৳ 42.86/unit
Pack: ৳ 300.02
৳ 42.86/unit
Pack: ৳ 300.02
At a glance
Terbinafine is an allylamine antifungal used for skin and nail fungal infections. It kills fungi by inhibiting squalene epoxidase, preventing ergosterol synthesis.
Indications
- Onychomycosis (nail fungal infections)
- Tinea capitis
- Tinea pedis (athlete's foot), tinea corporis, tinea cruris
- Cutaneous candidiasis, pityriasis versicolor
Pharmacology
Terbinafine inhibits squalene epoxidase, preventing ergosterol synthesis, causing accumulation of squalene and increased membrane permeability. It exhibits fungicidal activity against dermatophytes and some yeasts.
Dosage
Adult Dose (Oral):
- Fingernail: 250 mg/day for 6 weeks
- Toenail: 250 mg/day for 12 weeks
Pediatric Dose (Granules, Tinea Capitis):
- <25 kg: 125 mg/day for 6 weeks
- 25-35 kg: 187.5 mg/day for 6 weeks
- >35 kg: 250 mg/day for 6 weeks
Topical (Cream/Spray):
- Tinea corporis/cruris: 1-2 times daily (1-2 weeks)
- Tinea pedis: 1-2 times daily (1 week)
- Candidiasis/pityriasis versicolor: 1-2 times daily (2 weeks)
Side effects
Common Side Effects:
- GI symptoms (diarrhea, dyspepsia, abdominal pain)
- Elevated liver enzymes, rash, urticaria, pruritus
- Taste disturbances
- Topical: Application site burning, itching
Serious (Rare):
- Liver failure, severe skin reactions (SJS, TEN)
- Neutropenia, thrombocytopenia
- Angioedema, anaphylaxis
Use in pregnancy
Use in Pregnancy: Generally safe; animal studies show low or no adverse effects; limited human data; consult your doctor.
Pregnancy Category: C — always consult a doctor before taking during pregnancy.
Precautions & warnings
- Do not use in chronic or active liver disease (oral)
- Perform liver function tests (ALT, AST) before treatment
- Do not use in renal impairment (CrCl <50)
- Caution in pregnancy and lactation
Overdose effects
Overdose (up to 5 g) may cause nausea, abdominal pain, dizziness, rash, frequent urination; provide symptomatic treatment.
Storage conditions
Store below 30°C in a cool and dry place, protected from light; keep out of reach of children.