Why is Lamisil prescribed?

Terbinafine (Lamisil) is prescribed alone or in combination with other medications for the treatment of certain fungal infections such as Trichophyton rubrum that causes thickness, discoloration and crack in the fingernails and toenails. It is also being used to treat athlete’s foot.

What does it do?

Terbinafine, classified as an antifungal, which primarily works by preventing the enzyme squalene monooxygenase to be converted to its active metabolite, 2,3-oxydosqualene, which is responsible for ergosterol synthesis; hence, reducing the levels of ergosterol and weakens the cell wall, thus, preventing the growth of fungus through cell death.

How should I take it?

Lamisil is currently available as a 250mg tablet. Each tablet should be taken as a whole (do not split) by mouth with or without food.

The dosage strength depends on every patient’s condition and the doctor’s prescription. It is imperative that you do not self-medicate and only take this drug after consulting with your doctor or pharmacist to determine the best dosage and dosing schedule for the treatment of your condition.

What if I missed a dose?

The desired effects of prescribed medications will only be achieved if taken properly. As much as possible, strictly follow your doctor’s prescribed dosing schedule. However, if you miss a dose, take it immediately and adjust the time of your next dose depending on your doctor’s advice. Never take two doses at the same time just to make up for your missed dose.

What are the special precautions before taking Lamisil?

Before taking Terbinafine, tell your doctor or pharmacist if you have any allergies to food or to the drug itself as it may contain several inactive ingredients, which can cause allergic reactions or problems.

Inform your doctor about your past and current medical history especially if you have or have had liver disease, immunocompromised immune system, lupus and kidney disease.

Avoid drinking alcohol as this may cause dizziness or drowsiness which can add to the effects of Repaglinide.

Consult your doctor regarding all the other medications you use before getting surgery.

For the drug label information of Lamisil, click here.

Does it have any side effects?

It is important to note that all drugs have corresponding side effects and adverse reactions. Additional information may be obtained when you ask your doctor or pharmacist.

Common side effects include:
• Abnormal liver function tests
• Diarrhea
• Dizziness
• Drowsiness
• Frequent urination
• Headache
• Nausea
• Upset stomach

Serious side effects include:
• Agranulocytosis
• Change of smell and taste
• Depression
• Hallucinations
• Insomnia
• Loss of appetite
• Restlessness
• Soreness of skin
• Swollen lymph nodes
• Thrombocytopenic purpura
• Unusual bleeding
• Weight loss

Is it safe to use it with another drug?

Some drug interactions may cause life-threatening reactions when taken with other medications. Immediately inform your doctor if you are taking Lamisil with any of the following medications:

• Abilify
• Amobarbital
• Anafranil
• Asendin
• Atomoxetine
• Biaxin
• Brexpiprazole
• Capecitabine
• Capomed
• Carvid
• Chloramphenicol
• Chlorpromazine
• Cipro
• Ciprobay
• Clariget
• Cordarone
• Cymbalta
• Diflucan
• Effexor
• Elavil
• Inderal
• Istan
• Levocin
• Levox
• Luvox
• Mobic
• Nebilet
• Nizoral
• Nolvadex
• Plasil
• Ponstan
• Prozac
• Revalan
• Rythma
• Tramal
• Vfend

How should I store it?

If you are using any prescription, non-prescription and herbal medications, inform your doctor and pharmacist for proper information and ask for other possible interactions not listed within this section.

Store Lamisil at room temperature (25°C) in a clean environment away from light and moisture, as well as children and pets. Do not refrigerate. Do not remove the desiccant in the original container. Throw away if unused or expired. Do not flush in the toilet. Consult the pharmacist for proper disposal.

What action should I take in case of overdose?

Call an ambulance and seek immediate medical attention to prevent further complications or possible death.

Is it safe for pregnant or breastfeeding women?

There are only limited studies and data regarding the safety of Terbinafine to determine drug-associated risks of major maternal defects, miscarriages and fetal outcomes.

Limited data have been established indicating the presence of Terbinafine in human milk. Consult your doctor first before breastfeeding.

The use of Terbinafine in pregnant and breastfeeding women should be avoided unless the potential benefits outweigh the risks.

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