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Prescription Dual Therapy

Two prescriptions.
85% cure rate.
$1.10/day.

Dermatology practice honed over years, now in your hands. Five prescription-strength ingredients attacking fungus from both sides of the nail. Your clinician picks the best treatments for you.

$99 for 90 days. 2 Rx + consult + 90 days unlimited clinician access.

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HSA/FSA Letter
90-Day Guarantee
No Sales Tax

100% money-back guarantee · 90 days to see results or get a full refund

85%+
Cure Rate
Dual therapy (Rx + oral)
2x
Dual-Action Treatment
Topical + oral antifungal
24/7
Clinician Access
90 days included with every order

Doctor-Prescribed, Pharmacy-Dispensed

Your treatment is prescribed by a licensed clinician and dispensed by a licensed pharmacy. Message your clinician any day of the week. Average response under 5 hours. No appointment needed.

Published Clinical Evidence

This is what prescription treatment looks like.

Real patient photos from medical journals.
Same prescription antifungals we use.

No filters. No promises. Just evidence.

Toenails before and after 10 months of terbinafine topical treatment showing dramatic clearing
Before
After 10 Months

All toenails cleared with prescription terbinafine compound.

Hoffman et al., Cureus 2025. CC BY 4.0. [1]

Fingernail with fungal infection before treatment
Before
Fingernail cleared after 6 months of antifungal treatment
6 Months

Fingernail cleared with oral terbinafine.

Gupta et al., J Fungi 2020. CC BY 4.0. [2]

Toenail with yellow discoloration before antifungal treatment
Before
Toenail cleared after antifungal treatment showing 91% improvement
After

91% improvement in nail clarity.

Kalokasidis et al., 2013. CC BY. [4]

Severely infected toenail before terbinafine treatment
Before
Toenail completely cleared after terbinafine treatment
11 Months

Complete cure with terbinafine therapy.

Fiorillo et al., Front Med 2024. CC BY. [5]

Prescription strength. Dermatologist designed.

Dual therapy combines penetration enhancers (urea 40%, DMSO) with oral terbinafine through the bloodstream. Combined cure rates exceed 85%.

$1.10/day. $99 for 90 days. 2 Rx + consult + 90 days unlimited clinician access. Free shipping.

Published clinical results from similarly treated patients, not KindleeRx patients. Images from open-access journals under Creative Commons license. Individual results may vary.

The Truth About OTC Products

Over-the-counter didn't work because it can't.

Nail fungus lives underneath the nail plate. OTC products sit on top of it. It's not a matter of brand or effort. No over-the-counter product can reach the infection.

OTC Nail Products

  • Cannot penetrate the nail plate
  • Cure rates below 10%
  • Surface-level treatment only
  • No medical oversight
  • No prescription-strength ingredients
Kindlee Rx

Prescription Dual Therapy

  • Penetration enhancers reach deep nail bed
  • Combined cure rates above 85%
  • Attacks fungus from inside + outside
  • Dermatologist-designed protocol
  • 5 prescription-strength ingredients
  • Oral + topical working together

$1.10/day. $99 for 90 days. 2 Rx + consult + 90 days unlimited clinician access. Free shipping.

What You Receive

One attacks from outside. One from within.

Your dermatologist would prescribe both. So do we. Two prescription medications, shipped together, working together. The same dual-therapy protocol used in clinical practice.

Rx

Nail Renew Solution

Prescription 1 - Topical

A multi-ingredient topical solution that penetrates the nail plate to fight fungus directly where it lives. Apply nightly to affected nails.

Itraconazole 1%Prescription antifungal
Terbinafine 3%Dual-pathway antifungal
Urea 40%Nail penetration enhancer
Tea Tree Oil 6.6%Natural antimicrobial
DMSODeep delivery system
30 mL bottle, a 3-month supply. Apply nightly after filing nails.
Rx

Nail Renew Tablets

Prescription 2 - Oral

Oral terbinafine reaches the nail bed through the bloodstream, clearing infection in deeper areas that topical treatments cannot reach alone.

Terbinafine 250 mgOral antifungal (highest cure rate)
Pulse Dosing Protocol

Take one tablet once daily for one week each month. Terbinafine concentrates in the nail and continues working between cycles. This maximizes effectiveness while minimizing side effects.

21 tablets, a 3-month supply for pulse dosing.

Your Treatment Timeline

Fingernails typically take about 6 months and toenails about 12 months. Nails grow slowly, but you should start to see healthy nail growing in from the cuticle after about 3 months.

1
Week 1

Consultation with your clinician. Dual therapy prescribed and shipped.

2
Months 1-3

Fungus elimination begins. Apply solution nightly, pulse oral tablets monthly.

3
Month 3

Healthy, clear nail starts growing in from the cuticle. First visible improvement.

4
Months 6-12

Fingernails typically clear by 6 months. Toenails by 12 months. Full healthy nail restored.

Stop hiding your feet.

2 prescriptions. Dermatologist-designed. 90 days unlimited clinician access. Delivered free.

The Science of Pulse Dosing

Why One Week Per Month Works

Your topical solution is applied nightly, every night. The oral terbinafine tablets are taken just one week per month. Why? Because terbinafine is fungicidal... it actively kills fungal cells, not just slowing their growth.

Once oral terbinafine reaches the nail, it concentrates at levels 10 to 100 times higher than the minimum needed to eliminate dermatophytes. After each week of treatment, it persists in the nail plate for 30 to 36 weeks. So you get the same antifungal effect with less total medication and fewer potential side effects.

Source: Wolverton, Comprehensive Dermatologic Drug Therapy

Pulse vs. Continuous Dosing

Efficacy
Pulse (KindleeRx)

Equivalent mycologic cure rates

Continuous

Standard 76-78% cure rate

Duration in Nail
Pulse (KindleeRx)

Persists 30-36 weeks after treatment

Continuous

Persists while dosing + weeks after

Nail Concentration
Pulse (KindleeRx)

10-100x MIC for dermatophytes

Continuous

10-100x MIC for dermatophytes

Side Effect Profile
Pulse (KindleeRx)

Reduced exposure, fewer GI effects

Continuous

Higher total drug exposure

Liver Monitoring
Pulse (KindleeRx)

Less hepatic exposure

Continuous

Standard LFT monitoring

5 minutes. No office visit.

From your phone to your door in days.

Complete Your Assessment

Answer a detailed medical questionnaire about your nails, health history, and medications. Takes about 5 minutes.

Clinician Review & Prescription

A licensed clinician reviews your assessment, evaluates your nail condition, and prescribes your dual-therapy protocol.

Both Medications Delivered

Your topical solution and oral tablets ship together from our pharmacy, free of charge. Treatment begins immediately.

Dr. Brandon Kirsch, MD, FAAD
Brandon Kirsch, MD, FAAD
Board-Certified Dermatologist
Chief Medical Officer
OTC nail products can't penetrate the nail plate. We use the same prescription dual therapy I prescribe in clinical practice to clear infection from both sides.

Prescription medicine. Dermatologist designed.

Dermatology practice honed over years, now accessible from your phone. Prescribed by licensed clinicians. Compounded by accredited pharmacies.

Board-Certified Dermatologist

Every KindleeRx protocol is designed by Dr. Brandon Kirsch, MD, FAAD.

Accredited Pharmacy

Your medications are compounded by accredited pharmacies meeting the highest manufacturing standards. Every batch is tested for purity.

90-Day Money-Back Guarantee

If you are not satisfied with your treatment for any reason, we will refund your purchase.

Unlimited Clinician Access

Message your clinician any day of the week for 90 days. Average response under 5 hours, 24/7. No appointment needed.

HSA/FSA Letter of Medical Necessity

We provide a letter of medical necessity with every order so you can use your pre-tax health savings or flexible spending account for reimbursement.

90-Day Money-Back Guarantee

Not satisfied? Full refund.

Frequently Asked Questions

Everything you need to know about The Nail Regimen.

The Nail Regimen uses two prescription medications that work together. The Nail Renew Topical Solution contains itraconazole, terbinafine, urea, tea tree oil, and DMSO to penetrate the nail plate and fight fungus directly where it lives. The Nail Renew Oral Tablets (terbinafine 250 mg) work systemically through the bloodstream to reach the nail bed and surrounding tissue where topical treatments alone cannot. This dual-therapy approach is the same method dermatologists use in clinical practice.

Yes. Each order includes a 3-month supply of two prescription medications: a 30 mL topical antifungal solution and 21 oral terbinafine tablets (for pulse dosing). Both are included in the $99 price along with your medical consultation, clinician monitoring, free shipping, and a letter of medical necessity for HSA/FSA reimbursement.

Nail fungus treatment typically takes 3 to 6 months for fingernails and 6 to 12 months for toenails, depending on the severity of the infection and how quickly your nails grow. Nails grow slowly, so patience is important. Your Kindlee clinician will monitor your progress and adjust your treatment plan as needed.

Over-the-counter nail fungus products have cure rates below 10% because they simply cannot penetrate the hard nail plate to reach the fungus underneath. Prescription dual therapy solves this with penetration enhancers (urea 40%, DMSO) that carry antifungals into the nail, and oral medication that attacks through the bloodstream. Combined cure rates for dual therapy exceed 85%.

Pulse dosing means you take one oral tablet daily for one week each month rather than continuously. This approach is designed to maximize effectiveness while minimizing potential side effects. Terbinafine concentrates in the nail and persists for weeks after each pulse, so it continues working between cycles.

If treatment isn't a good fit based on your medical history, you'll receive a full refund including the $20 consultation fee. Your Kindlee clinician will explain the reason and may suggest alternative approaches.

We do not accept insurance. Processing claims adds unnecessary cost and would raise prices for everyone. Our direct-pay model allows us to focus on your care while keeping prices fair and transparent. If you'd like to use your benefits, we provide an itemized receipt in your portal.

The most common signs include yellow, white, or brown discoloration that usually starts at the nail tip and spreads toward the cuticle. Nails may also become thickened, brittle, crumbly, or misshapen. You might notice chalky debris building up underneath the nail, or the nail lifting away from the nail bed. In severe cases, nails can become painful or fall off entirely. If you notice any of these changes, treatment sooner rather than later leads to better outcomes.

Yes. Nail fungus spreads through direct contact with infected nails or skin, sharing personal items like nail clippers and towels, and walking barefoot in warm, moist environments like pool decks and gym showers. It also commonly spreads between household members. If one person in a household is being treated, other family members should be examined too.

No. Nail fungus almost never resolves without treatment. The fungus is embedded within the nail structure where your immune system cannot easily reach it, so it will continue to grow and spread to other nails over time. Over-the-counter products have cure rates below 10%. Prescription treatment is necessary to clear the infection.

After treatment, keep your feet clean and dry, wear moisture-wicking socks, and let shoes dry 24 hours between wears. Use antifungal powder in shoes, wear protective footwear in communal areas like gyms and pool decks, disinfect nail clippers after each use, and treat athlete's foot immediately (it's caused by the same fungus). Disinfect or replace shoes worn during your infection.

Nail fungus (onychomycosis) is caused by microscopic fungi, most commonly dermatophytes like Trichophyton rubrum. These organisms thrive in warm, moist environments and enter through tiny openings in or around the nail. Common sources include walking barefoot in locker rooms or pool areas, sharing contaminated nail tools, wearing damp shoes for long periods, and having untreated athlete's foot. Risk increases with age, diabetes, poor circulation, and weakened immunity.

References

  1. [1] Hoffman K, Gorski M, Frey CP. Innovation in Onychomycosis Treatment Through Creative Compounding. Cureus. 2025;17(9):e91475. View article
  2. [2] Gupta AK, Stec N, Summerbell RC, et al. Onychomycosis: A Review. J Fungi. 2020;6(4):32. View article
  3. [3] Wolverton SE. Comprehensive Dermatologic Drug Therapy. 4th ed. Elsevier; 2021. Chapter on Terbinafine.
  4. [4] Kalokasidis K, Onder M, Trakatelli MG, et al. The Effect of Q-Switched Nd:YAG 1064 nm/532 nm Laser in the Treatment of Onychomycosis In Vivo. Dermatol Res Pract. 2013;2013:379725. View article
  5. [5] Fiorillo L, et al. Terbinafine in Acrylic Polymer for Treatment of Onychomycosis in Hemodialysis Patients. Front Med. 2024;11:1417985. View article

Your nails grew this way over months.
Give us time to fix them.

Two prescription medications. Board-certified dermatologist. Free shipping. 90-day money-back guarantee.

$99 for 90 days. 2 Rx + consult + 90 days unlimited clinician access. Free shipping.