Green Nail Syndrome Treatment

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The protocol for clearing a Pseudomonas 'greenie' on a natural nail: trim back the lifted plate, kill the bacteria with antiseptic soaks, and keep the area bone-dry until clean nail grows in.

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Key fact First-line care is topical gentamicin 0.3% or ciprofloxacin 0.3% ophthalmic solution applied nightly for about 3 months, paired with dilute bleach (1 tsp per 4 cups water) or white-vinegar soaks; the green fades within 1 to 2 weeks but full clearance tracks nail growth at roughly 8 to 12 weeks for fingernails. Antifungal pills do nothing because Pseudomonas is a bacterium, not a fungus.

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