IMPORTANT NOTE: The following
information is intended to supplement, not substitute
for, the expertise and judgment of your physician,
pharmacist or other healthcare professional.
It should not be construed to indicate that
use of the drug is safe, appropriate, or effective
for you. Consult your healthcare professional
before using this drug.
TERBINAFINE ORAL (ter-BIN-uh-feen)
COMMON BRAND NAME(S): Lamisil
USES: This is an antifungal medication
used to treat fungal infections of the fingernail
or toenail.
HOW TO USE: Take this by mouth as directed
usually once a day. Treatment may continue for
6 weeks for a fingernail infection or 12 weeks
for a toenail infection. Another method of dosing
involves using the drug for one week per month
until treatment is completed. Continue to take
this until the full prescribed amount is finished.
Stopping the medication too early may result
in ineffective treatment or a relapse of the
infection.
SIDE EFFECTS: Headache, diarrhea, gas,
stomach upset, nausea or rash may occur. If
any of these effects persist or worsen, notify
your doctor. You may experience a temporary
loss or change in taste sensation that will
return after the medication is stopped. Tell
your doctor immediately if these highly unlikely
but very serious side effects occur: easy bleeding
or bruising, persistent sore throat, vision
changes, fever. Rarely, serious and possibly
fatal liver disease has occurred during oral
terbinafine use. Immediately report symptoms
such as: dark urine, yellowing eyes/skin, extreme
fatigue, vomiting. In the unlikely event you
have an allergic reaction to this drug, seek
immediate medical attention. Symptoms of an
allergic reaction include: rash, itching, swelling,
dizziness, trouble breathing. If you notice
other effects not listed above, contact your
doctor or pharmacist.
PRECAUTIONS: Tell your doctor your medical
history, especially of: kidney disease, liver
disease, drug allergies. Tell your doctor if
you are pregnant before taking this drug. Because
fungal toenail or fingernail infection treatment
generally should be postponed until after pregnancy,
discuss the risks and benefits with your doctor.
This drug is excreted into breast milk and therefore
is not recommended for use while breast-feeding.
Consult with your doctor before breast-feeding.
DRUG INTERACTIONS: Tell your doctor of
any nonprescription or prescription medication
you may take, including: rifampin, rifabutin,
cyclosporine, warfarin, cimetidine. Do not start
or stop any medicine without doctor or pharmacist
approval.
OVERDOSE: If overdose is suspected, contact
your local poison control center or emergency
room immediately. Symptoms of overdose may include
headache, nausea, stomach pain, and dizziness.
NOTES: The fungal infection may be cured
within several weeks. However, the nail bed
may not appear healthy until it grows out completely
over a few months. If it does not improve or
becomes worse with continued therapy, notify
your doctor. This medication is prescribed for
your current condition only. Do not use it for
another infection or share it with others. Another
infection later on may require a different medicine.
Your doctor may periodically perform lab tests
during treatment to monitor your progress.
MISSED DOSE: If you miss a dose, take
it as soon as you remember. If it is near the
time of the next dose, skip the missed dose
and resume your usual dosing schedule. Do not
"double-up" the dose to catch up.
STORAGE: Store at room temperature between
59 and 77 degrees F (15 to 25 degrees C) away
from heat and light as directed.
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