×
Request Free Sample ×

Kindly complete the form below to receive a free sample of this Report

Leading companies partner with us for data-driven Insights

clients tt-cursor
Hero Background

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

Share:
Download PDF ×

We do not share your information with anyone. However, we may send you emails based on your report interest from time to time. You may contact us at any time to opt-out.

US Onychomycosis Market Infographic
Purchase Options

US Onychomycosis Market Summary

As per MRFR analysis, the US onychomycosis market Size was estimated at 437.85 USD Million in 2024. The US onychomycosis market is projected to grow from 460.62 USD Million in 2025 to 764.87 USD Million by 2035, exhibiting a compound annual growth rate (CAGR) of 5.2% during the forecast period 2025 - 2035.

Key Market Trends & Highlights

The US onychomycosis market is experiencing notable growth driven by increased awareness and advancements in treatment options.

  • Rising awareness and diagnosis of onychomycosis are leading to higher treatment rates among patients.
  • Advancements in treatment options, including innovative therapies, are enhancing patient outcomes and satisfaction.
  • The market is shifting towards patient-centric care, emphasizing personalized treatment plans and improved patient engagement.
  • Key market drivers include the increasing prevalence of onychomycosis and the impact of the aging population, which is fueling demand for effective treatments.

Market Size & Forecast

2024 Market Size 437.85 (USD Million)
2035 Market Size 764.87 (USD Million)

Major Players

Bayer AG (DE), Novartis AG (CH), Johnson & Johnson (US), GlaxoSmithKline plc (GB), Pfizer Inc. (US), Sanofi S.A. (FR), Merck & Co., Inc. (US), AbbVie Inc. (US)

US Onychomycosis Market Trends

The onychomycosis market is currently experiencing notable developments, driven by an increasing awareness of fungal nail infections and the growing demand for effective treatment options. The prevalence of onychomycosis appears to be rising, with various factors contributing to this trend, including an aging population and a greater emphasis on personal health and hygiene. As a result, healthcare providers are more frequently diagnosing this condition, leading to a surge in the availability of antifungal treatments. Furthermore, advancements in pharmaceutical research are likely to enhance the efficacy of existing therapies, potentially improving patient outcomes. In addition to the rise in treatment options, the onychomycosis market is also witnessing a shift towards more patient-centric approaches. This includes the development of topical treatments that are easier to use and have fewer side effects compared to traditional oral medications. The integration of telemedicine into dermatological care may also facilitate access to treatment, allowing patients to consult with specialists remotely. Overall, the landscape of the onychomycosis market is evolving, with a focus on innovation and improved patient experiences, which may lead to increased market growth in the coming years.

Rising Awareness and Diagnosis

There is a growing recognition of onychomycosis as a common condition, leading to more frequent diagnoses. Increased public awareness campaigns and educational initiatives by healthcare professionals are contributing to this trend. As individuals become more informed about the symptoms and treatment options, they are more likely to seek medical advice, thereby driving demand for effective therapies.

Advancements in Treatment Options

The onychomycosis market is benefiting from ongoing research and development efforts aimed at improving treatment efficacy. New formulations and delivery methods are emerging, which may enhance the effectiveness of antifungal agents. These innovations could lead to better patient compliance and outcomes, as well as a broader range of options for healthcare providers.

Shift Towards Patient-Centric Care

There is a noticeable trend towards more patient-focused treatment strategies within the onychomycosis market. This includes the development of user-friendly topical treatments and the incorporation of telehealth services. Such approaches may improve accessibility and convenience for patients, ultimately fostering a more positive treatment experience.

US Onychomycosis Market Drivers

Impact of Aging Population

The aging population in the US is a crucial factor influencing the onychomycosis market. As individuals age, they become more susceptible to various health conditions, including fungal infections of the nails. The demographic shift towards an older population is expected to increase the prevalence of onychomycosis, thereby driving demand for effective treatment options. It is estimated that nearly 50% of individuals over the age of 70 may experience this condition. This demographic trend presents both challenges and opportunities for healthcare providers and pharmaceutical companies. The onychomycosis market must adapt to meet the needs of this growing population segment, which may include developing targeted therapies and enhancing patient education regarding prevention and treatment.

Rising Healthcare Expenditure

The upward trend in healthcare expenditure in the US is a significant driver for the onychomycosis market. Increased spending on healthcare services and pharmaceuticals allows for greater access to advanced treatment options for patients suffering from onychomycosis. As healthcare budgets expand, there is a corresponding rise in the availability of innovative therapies and diagnostic tools. This financial commitment from both public and private sectors is likely to enhance the overall quality of care for patients. Furthermore, the emphasis on preventive healthcare may lead to earlier diagnosis and treatment of onychomycosis, ultimately benefiting the market. The onychomycosis market stands to gain from this trend, as it aligns with broader healthcare initiatives aimed at improving patient outcomes.

Increasing Prevalence of Onychomycosis

The rising incidence of onychomycosis in the US is a primary driver for the onychomycosis market. Studies indicate that approximately 10% of the adult population is affected by this fungal infection, with the prevalence increasing with age. This growing demographic of affected individuals necessitates effective treatment options, thereby propelling market growth. The onychomycosis market is projected to expand as healthcare providers recognize the need for improved diagnostic and therapeutic solutions. Furthermore, the increasing awareness of foot health and hygiene among the population contributes to the demand for antifungal treatments, which are essential in managing this condition. As the population ages, the burden of onychomycosis is likely to escalate, further driving the market's expansion.

Technological Innovations in Treatment

Technological advancements in the development of antifungal agents and treatment modalities are significantly influencing the onychomycosis market. Recent innovations include the introduction of laser therapy and novel topical formulations that enhance drug delivery and efficacy. These advancements not only improve patient outcomes but also attract investment in research and development, fostering a competitive landscape. The market is witnessing a shift towards more effective and less invasive treatment options, which could potentially increase patient compliance. As a result, the onychomycosis market is expected to benefit from these innovations, with a projected growth rate of around 7% annually over the next few years. This trend indicates a promising future for both patients and manufacturers in the sector.

Growing Demand for Over-the-Counter Treatments

The increasing preference for over-the-counter (OTC) treatments among consumers is shaping the onychomycosis market. Patients are increasingly seeking accessible and convenient solutions for managing their condition without the need for prescription medications. This trend is driven by a combination of factors, including rising healthcare costs and a desire for self-management. The OTC segment is expected to witness substantial growth, with estimates suggesting it could account for over 30% of the total market share by 2026. This shift not only reflects changing consumer behavior but also indicates a potential for increased competition among manufacturers to develop effective OTC antifungal products. Consequently, the onychomycosis market is likely to evolve in response to these consumer preferences.

Market Segment Insights

By Type: Distal Subungual Onychomycosis (Largest) vs. Candida Onychomycosis (Fastest-Growing)

In the US onychomycosis market, the segment distribution reveals that Distal Subungual Onychomycosis (DSO) holds the largest market share, significantly outpacing other types. Following DSO, White Superficial Onychomycosis (WSO) and Proximal Subungual Onychomycosis (PSO) exhibit moderate shares, while Candida Onychomycosis, though smaller in scale, is poised for rapid growth. The remaining category, 'Others', covers various sporadic forms but contributes minimally to the overall distribution. Growth trends indicate a shift towards Candida Onychomycosis, driven by rising awareness and increasing diagnosis rates. Factors such as growing incidences related to other health conditions and the availability of innovative treatment options are supporting this segment's expansion. Additionally, the demand for effective therapies in difficult-to-treat cases is facilitating a competitive landscape among different treatment modalities.

Distal Subungual Onychomycosis (Dominant) vs. Candida Onychomycosis (Emerging)

Distal Subungual Onychomycosis (DSO) is characterized by its prominence as the most common type of nail fungal infection, making it a dominant segment in the market. It often leads to significant nail deformities if left untreated, necessitating effective therapeutic interventions. On the other hand, Candida Onychomycosis is emerging rapidly, attributed to an increase in diabetes and immunocompromised patients who are more susceptible to yeast infections. This growth is supported by improvements in antifungal treatments that specifically target Candida species, offering effective solutions that appeal to healthcare providers and patients alike. As awareness of fungal nail infections rises, both segments demonstrate unique and critical roles in the US onychomycosis market.

By Treatment Type: Drug Treatment (Largest) vs. Topical Therapy (Fastest-Growing)

In the US onychomycosis market, Drug Treatment is the largest segment, dominating market share due to established efficacy and widespread availability. It constitutes a significant portion of the treatment landscape, primarily driven by prescription medications. In contrast, Topical Therapy has emerged as the fastest-growing segment, appealing to patients seeking less invasive and easy-to-use options. This trend reflects shifts in patient preferences towards more convenient treatment solutions. The growth trends within these segments are influenced by several factors, including the increasing incidence of onychomycosis, heightened awareness of treatment options, and advancements in drug formulations. Moreover, marketing strategies targeting both healthcare professionals and patients further bolster the adoption of topical treatments, enhancing their market trajectory. As dermatological innovations continue, both segments are poised for ongoing development and expansion in the competitive landscape.

Drug Treatment: Dominant vs. Topical Therapy: Emerging

Drug Treatment represents the dominant market force within the US onychomycosis market, characterized by a range of prescription antifungal medications that offer robust efficacy against fungal infections. This segment benefits from established clinical guidelines and a strong base of healthcare provider recommendations. On the other hand, Topical Therapy, labeled as an emerging option, has gained traction due to its user-friendly application and minimal side effects. Patients increasingly opt for topical solutions as first-line treatments, leading to accelerated growth in this segment. Both Drug Treatment and Topical Therapy contribute uniquely to the market, addressing diverse patient needs while adapting to the changing landscape of onychomycosis treatments.

By End User: Retail Pharmacies (Largest) vs. Hospital Pharmacies (Fastest-Growing)

In the US onychomycosis market, the distribution of market share among end users is notably led by retail pharmacies, which command a significant portion due to their widespread accessibility and consumer preference. Retail pharmacies are preferred by consumers for their convenience and broad range of available treatments. In contrast, hospital pharmacies hold a smaller share but are experiencing rapid growth, driven by the increasing prevalence of onychomycosis requiring more specialized treatment options that hospitals can provide. The growth trends within this segment demonstrate that hospital pharmacies are becoming increasingly essential in the treatment landscape for onychomycosis. Factors contributing to this growth include improved healthcare access, a rise in chronic illnesses that exacerbate fungal infections, and a growing awareness among healthcare professionals regarding effective treatment protocols. As hospitals enhance their pharmacy services, they are likely to attract more patients, thus accelerating their growth trajectory in the coming years.

Retail Pharmacies: Dominant vs. Hospital Pharmacies: Emerging

Retail pharmacies are characterized by their extensive availability, making them the dominant force in the US onychomycosis market. They cater to a wide demographic, providing over-the-counter treatments that are convenient and easily accessible to consumers. The rise in self-medication trends has further solidified their position. Conversely, hospital pharmacies are emerging as a vital segment, focusing on more complex prescriptions and acute health concerns. They offer specialized treatments and have the potential to build strong patient relationships through targeted therapeutic approaches. This segment is poised for growth as more healthcare providers recognize the need for tailored treatment solutions for patients suffering from onychomycosis.

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.

US Onychomycosis Market Regional Image

Key Players and Competitive Insights

The onychomycosis market exhibits a competitive landscape characterized by a blend of innovation, strategic partnerships, and a focus on expanding therapeutic options. Key players such as Bayer AG (DE), Novartis AG (CH), and Johnson & Johnson (US) are actively shaping the market dynamics through their distinct operational strategies. Bayer AG (DE) emphasizes research and development, particularly in antifungal therapies, while Novartis AG (CH) focuses on leveraging its extensive pipeline to introduce novel treatments. Johnson & Johnson (US) appears to be enhancing its market presence through strategic acquisitions and collaborations, thereby fostering a robust competitive environment that encourages innovation and diverse treatment options.

The business tactics employed by these companies include localizing manufacturing to reduce costs and optimize supply chains, which is crucial in a moderately fragmented market. The competitive structure is influenced by the collective actions of these key players, who are not only vying for market share but also striving to establish themselves as leaders in therapeutic advancements. This dynamic fosters a landscape where innovation and operational efficiency are paramount.

In October 2025, Bayer AG (DE) announced a partnership with a biotech firm to co-develop a new topical antifungal treatment aimed at improving patient compliance and efficacy. This strategic move underscores Bayer's commitment to enhancing its product portfolio and addressing unmet medical needs in the onychomycosis segment. The collaboration is expected to leverage both companies' strengths, potentially accelerating the development timeline and market entry of the new therapy.

In September 2025, Novartis AG (CH) launched a digital health initiative aimed at improving patient engagement and adherence to onychomycosis treatments. This initiative integrates mobile health technologies to provide patients with personalized treatment plans and reminders. The strategic importance of this move lies in its potential to enhance treatment outcomes and patient satisfaction, thereby positioning Novartis as a forward-thinking leader in the market.

In August 2025, Johnson & Johnson (US) expanded its product line by acquiring a small pharmaceutical company specializing in innovative antifungal formulations. This acquisition not only broadens Johnson & Johnson's therapeutic offerings but also strengthens its competitive edge by incorporating cutting-edge technology into its existing portfolio. The strategic importance of this acquisition is evident in its potential to enhance market share and drive revenue growth in the onychomycosis segment.

As of November 2025, the competitive trends in the onychomycosis market are increasingly defined by digitalization, sustainability, and the integration of artificial intelligence in treatment development. Strategic alliances are becoming more prevalent, facilitating knowledge sharing and resource optimization among key players. Looking ahead, competitive differentiation is likely to evolve from traditional price-based strategies to a focus on innovation, technological advancements, and supply chain reliability, reflecting a broader shift in the pharmaceutical 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 onychomycosis market is projected to grow at a 5.2% CAGR from 2024 to 2035, driven by increasing prevalence, innovative treatments, and rising awareness.

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 2024 437.85(USD Million)
MARKET SIZE 2025 460.62(USD Million)
MARKET SIZE 2035 764.87(USD Million)
COMPOUND ANNUAL GROWTH RATE (CAGR) 5.2% (2024 - 2035)
REPORT COVERAGE Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
BASE YEAR 2024
Market Forecast Period 2025 - 2035
Historical Data 2019 - 2024
Market Forecast Units USD Million
Key Companies Profiled Bayer AG (DE), Novartis AG (CH), Johnson & Johnson (US), GlaxoSmithKline plc (GB), Pfizer Inc. (US), Sanofi S.A. (FR), Merck & Co., Inc. (US), AbbVie Inc. (US)
Segments Covered Type, Treatment Type, End User
Key Market Opportunities Emerging antifungal therapies and telehealth solutions enhance treatment accessibility in the onychomycosis market.
Key Market Dynamics Rising consumer awareness drives demand for innovative treatments in the onychomycosis market.
Countries Covered US

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

Leave a Comment

FAQs

What is the current valuation of the US Onychomycosis Market?

The US Onychomycosis Market was valued at 1.75 USD Billion in 2024.

What is the projected market size for the US Onychomycosis Market by 2035?

The market is projected to reach 3.854 USD Billion by 2035.

What is the expected CAGR for the US Onychomycosis Market during the forecast period?

The expected CAGR for the US Onychomycosis Market from 2025 to 2035 is 7.44%.

Which companies are the key players in the US Onychomycosis Market?

Key players include Janssen Pharmaceuticals, Valeant Pharmaceuticals, Novartis, Bayer, Galderma, Pfizer, Amgen, Merck, and Sanofi.

What are the main types of Onychomycosis and their market valuations?

Distal Subungual Onychomycosis was valued at 0.875 USD Billion in 2024, while White Superficial Onychomycosis was valued at 0.525 USD Billion.

Download Free Sample

Kindly complete the form below to receive a free sample of this Report

Compare Licence

×
Features License Type
Single User Multiuser License Enterprise User
Price $4,950 $5,950 $7,250
Maximum User Access Limit 1 User Upto 10 Users Unrestricted Access Throughout the Organization
Free Customization
Direct Access to Analyst
Deliverable Format
Platform Access
Discount on Next Purchase 10% 15% 15%
Printable Versions