Terbinaforce 250 mg 7 Tablet

Prescription status:

Prescription required

Manufacturer Name:

Mankind Pharmaceuticals Ltd

Drug classification: 

Anti-fungals

What is this used for:

• Athlete's foot
• Ringworm infection
• Jock itch
• Other fungal skin infections

When to not take this medicine:

• Hypersensitivity/Known Allergy to terbinafine
• Liver disease

How should I take the medicine?

Take this medicine with an adequate amount of water as directed by the physician. Do not take this medicine in small or larger amounts than recommended.

How this medicine works:

This medicine is used in the treatment of infections caused by certain fungi and yeast. This is an effective antifungal medicine for infections.

Side effects 

• Yellowing of skin and eyes (unknown)
• Fever (unknown)
• Headache (unknown)
• Joint pain (unknown)
• Nausea or Vomiting (unknown)
• Loss of appetite (unknown)
• Diarrhea (unknown)
• Dark urine (unknown)

Pregnancy warning: 

Category B

Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women.

Lactation warning:

Use of this medicine is not recommended for lactating and breastfeeding mothers unless absolutely necessary. Inform your doctor about the use of this medicine. All the risks and benefits should be discussed with the doctor before taking this medicine.

Renal dose adjustments:

Care must be taken for individuals with kidney disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative on the basis of creatinine clearance values.

Hepatic dose adjustments:

Care must be taken for individuals with liver disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative. 

Drug interactions:

• Dextromethorphan-Major

Inform your doctor about the use of either medicine. When these medicines are taken together, the effectiveness of dextromethorphan may be increased. If you experience any unusual signs and symptoms like drowsiness, difficulty in breathing, nervousness, diarrhea, etc. Immediately inform your doctor. Appropriate dose adjustments or suitable alternatives may be considered based on your condition.

• Clozapine- Moderate

Inform your doctor about the use of either medicine. When these medicines are taken together, there may be a chance of an increase in the blood levels of clozapine even after the completion of your course duration of clozapine. Close monitoring is recommended to use terbinafine. If you experience any unusual signs and symptoms, inform your doctor immediately. Appropriate dose adjustments or suitable alternatives may be considered based on your condition.

• Fluoxetine-Moderate

Inform your doctor about the use of either medicine. When these medicines are taken together, there may be a chance of an increase in the blood levels of Fluoxetine even after the completion of your course duration of Fluoxetine. Close monitoring is recommended to use terbinafine. If you experience any unusual signs and symptoms, inform your doctor immediately. Appropriate dose adjustments or suitable alternatives may be considered based on your condition.

• Fluconazole-Moderate

Inform your doctor about the use of either medicine. When these medicines are taken together, there may be an increase in the concentration of terbinafine in the blood levels. This may give some serious side effects like stomach upset, diarrhea, smell disturbances, or taste disturbances liver damage, etc. Close monitoring is recommended to use both the medicines safely. Appropriate dose adjustments or suitable alternatives may be considered based on your condition.

Alcohol interactions:

Consumption of alcohol is not recommended while taking this medicine as it may cause interactions and lead to serious adverse effects and may worsen the health condition.

Food interactions:

N/A

Expert Advice:

1. This medicine may be taken with or without food. Do not take it in smaller or larger quantities than prescribed by your physician.
2. This medicine is not recommended to use in children below 18 years of age as the safety and efficacy of this medication are not clinically established.
3. It is recommended not to perform any mental related activities like driving or operation of machinery.
4. Regular monitoring of blood cell count is recommended as this medicine may decrease the blood count. Appropriate dose adjustments may be done.

Missed dose instructions:

Take this medicine as soon as you remember. However, if it is almost the for your next dose skip the dose and go back to your regular dosing schedule. Do not double dose to make up for the missed dose.

Overdose Instructions:

Seek emergency treatment or contact your physician in case if you experience any unusual signs and symptoms during the treatment with this medicine.

Storage Instructions:

Store the medicine in a cool and dry place. Keep the medicine away from the reach of the children

References:

1. DailyMed - TERBINAFINE HYDROCHLORIDE- terbinafine tablet [Internet]. Dailymed.nlm.nih.gov. 2020 [cited 7 October 2020]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=bcf7e761-786b-4ac8-aecd-ea1c745880b1#:~:text=months%20after%20...-,Fingernail%20onychomycosis%3A%20One%20250%20mg%20tablet%20once%20daily%20for%206,for%20outgrowth%20of%20healthy%20nail.
2. Terbinafine 250mg Tablets - Summary of Product Characteristics (SmPC) - (emc) [Internet]. Medicines.org.uk. 2020 [cited 7 October 2020]. Available from: https://www.medicines.org.uk/emc/product/5922/smpc#gref

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