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Terbinafine
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Treatment Information
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Table of contents
- How Does Terbinafine Work?
- Who Should Not Use Terbinafine Cream and Tablets?
- Terbinafine interactions
- Side Effects and Cautions
- Storing your medication
- Terbinafine's effects on the liver
- Do I need a prescription for Terbinafine tablets?
- Frequently Asked Questions
How Does Terbinafine Work?
Terbinafine hydrochloride, also known as the brand Lamisil is an antifungal treatment used to treat fungal nail infections on the fingernails and toenails. Terbinafine tablets are proven to be more effective than over the counter (GSL) topical creams and solutions at treating fungal nail infections.
Terbinafine works by directly destroying the infected cells and clearing the infection.
Who Should Not Use Terbinafine Cream and Tablets?
Terbinafine cream and tablets are not suitable for everyone.
Do not use Terbinafine if you:
- are allergic to terbinafine or any of its ingredients listed in the patient information leaflet
- have chronic or active liver disease
- are pregnant or trying to become pregnant or breast-feeding
Terbinafine interactions
Terbinafine is predicted to increase the exposure to:
- Amitriptyline
- Aripiprazole
- Atomoxetine
- Clomipramine
- Dapoxetine
- Doxepin
- Eliglustat
- Imipramine
- Lofepramine
- Nortriptyline
- Tamoxifen
- Trimipramine
This is not an exhaustive list of terbinafine interactions. You can find more information regarding interactions terbinafine has at Nice.org.uk
Side Effects and Cautions
Before you take Terbinafine, it's important to read the patient information leaflet supplied with the medicine.
The patient information leaflet contains instructions on how to take it, as well as vital information regarding the safety of the medicine.
The patient information leaflets for Terbinafine Cream or Tablets can be found below:
Terbinafine tablets can cause side effects, though not everybody gets them. If you experience the signs of an allergic reaction after taking Terbinafine, cease treatment and seek emergency medical attention.
Storing your medication
Always keep medicines out of the sight and reach of children and pets.
Never share your medicine with anybody else, even if they are experiencing the same symptoms as you.
Never take Terbinafine past the expiry date printed on the packaging.
Do not discard of Terbinafine or any medicines via household or water waste. Take any unwanted or expired medicine to your local pharmacy and ask them to discard them safely on your behalf.
Terbinafine's effects on the liver
There is a risk that Terbinafine can cause damage to the liver (hepatotoxicity), regardless of whether you have a pre-existing liver problem.
In very rare circumstances, serious liver failure has been reported in people being treated with Terbinafine tablets.
Liver function test with PrescriptionDoctor
A liver function test should be performed before being prescribed Terbinafine, and periodically after 4-6 weeks of treatment.
If you have not had a recent liver function test from your doctor, you can order a liver function test kit online from PrescriptionDoctor.
Our liver function test kits come with everything you need to collect the sample at home and send it off to our partnered laboratory.
One of our online doctors will contact you to discuss your liver function test results and provide further information about what they mean.
Do I need a prescription for Terbinafine tablets?
Terbinafine tablets are only available on prescription (POM) which prescribed by a doctor. Terbinafine tablets to cure fungal nail infections can be prescribed in the UK after an online consultation with a doctor. Here at PrescriptionDoctor you have the option to upload an image of the affected area to your consultation form for one of our doctors to review.
Frequently Asked Questions
What should I do if I forget to take Terbinafine cream when I should?
If you forget to take your Terbinafine tablets when you should, or apply the cream at your usual time, take it as soon as you remember.
Do not use more Terbinafine to make up for the dose you missed. Using more Terbinafine than you should, can increase your risk of side effects.
What should I do if I take too much Terbinafine cream?
If you think you've taken too much Terbinafine, go to the emergency room right away or contact a poison control centre.
Can I drink alcohol while taking Terbinafine?
You should avoid the consumption of alcohol while you're taking Terbinafine. Consuming alcohol daily can raise your risk of severe side effects. Discuss this potential interaction with your doctor.
How long after taking Terbinafine can I drink alcohol?
You should be able to drink alcohol 1 week after taking your last dose of Terbinafine. You should speak to your doctor for further advice.
Will Terbinafine impact my ability to drive or operate machinery?
While Terbinafine cream is unlikely to impact your ability to drive or operate machinery, some people have reported dizziness while taking Terbinafine tablets.
If you experience dizziness after taking Terbinafine tablets, avoid driving or operating machinery until you feel it is safe for you to do so.
Can I buy Terbinafine over-the-counter?
Some forms of Terbinafine are available over-the-counter from pharmacies, while other Terbinafine products are only available on Prescription. If you require a prescription for Terbinafine, our online private prescription service makes it easy for you to do so. One of our online doctors can issue a prescription for Terbinafine following an online consultation.
How long does Terbinafine take to work?
The time it takes for Terbinafine to work depends on various factors, including the severity of the fungal infection and the form of Terbinafine prescribed.
You can find out more about how long fungal skin infections take to clear up over on our blog.
Terbinafine tablets for nail infections are usually taken for 6 weeks, but improvements may not be noticeable until a few months after.
For fungal skin infections, Terbinafine is usually taken for a considerably shorter time of between 2 and 6 weeks.
It is important to follow your doctor's advice on how long you should take the treatment for. Stopping treatment too soon may cause the condition to return. If you are unsure how long you should take Terbinafine for, seek advice from your doctor.
Sources
NHS, 2020. Terbinafine.
Accord, 2019. Terbinafine 250mg Tablets: Summary of Product Characteristics.
Additional resources
This content has been written and checked for quality and accuracy by Mohamed Imran Lakhi
Content Administrator
Updated on: 02/06/2023
Next review: 02/12/2023
Treatment information
- Produce Name: Terbinafine
- Active Ingredient(s): Terbinafine
- Administration: Topical or oral
- Presentation: Cream and tablets
- Available Strength: 1% terbinafine (cream) or 250mg (tablet)
- Exemption: Prescription only
- Application: Men and women over 18
- Dosage: Apply cream twice daily for between 1-2 weeks, take once daily for as long as prescribed.
- Description: Terbinafine is an antifungal agent which kills fungal infections of the skin, such as ringworm and jock itch
- Drug Class: Antifungal
- Alcohol Consumption: Avoid alcohol consumption
- When Pregnant: Do not use Terbinafine if you are pregnant, think you might be pregnant or plan on starting a family in the near future. Speak to your doctor for further advice.
- When Breastfeeding: Do not use Terbinafine if you are breastfeeding. Speak to your doctor for further advice.
- Price: 29.99 GBP
Click here to view the Terbinafine - Patient Information Leaflet
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Impressum: Mr Mohamed Imran Lakhi
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