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Toenail Fungus · Comparison

Vuret Original vs Vuret 2.0: Which Toenail Fungus Treatment Should You Choose?

Vuret Original vs Vuret 2.0: compare ingredients, strengths and who each toenail fungus brush-on pen is for, so you can choose with your doctor.

6 min readUpdated
Toenail before and after fungal treatment
Vuret OriginalItraconazole 1.5% + Terbinafine 1.5% + DMSO

Disclosure: Vuret makes the Vuret Original featured on this page, so we have a financial interest in it. We still list real alternatives, including when another option may suit you better. This article is educational and is not a substitute for advice from your own doctor.

TL;DR

Vuret Original (itraconazole 1.5% + terbinafine 1.5% + DMSO) is the starting point for most people with toenail fungus. Vuret 2.0 (efinaconazole 10% + ciclopirox olamine 8%) is the step-up for stubborn cases. Both are compounded brush-on pens prescribed after a physician review, and a doctor makes the final call.

Vuret Original vs Vuret 2.0 comes down to two different pairs of antifungals in two brush-on pens, both prescribed by a U.S.-licensed physician after a short online visit. Here is how they differ and how to think about which one fits your nails.

What is the difference between Vuret Original and Vuret 2.0?

The difference is the ingredients. Original combines two antifungals, itraconazole and terbinafine, with DMSO to help carry them into the nail. Vuret 2.0 combines efinaconazole and ciclopirox olamine, two ingredients also found in well-known brand topicals.

Both are made in a licensed U.S. 503A pharmacy. Both are compounded, which means they are not FDA-approved.

Vuret Original vs Vuret 2.0 side by side

Vuret OriginalVuret 2.0
Active ingredientsItraconazole 1.5% + terbinafine 1.5%Efinaconazole 10% + ciclopirox olamine 8%
CarrierDMSOPer prescription formula
FormatBrush-on penBrush-on pen
Positioned forMost mild to moderate casesStubborn cases
Strength claim50% higher strength than other topicals available onlineEfinaconazole and ciclopirox pair
Prescribed afterOnline physician reviewOnline physician review
Product pageVuret OriginalVuret 2.0

What is in Vuret Original?

Vuret Original uses itraconazole 1.5% and terbinafine 1.5% with DMSO. Itraconazole and terbinafine are both widely known as oral antifungals, and here they are used as a topical. You can read how each works in our guides to itraconazole and terbinafine, and how the carrier helps in DMSO and nail penetration.

It comes with a 90-day money-back guarantee, plus free nail clippers and a file.

What is in Vuret 2.0?

Vuret 2.0 uses efinaconazole 10%, the ingredient in Jublia, and ciclopirox olamine 8%, a relative of the ingredient in Penlac. It is designed for people who want a different antifungal pairing, especially after another topical has not done enough. See Jublia vs ciclopirox to understand each ingredient on its own.

How are the two pens used?

Both are brush-on pens, so the routine feels similar: clean, dry nails, a thin coat across the whole nail and surrounding skin, then let it dry. Your physician provides the exact directions for your prescription, so follow those over anything general you read online.

Keeping the nail trimmed and filed helps either one. If you start with Original, the free nail clippers and file included are meant for exactly that.

Why does Vuret use two antifungals instead of one?

Different antifungals attack the fungus in different ways, and nail infections are stubborn. Pairing two ingredients is a common idea in dermatology, and it is the logic behind both pens. Original pairs itraconazole and terbinafine. 2.0 pairs efinaconazole and ciclopirox olamine.

We have not published clinical trial results for either Vuret product, and we will not quote a success rate. What we can say is what is in them, how they are made and how long nails take to grow.

Who should see an in-person doctor first?

If you have diabetes, poor circulation, a foot wound, pain, pus or redness spreading up the toe, see a doctor in person before using any topical. If your nail is lifting off the bed, or most of it is thick and crumbling, ask whether pills make more sense. Our guide to how to get rid of toenail fungus covers the full picture.

How do you decide between two pens?

Think of Original as the default and 2.0 as the escalation. If you are new to prescription treatment, the simpler path is to begin with Original and let the physician adjust from there. If you have already tried a topical for months with little change, 2.0 may be where the conversation starts.

Describe your history honestly in the online visit: how long you have had the nail, what you have tried and any medications you take. That is what the physician uses to recommend a product.

Choose Vuret Original if

  • This is your first prescription treatment.
  • Your toenail fungus is mild to moderate.
  • You like the idea of two antifungals, itraconazole and terbinafine, working together.
  • You want the money-back guarantee and free nail clippers and file.

Choose Vuret 2.0 if

  • Your nails are stubborn or have not responded to other topicals.
  • You want efinaconazole in your routine.
  • Your doctor recommends a different ingredient mix than Original.

Can you switch from Vuret Original to Vuret 2.0?

Often that is the idea. If you have used a topical consistently for a few months and see little change, a doctor may suggest trying a different pairing. Talk with the physician rather than switching on your own, and do not use both at once unless told to.

Remember how slow nails are. Improvement is often visible at 3 to 6 months, and full clear nail typically takes 9 to 12 months, so judge progress by new growth at the base of the nail.

What should you know before either one?

  • These are compounded medications and are not FDA-approved.
  • A physician decides whether treatment is appropriate. You are charged for medication only if the doctor approves.
  • No topical works for every nail, and results vary.
  • If most of the nail is affected or several nails are involved, pills may be better. See oral terbinafine vs topical.
  • Diabetes, foot wounds, pain or spreading redness mean see a doctor in person.

Still comparing? Our rankings of the best prescription toenail fungus treatments put both next to other options. To get started, begin the online visit on the Vuret Original page and your physician will advise on the best fit.

Vuret Original: Itraconazole 1.5% + Terbinafine 1.5% + DMSO

A brush-on prescription pen with itraconazole + terbinafine and DMSO to carry them through the nail. Prescribed online by a U.S.-licensed physician only if it is right for you. Compounded medications are not FDA-approved.

See Vuret Original

Frequently asked questions

What is the difference between Vuret Original and Vuret 2.0?

Original contains itraconazole 1.5% and terbinafine 1.5% with DMSO. Vuret 2.0 contains efinaconazole 10% and ciclopirox olamine 8%. Both are brush-on pens, and Vuret 2.0 is aimed at stubborn cases.

Which Vuret should I start with?

Most people begin with Vuret Original. A physician reviews your visit and may recommend 2.0 instead if your situation calls for it.

Can I use Vuret Original and Vuret 2.0 together?

Do not combine them unless your physician tells you to. They are separate prescription formulas, and stacking them without guidance could increase irritation.

Are Vuret products FDA-approved?

No. They are compounded medications made in licensed U.S. 503A pharmacies to a doctor's prescription. Compounded drugs are not FDA-approved.

How long until I see results with Vuret?

Improvement is often visible at 3 to 6 months, and a fully clear nail typically takes 9 to 12 months. Individual results vary.

Ready to treat your toenail fungus?

Start a short online visit. A U.S.-licensed physician reviews it and prescribes Vuret Original only if it is right for you. You are not charged for medication unless you are approved.

See Vuret Original