The mycosis of the nail, or onychomycosis, is a fungal infection that most often affects the toenails but can also involve the fingernails. It is caused by dermatophytes, yeasts, or molds, and manifests as a thickening of the nail, discoloration that can range from yellow to brown, and increased brittleness, even progressive detachment of the nail plate. This infection develops slowly and can be difficult to eliminate due to the dense, keratinized structure of the nail, which serves as a natural barrier limiting the penetration of treatments. While onychomycosis is generally benign, it can become persistent, spread to other nails due to its contagious nature, and lead to complications in certain at-risk populations, such as individuals with diabetes or circulatory problems.
If you suspect a nail fungal infection, it is best to seek the advice of a healthcare professional, such as a pharmacist, who can guide you on the appropriate products to eliminate it.
When faced with this type of nail issue, some people prefer to turn to natural solutions, whether for themselves or their children. However, the natural origin of a product does not guarantee its efficacy or tolerability. Regarding the Nigella sativa seed oil and nail fungus, its effectiveness is far from proven. The theoretical interest in nigella often rests on the presence of thymoquinone, a bioactive compound that has demonstrated antibacterial (against Gram-positive and Gram-negative bacteria) and antifungal properties in various experimental models. However, these effects have primarily been observed with isolated thymoquinone or concentrated extracts, or even with the Nigella sativa essential oil, which contains much higher concentrations of thymoquinone. Conversely, the Nigella sativa seed oil contains only a small proportion—typically less than 1%—which makes any significant antifungal activity during topical application on the nail uncertain.
To date, the only study suggesting a potential role for nigella oil in the context of onychomycosis does not concern its intrinsic antifungal activity, but rather its function as an agent facilitating the penetration of a reference antifungal. The study in question aimed to develop an innovative formulation of ketoconazole, a well-known antifungal, in the form of a microemulsion incorporated into a hydrogel containing nigella oil to enhance its penetration. The researchers demonstrated that the ketoconazole–nigella oil formulation provided improved antifungal activity in vitro against Candida albicans and Aspergillus niger compared with a marketed ketoconazole cream.