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    US Onychomycosis Market

    ID: MRFR/Pharma/1895-CR
    30 Pages
    Rahul Gotadki
    April 2017

    US Onychomycosis Market Research Report Information By Type (Distal Subungual Onychomycosis (DSO), White Superficial Onychomycosis (WSO), Proximal Subungual Onychomycosis (PSO), Endonyx Onychomycosis (EO), And Others), By Treatment (Oral And Topical) And By Region (US) –Market Forecast Till 2035

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    US Onychomycosis Market Infographic

    US Onychomycosis Market Summary

    As per MRFR analysis, the US Onychomycosis Market Size was estimated at 1.75 USD Billion in 2024. The Onychomycosis industry is projected to grow from 1.88 USD Billion in 2025 to 3.854 USD Billion by 2035, exhibiting a compound annual growth rate (CAGR) of 7.44 during the forecast period 2025 - 2035.

    Key Market Trends & Highlights

    The US Onychomycosis Market is experiencing a dynamic shift driven by evolving treatment options and increasing awareness.

    • The incidence of fungal infections continues to rise, contributing to a growing demand for effective treatments.
    • There is a notable shift towards over-the-counter treatments, reflecting changing consumer preferences in North America.
    • Telemedicine is increasingly integrated into treatment protocols, enhancing accessibility for patients across various regions.
    • Key market drivers include the aging population and advancements in treatment options, which are particularly influential in the Distal Subungual Onychomycosis segment.

    Market Size & Forecast

    2024 Market Size 1.75 (USD Billion)
    2035 Market Size 3.854 (USD Billion)
    CAGR (2025 - 2035) 7.44%

    Major Players

    Janssen Pharmaceuticals (US), Valeant Pharmaceuticals (US), Novartis (US), Bayer (US), Galderma (US), Pfizer (US), Amgen (US), Merck (US), Sanofi (US)

    US Onychomycosis Market Trends

    The US Onychomycosis Market is currently experiencing notable shifts driven by various factors. The increasing prevalence of fungal nail infections among the population appears to be a primary catalyst for market growth. This rise in cases may be attributed to several elements, including an aging demographic and heightened awareness regarding foot health. Furthermore, advancements in treatment options, such as topical and oral antifungal medications, seem to enhance patient outcomes, thereby encouraging more individuals to seek medical intervention. As healthcare providers become more informed about effective therapies, the market is likely to expand further. In addition to treatment innovations, the US Onychomycosis Market is influenced by evolving consumer preferences. Patients are increasingly inclined towards over-the-counter solutions, which may offer convenience and accessibility. This trend suggests a shift in how individuals approach their health, favoring self-management options. Moreover, the integration of telemedicine into dermatological care could potentially reshape patient engagement, allowing for easier consultations and follow-ups. Overall, the US Onychomycosis Market appears poised for growth, driven by a combination of demographic trends, treatment advancements, and changing consumer behaviors.

    Rising Incidence of Fungal Infections

    The prevalence of onychomycosis is increasing, likely due to factors such as aging populations and lifestyle changes. This trend indicates a growing need for effective treatment options and may drive market expansion.

    Shift Towards Over-the-Counter Treatments

    Consumers are increasingly opting for over-the-counter antifungal products, suggesting a preference for accessible and convenient solutions. This shift may influence how companies develop and market their products.

    Integration of Telemedicine in Treatment

    The incorporation of telemedicine into dermatological practices appears to be changing patient engagement. This trend may facilitate easier access to consultations and follow-ups, potentially impacting treatment adherence.

    US Onychomycosis Market Drivers

    Rising Healthcare Expenditure

    The upward trend in healthcare expenditure in the United States may serve as a significant driver for the US Onychomycosis Market. As individuals allocate more resources towards health and wellness, there is a corresponding increase in spending on treatments for conditions like onychomycosis. This trend is further supported by the growing acceptance of dermatological care and the willingness of patients to invest in effective therapies. Moreover, the expansion of insurance coverage for dermatological treatments could facilitate access to necessary medications, thereby enhancing market growth. The US Onychomycosis Market stands to benefit from this increase in healthcare spending, as more patients seek effective solutions for their fungal infections.

    Advancements in Treatment Options

    Innovations in treatment modalities for onychomycosis are likely to play a crucial role in shaping the US Onychomycosis Market. Recent developments in antifungal therapies, including novel oral medications and topical treatments, have shown promising efficacy in clinical trials. For instance, the introduction of new formulations that enhance drug penetration into the nail bed may improve treatment outcomes. Additionally, combination therapies that utilize both topical and systemic agents could provide a more comprehensive approach to managing onychomycosis. As these advancements become available, they may attract more patients seeking effective solutions, thereby driving market growth in the US Onychomycosis Market.

    Emergence of E-commerce Platforms

    The rise of e-commerce platforms is transforming the way consumers access treatments for onychomycosis, potentially impacting the US Onychomycosis Market. Online pharmacies and health retailers are increasingly offering a wide range of antifungal products, making it more convenient for patients to obtain necessary medications without the need for in-person consultations. This shift towards digital purchasing may appeal to those who prefer discretion or have difficulty accessing traditional healthcare services. As e-commerce continues to grow, it could lead to an increase in sales of antifungal treatments, thereby contributing to the overall expansion of the US Onychomycosis Market.

    Increasing Awareness of Onychomycosis

    The rising awareness regarding onychomycosis among the general population appears to be a pivotal driver for the US Onychomycosis Market. Educational campaigns by healthcare professionals and organizations have contributed to a better understanding of the condition, its symptoms, and potential treatments. This heightened awareness may lead to more individuals seeking medical advice and treatment options, thereby increasing the demand for antifungal medications and therapies. Furthermore, as patients become more informed, they are likely to pursue effective solutions, which could further stimulate market growth. The US Onychomycosis Market is expected to benefit from this trend, as more patients recognize the importance of addressing fungal infections promptly.

    Aging Population and Increased Vulnerability

    The demographic shift towards an aging population in the United States is likely to significantly impact the US Onychomycosis Market. Older adults are generally more susceptible to fungal infections due to factors such as reduced immune function and comorbidities. As the population aged 65 and older continues to grow, the prevalence of onychomycosis is expected to rise correspondingly. This demographic trend may lead to an increased demand for effective treatment options, as healthcare providers seek to address the needs of this vulnerable population. Consequently, the US Onychomycosis Market may experience substantial growth driven by the need for targeted therapies for older patients.

    Market Segment Insights

    By Type: Distal Subungual Onychomycosis (DSO) (Largest) vs. White Superficial Onychomycosis (WSO) (Fastest-Growing)

    In the US Onychomycosis Market, Distal Subungual Onychomycosis (DSO) holds the largest market share among the types of onychomycosis. This is primarily due to its higher prevalence among the population, driven by factors such as aging and comorbid conditions that lead to increased susceptibility. In contrast, White Superficial Onychomycosis (WSO) is gaining traction and rapidly expanding its market presence, primarily among younger demographics, due to increased awareness and access to treatments that are easier to apply and manage. The growth trends within this segment are influenced by several factors. The emphasis on early diagnosis and treatment options, alongside advancements in antifungal therapies, enhances patient outcomes. The growing inclination towards personalized medicine further propels the WSO segment, as tailored treatment plans resonate more with younger consumers seeking effective solutions with minimal side effects. Additionally, lifestyle changes and rising foot health awareness contribute to the emergence and growth of onychomycosis types like WSO, making them key players in the evolving market landscape.

    Onychomycosis: DSO (Dominant) vs. WSO (Emerging)

    Distal Subungual Onychomycosis (DSO) remains the dominant form of onychomycosis in the US market, characterized by its persistent and challenging treatment requirements. Its prevalence is largely attributed to underlying health issues such as diabetes and peripheral vascular diseases, leading to a higher diagnosis rate among older patients. Treatment often involves systemic antifungals and topical medications, which can be lengthy and costly. Conversely, White Superficial Onychomycosis (WSO) is emerging as a formidable competitor, manifesting primarily on the nail's surface and appealing to a younger audience. The ease of treatment, often involving over-the-counter topical solutions, and the growing social awareness surrounding nail health have made WSO increasingly popular. As the market evolves, both segments will likely adopt innovative treatment methods to address consumer needs.

    By Treatment: Oral (Largest) vs. Topical (Fastest-Growing)

    In the US Onychomycosis Market, the 'Treatment' segment is primarily divided into two categories: Oral and Topical treatments. Oral treatments currently hold the largest market share, benefiting from widespread physician recommendations and proven efficacy. Conversely, Topical treatments are experiencing rapid growth, driven by advancements in formulation that enhance absorption and reduce side effects. While Oral options remain the preferred choice for many patients, the increased awareness and acceptance of Topical options are reshaping market dynamics.

    Treatment: Oral (Dominant) vs. Topical (Emerging)

    Oral treatments for onychomycosis have established a dominant position in the market due to their efficacy and ease of use. These treatments, often prescribed for their systemic action, can effectively eliminate fungal infections from within. However, they may come with potential side effects, leading some patients to seek alternatives. On the other hand, Topical treatments represent an emerging option, gaining popularity particularly among those who prefer localized therapies with fewer systemic effects. The evolution of these formulations has made them more effective and user-friendly, making them an attractive choice for patients who are hesitant to opt for oral medications.

    Get more detailed insights about US Onychomycosis Market

    Regional Insights

    North America : Market Leader in Onychomycosis

    The North American onychomycosis market is primarily driven by increasing awareness of fungal infections and advancements in treatment options. The U.S. holds the largest market share at approximately 70%, followed by Canada at around 15%. Regulatory support from agencies like the FDA has accelerated the approval of new therapies, enhancing market growth. The rising prevalence of diabetes and other conditions that predispose individuals to fungal infections further fuels demand. In this region, the competitive landscape is characterized by the presence of major pharmaceutical companies such as Janssen Pharmaceuticals, Valeant Pharmaceuticals, and Novartis. These key players are actively involved in research and development to introduce innovative treatments. The market is also witnessing collaborations and partnerships aimed at expanding product portfolios and improving patient outcomes. The focus on effective and safe treatment options continues to shape the competitive dynamics.

    Europe : Emerging Market with Growth Potential

    The European onychomycosis market is experiencing significant growth, driven by an aging population and increasing healthcare expenditure. Germany and France are the largest markets, holding approximately 30% and 25% of the market share, respectively. Regulatory bodies in Europe, such as the European Medicines Agency (EMA), are facilitating the approval of new antifungal treatments, which is expected to boost market growth. The rising incidence of onychomycosis, particularly among the elderly, is a key demand driver. Leading countries in this region include Germany, France, and the UK, with a competitive landscape featuring major players like Bayer and Galderma. The market is characterized by a mix of established pharmaceutical companies and emerging biotech firms focusing on innovative therapies. The presence of robust healthcare systems and increasing awareness about fungal infections are further enhancing the market's potential. Collaboration among stakeholders is also fostering advancements in treatment options.

    Asia-Pacific : Rapidly Growing Market Segment

    The Asia-Pacific onychomycosis market is witnessing rapid growth, driven by rising disposable incomes and increasing awareness of fungal infections. Countries like Japan and Australia are leading the market, accounting for approximately 25% and 20% of the market share, respectively. The region's growth is further supported by favorable regulatory frameworks that encourage the introduction of new therapies. The increasing prevalence of onychomycosis, particularly in humid climates, is a significant demand driver. In this region, the competitive landscape is evolving, with both multinational corporations and local players vying for market share. Key players such as Pfizer and Merck are actively involved in developing innovative treatment options. The market is characterized by a growing focus on patient-centric solutions and the integration of digital health technologies to improve treatment adherence and outcomes. The collaboration between healthcare providers and pharmaceutical companies is also enhancing the overall market dynamics.

    Middle East and Africa : Emerging Market with Challenges

    The Middle East and Africa onychomycosis market is in its nascent stages, facing challenges such as limited access to healthcare and varying levels of awareness about fungal infections. South Africa and the UAE are the leading markets, holding approximately 20% and 15% of the market share, respectively. The growth potential is significant, driven by increasing healthcare investments and initiatives aimed at improving public health. Regulatory bodies are beginning to recognize the importance of antifungal treatments, which may catalyze market development. The competitive landscape is characterized by a mix of local and international players, with companies like Amgen and Sanofi making strides in the region. The market is gradually evolving, with a focus on educating healthcare professionals and patients about onychomycosis. The presence of a growing middle class and increasing healthcare access are expected to drive future growth, although challenges remain in terms of infrastructure and awareness.

    Key Players and Competitive Insights

    The US Onychomycosis Market is characterized by a competitive landscape that is increasingly shaped by innovation, strategic partnerships, and a focus on patient-centric solutions. Key players such as Janssen Pharmaceuticals (US), Novartis (US), and Galderma (US) are actively engaged in enhancing their product offerings and expanding their market presence. Janssen Pharmaceuticals (US) has positioned itself as a leader in the development of novel antifungal therapies, while Novartis (US) emphasizes a robust pipeline of dermatological treatments. Galderma (US), on the other hand, focuses on dermatological aesthetics and therapeutics, indicating a diversified approach that caters to both medical and cosmetic needs. Collectively, these strategies contribute to a dynamic competitive environment, where innovation and patient engagement are paramount.

    In terms of business tactics, companies are increasingly localizing manufacturing and optimizing supply chains to enhance efficiency and responsiveness to market demands. The competitive structure of the US Onychomycosis Market appears moderately fragmented, with several players vying for market share. However, the influence of major companies is significant, as they leverage their resources and expertise to shape market trends and consumer preferences.

    In August 2025, Janssen Pharmaceuticals (US) announced the launch of a new clinical trial aimed at evaluating the efficacy of its latest antifungal treatment for onychomycosis. This strategic move underscores the company's commitment to innovation and its focus on addressing unmet medical needs in the market. By investing in clinical research, Janssen aims to solidify its position as a frontrunner in the therapeutic landscape, potentially leading to enhanced patient outcomes and increased market share.

    In September 2025, Novartis (US) revealed a partnership with a leading telehealth provider to facilitate remote consultations for patients suffering from onychomycosis. This collaboration highlights the growing trend of digital health solutions in the pharmaceutical sector. By integrating telehealth services, Novartis not only enhances patient access to care but also positions itself as a forward-thinking company that embraces technological advancements to improve treatment adherence and outcomes.

    In July 2025, Galderma (US) expanded its product line by introducing a new topical formulation specifically designed for onychomycosis treatment. This launch reflects Galderma's strategy to diversify its offerings and cater to the evolving needs of patients. The introduction of innovative formulations may enhance patient compliance and satisfaction, thereby strengthening Galderma's competitive edge in the market.

    As of October 2025, the competitive trends in the US Onychomycosis Market are increasingly defined by digitalization, sustainability, and the integration of artificial intelligence in treatment protocols. Strategic alliances are becoming more prevalent, as companies recognize the value of collaboration in driving innovation and improving patient outcomes. Looking ahead, competitive differentiation is likely to evolve from traditional price-based competition to a focus on technological advancements, innovative treatment solutions, and reliable supply chains, thereby reshaping the market landscape.

    Key Companies in the US Onychomycosis Market market include

    Industry Developments

    July 2021: Alembic announced that its joint venture Aleor Dermaceuticals Limited (Aleor) took tentative approval from the US Food & Drug Administration (US FDA) for an abbreviated new drug application (ANDA) for Efinaconazole Topical Solution for the medical management of this condition in toenail.

    April 2021: Lupin Limited (Lupin) announced today that the US Food and Drug Administration had approved its Tavaborole Topical Solution, 5%, to market as a generic counterpart of Anacor Pharmaceuticals, Inc.'s Kerydin Topical Solution, 5%.

    Future Outlook

    US Onychomycosis Market Future Outlook

    The US Onychomycosis Market is projected to grow at a 7.44% CAGR from 2024 to 2035, driven by increasing awareness, innovative treatments, and rising prevalence.

    New opportunities lie in:

    • Development of telehealth platforms for remote consultations and prescriptions.
    • Investment in advanced antifungal drug formulations targeting resistant strains.
    • Expansion of over-the-counter treatment options in retail pharmacies.

    By 2035, the market is expected to achieve substantial growth, reflecting evolving consumer needs and treatment advancements.

    Market Segmentation

    US Onychomycosis Market Type Outlook

    • Distal Subungual Onychomycosis (DSO)
    • White Superficial Onychomycosis (WSO)
    • Proximal Subungual Onychomycosis (PSO)
    • Endonyx Onychomycosis (EO)
    • Others

    US Onychomycosis Market Treatment Outlook

    • Oral
    • Topical

    Report Scope

    MARKET SIZE 20241.75(USD Billion)
    MARKET SIZE 20251.88(USD Billion)
    MARKET SIZE 20353.854(USD Billion)
    COMPOUND ANNUAL GROWTH RATE (CAGR)7.44% (2024 - 2035)
    REPORT COVERAGERevenue Forecast, Competitive Landscape, Growth Factors, and Trends
    BASE YEAR2024
    Market Forecast Period2025 - 2035
    Historical Data2019 - 2024
    Market Forecast UnitsUSD Billion
    Key Companies ProfiledMarket analysis in progress
    Segments CoveredMarket segmentation analysis in progress
    Key Market OpportunitiesEmergence of novel antifungal therapies addressing treatment-resistant strains in the US Onychomycosis Market.
    Key Market DynamicsRising consumer awareness and demand for effective treatments drive innovation in the US Onychomycosis Market.
    Countries CoveredNorth America, Europe, APAC, South America, MEA

    Market Highlights

    Author
    Rahul Gotadki
    Assistant Manager

    He holds an experience of about 7+ years in Market Research and Business Consulting, working under the spectrum of Life Sciences and Healthcare domains. Rahul conceptualizes and implements a scalable business strategy and provides strategic leadership to the clients. His expertise lies in market estimation, competitive intelligence, pipeline analysis, customer assessment, etc. In addition to the above, his other responsibility includes strategic tracking of high growth markets & advising clients on the potential areas of focus they could direct their business initiatives

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    FAQs

    What is the projected growth of the US Onychomycosis market?

    The US Onychomycosis market is the expected increase in total market value of 3.85 USD billion over a defined forecast period 2025–2035. It is driven by factors such as demand trends, technological advances, regulatory changes, and geographic expansion.

    What is the size of the US Onychomycosis market?

    US Onychomycosis market size was valued at approximately 1.75 billion USD in 2024. This figure will reach 3.85 billion USD covering all regions (America, Europe, Asia, MEA and ROW), focusing its segments / services / distribution channels till 2035.

    What is the CAGR of the US Onychomycosis market?

    US Onychomycosis market is expected to grow at a CAGR of 7.44% between 2025 and 2035.

    How much will the US Onychomycosis market be worth by 2035?

    US Onychomycosis market is expected to be worth of 3.85 billion USD, reflecting growth driven by usage, technology and global demands by the end of 2035.

    How will the US Onychomycosis market perform over the next 10 years?

    Over the next 10 years the US Onychomycosis market is expected to shift from usd billion 1.75 to 3.85 billion USD, led by adoption of advanced tech, demographic trends, regulatory approvals, with potential headwinds from 2025 to 2035.

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