Terbinafine
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Molecule Description
Terbinafine is an antifungal medication used to treat fungal infections. It is used for common fungal conditions like athlete's foot (tinea pedis), jock itch (tinea cruris), ringworm (tinea corporis), and most notably fungal nail infections (onychomycosis). It works by actively attacking the structure of the fungus, leading to its death and allowing your body to grow healthy, infection-free skin and nails.
It works by killing the fungus rather than just stopping it from growing. When taken orally as a tablet, it travels through your bloodstream and concentrates in the skin, nails, and hair, reaching the source of the infection. Because nail infections are locked deep within the nail bed, oral Terbinafine is often the preferred treatment, although it's also available as topical creams and sprays for milder skin infections. Due to the slow growth rate of nails, a course of treatment may last several weeks or months to ensure the infection is completely eliminated and a new, healthy nail can grow in.
Uses
- Terbinafine is an antifungal medicine used for fungal infections
- It is used to treat ringworm infections of the scalp, foot and nails
Contraindications
When should one not use Terbinafine
- Allergic reaction to Terbinafine
- Liver disease
- Breastfeeding
Side effects
Common side effects of this drug are:
- Nausea
- Itching
- Dark-colored urine
- Clay-colored stools
- Loss of appetite
- Stomach pain
- Weakness
- Headache
- Diarrhea
Precautions and Warnings
Pregnancy
Breast Feeding
Driving
Other General Warnings
Talk to your doctor if
- Have Psoriasis
- Terbinafine can make you more sensitive to sunlight, so avoid excessive exposure to sunlight when on treatment
Mode of Action
How Does It Work?
Terbinafine interferes with fungal cell membrane synthesis. This leads to the death of the fungus.
Interactions
Interactions with other medicines
- Blood pressure-lowering medicines such as Atenolol, Metoprolol and Propranolol
- A blood thinner such as Warfarin
- Rifampicin for infections
- Antidepressants including Tricyclic antidepressants, SSRIs (Selective Serotonin Reuptake Inhibitors), or MAOIs (Monoamine Oxidase Inhibitors)
- Oral contraceptives (as irregular periods and breakthrough bleeding may occur in some female patients)
- Beta-blockers or anti-arrhythmic for heart problems
- Medicines to treat heart problems (e.g. Propafenone, Amiodarone)
- Ciclosporin
- Medicines used to treat fungal infections (e.g. Fluconazole, Ketoconazole)
- Medicines used to treat cough (e.g. Dextromethorphan)
- Caffeine
Interactions with food items
Terbinafine may also interact with coffee, cola, tea or other drinks that contain caffeine.
Dosage
Overdose
Overdose is rare with Terbinafine. Doses as high as 5-20 times of actual recommended dosage do not show severe adverse effects. Symptoms like nausea, vomiting, abdominal pain, rash, frequent urination, dizziness and headache may be seen.
Missed a Dose
Take the missed dose as early as you remember. Skip the missed dose & do not take extra medicine to compensate for the missed dose. Avoid missing the dosages as it causes resistance in the microorganism.
Frequently Asked Questions (FAQs)
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