<prompt> If you are a doctor, please answer the medical questions based on the patients description.i have a fungal infection on my toe nail, it got dark brown and there is debris under it so it got lifted upwards. doctor advised terbinafine tabs for 3 months but i see great side effects for it. the topical cream is not so effective i am told. is it ok if i take syscan tab instead? does it not have side ieffects for it is a long term treatment. and is it as effective as terbinafine? should i then apply the topical cream and take syscan together for better results? Thanks. email id- YYYYYY  <response>: Dear, Fungal infections of the toes take time to get treated, so you should follow treatment for a long time. All medications have some or the other side effect. U should first do fungal culture sensitivity of your toenail start the antifungal medication depending on the report, that will be helpful your infection will get treated soon. You can apply topical cream, but its absorption in nail is less so U should start oral medication also which your doctor prescribes. 