatment cycles may be prescribed if clinically appropriate.
Week 5–6 Rest Period
The planned rest period continues according to the provider-directed protocol.
Ongoing Monitoring Repeat & Monitor
Your provider may monitor progress, review tolerance, and adjust the treatment approach when clinically indicated. Before an oral course begins — and before any continuation — a liver function test (LFT) is required as part of provider-directed monitoring.
WHY PULSE THERAPY MAY BE CONSIDERED
Three clinical considerations
Pulse Therapy may be considered for some eligible oral antifungal treatment cases when a provider determines that an intermittent dosing approach is appropriate.
Intermittent dosing may reduce total medication exposure when clinically appropriate.
Reduced Cumulative Exposure
Planned treatment and rest periods may help create a more manageable schedule for some patients.
Structured Treatment Cycles
A Florida-licensed provider determines whether Pulse Therapy, continuous therapy, topical prescription care, or another treatment pathway is appropriate based on the individual case.
Provider-Directed Monitoring
IS IT RIGHT FOR YOU?
Who may be considered for Pulse Therapy
✔ MAY BE APPROPRIATE FOR:
✔ Eligible adults with fungal toenail cases that may require oral antifungal treatment
✔ Patients for whom a provider determines oral antifungal therapy is clinically appropriate
✔ Patients who may benefit from a structured intermittent dosing schedule
✔ Patients who can complete follow-up monitoring as directed
✘ MAY NOT BE APPROPRIATE FOR:
➝ Patients with contraindications to oral antifungal medication
➝ Patients whose case may be managed with topical prescription treatment or supportive care
➝ Patients who require in-person evaluation or urgent medical attention
➝ Patients who are not eligible for telemedicine care through Fugly Toenails™
➝ Patients under 18 years of age
Only a Florida-licensed provider can determine whether Pulse Therapy is appropriate for your case. Pulse Therapy is not appropriate for every patient.