PACT therapy

PACT therapy

In most cases, our treatment plan includes a series of PACT treatments, a form of photodynamic therapy. First we thin the fungal nail and roughen its surface, completely painlessly. Then we clean the nail with alcohol and apply a special blue gel, which soaks in for ten minutes. After that, we place a lamp with red LED light on the nail, which activates the gel. This creates singlet oxygen, which is more than a hundred times more active than radical oxygen and damages the cell wall of the fungus.

We carry out the treatment three times within ten days. A fourth treatment follows after a month. In the end, the affected nail grows out and a new nail takes its place.

A bottle of tiptoe naildrops with a black dropper cap and a yellow and white striped label
Scientific publications
Written about the peptide
Patented peptide
Exclusive licence to use
Bio­de­grad­able
Odourless, colourless · fragrance-free
Suitable from age 4
Also with diabetes or medication

PACT therapy in brief

PACT therapy (a form of photodynamic therapy) is a treatment for fungal nails with light, without medicines. First we thin the affected nail and roughen its surface. Then we apply a gel with the light-sensitive dye toluidine blue, which soaks in for 10 minutes. After that, we place a PACT lamp with red LED light on the nail. The light activates the dye, which creates singlet oxygen. In laboratory research at the University of Tübingen, PACT slowed the growth of the fungal nail fungus Trichophyton rubrum in a nail model. The researchers call the results promising and still want to confirm them in studies with patients. At tiptoe, a light infection usually takes 4 treatments: three within ten days and a fourth after a month. A treatment costs from €38.50 for 1 nail.

Sources: Mehra et al., J Eur Acad Dermatol Venereol 2015

How PACT treatment works

Before we start the PACT treatment, we file the affected nail and roughen its surface. Then we apply a gel to the nail with a light-sensitive dye (the photosensitiser toluidine blue). It soaks in for 10 minutes, after which we place a special PACT lamp with red LED light on the nail. The specific wavelength of this light activates the blue dye in the gel, which creates singlet oxygen. This is more than 100 times more active than radical oxygen and damages the cell wall of the fungus. We carry out this treatment three times within ten days. The fourth treatment follows after a month.

Fungal nail care with a patented peptide at its core

Our patented peptide was developed through scientific research, and we work with it every day in our salons.

Published research

Scientific publications have been written about the peptide in tiptoe naildrops.

Made from amino acids

The tiptoe peptide is made from amino acids naturally found in the body and is fully biodegradable.

Patented formula

tiptoe is the result of years of study and research by microbiologists. The active peptide is patented.

Fragrance-free, colour-free

tiptoe products are fragrance-free and colour-free, and suitable from age 4, also during pregnancy and with medication.

See tiptoe in action

Results vary from person to person and depend on how deep the infection goes. These photos show customers treated in our salons.

Fungal nail treatment price

Fungal nail treatment starts at €38.50 per treatment for 1 fungal nail. That includes VAT and thinning the nails. See the full price list for prices up to 20 nails.

  • Treatment from €38.50 for 1 nail
  • Includes thinning the nails

Suitable from age 6, and completely painless

PACT therapy is also suitable for children from age 6, pregnant women and people in fragile health. And not unimportant: unlike laser treatment, PACT treatment is completely painless.

  • Treatment with light, without medicines
  • The treatment is completely painless
  • A light infection usually takes 4 treatments

Aftercare with PACT therapy

Once your nail has recovered, you still need to clean your shoes regularly after wearing them. Prevention matters too: after swimming, clean your feet with a foot spray, boil your nail clippers and only use breathable nail polish. You’re welcome to come in once a year for a free check-up of your nails.

Want to know more? Get in touch. Interested in PACT therapy at tiptoe? Book your free consultation yourself with the button below. You’ll see the available times straight away.

Why tiptoe

Helped from A to Z

We’re proud of our method. From A to Z, one specialist guides the whole process.

Fungal nail specialist

tiptoe is one of the few specialists in the Netherlands that focus fully and solely on treating fungal nails.

Years of expertise

We keep building on our years of expertise and knowledge of fungal nails, so you get the best possible result.

Frequently asked questions about PACT therapy

PACT is a form of photodynamic therapy. A gel with a light-sensitive blue dye goes on the roughened nail. A lamp with red LED light activates the dye, which creates singlet oxygen. That damages the cell wall of the fungus. The method originally comes from dentistry.

First the specialist thins the fungal nail and roughens its surface. Then the nail is cleaned with alcohol and the gel goes on, which soaks in for ten minutes. After that, the PACT lamp stays on the nail for a few minutes. The whole treatment is painless, and you can put your shoes straight back on afterwards.

As standard, three treatments within ten days and a fourth after a month. A serious infection needs extra treatments. Your specialist sets out the number in your personal treatment plan after the free consultation.

Both target the fungus in the nail, but laser treatment works with heat and many people find it painful. PACT works with light and a gel and is completely painless. That’s why PACT is also suitable for children from age 6, pregnant women and people in fragile health.

PACT involves no medicines and you don’t swallow anything: the gel only acts where the light reaches it. The blue dye can stain the nail slightly for a while, and that grows out. Everyone’s different, so talk through your own situation at the free consultation.

Keep cleaning your shoes regularly, clean your feet with a foot spray after swimming, boil your nail clippers and only use breathable nail polish. At home, you care for your nail and skin with the tiptoe naildrops and care foam. You’re welcome to come in once a year for a free check-up of your nails.

Our products

Three products for nail, skin and feet, made to be used together.

Bestseller
tiptoe naildrops

tiptoe naildrops

Drops with a patented peptide. You apply them twice a day at the base of the nail, where new nail grows.

Type
Drops
Contents
10 ml
Use
2× a day
See current price

What our customers say

4.2 out of 5 from 60 Google reviews
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Friendly, knowledgeable people

Very friendly and knowledgeable people. I’m really happy with the results.

Frans Goudriaan · 2024 · Translated from Dutch

Careful treatment by a specialist

Careful treatment by an experienced specialist. Lovely salon.

Iris Buddingh’ · 2023 · Translated from Dutch

Visit one of our salons

The tiptoe salons offer professional fungal nail treatments with a personal treatment plan. In Capelle aan den IJssel and De Lier you can book a free consultation; at our other salons you make an appointment by phone. After recovery, we give advice on prevention and offer a free check-up every year.

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