Terbex 250 mg (Tablet)

Unit Price: ৳ 50.00 (1 x 10: ৳ 500.00)
Strip Price: ৳ 500.00

Medicine Details

Category Details
Generic Terbinafine hydrochloride
Company Beximco pharmaceuticals ltd
Also available as

Title

  • Terbex Tablet
  • Terbex Granules
  • Terbex Cream
  • Terbex 1% Spray

Categories

  • Antifungal Medication
  • Topical Antifungal Treatment

Description

  • Indicated for onychomycosis of toenail or fingernail
  • Inhibits biosynthesis of Ergosterol
  • Dosage for different types of fungal infections
  • Inhibitor of the CYP450 2D6 isozyme
  • Contraindicated in individuals with hypersensitivity to terbinafine
  • Adverse events include gastrointestinal symptoms, liver test abnormalities, rashes, and taste disturbances
  • Not recommended during pregnancy and lactation
  • Rare cases of liver failure reported
  • No clinical experience in pregnant women
  • Not established safety and efficacy in pediatric patients
  • Limited clinical experience regarding overdose

Dimensions

  • Tablet - 250 mg
  • Granules - 125 mg, 187.5 mg, 250 mg
  • Cream - varies based on affected area
  • 1% Spray - varies based on indication

Color Options

    Functions

    • Treatment of onychomycosis
    • Inhibits ergosterol biosynthesis
    • Fungicidal activity
    • Inhibitor of CYP450 2D6 isozyme

    Materials

      Technical Specifications

      • Inhibits biosynthesis of Ergosterol through Squalene Epoxidase enzyme inhibition
      • Presence in breast milk of nursing mothers after oral administration

      Design Elements

        Usability Features

        • Relief of clinical symptoms usually occurs within a few days
        • Optimal clinical effect is seen some months after mycological cure and cessation of treatment

        Dosage and Administration

        • Tablet - once daily for 6 weeks for fingernail onychomycosis, once daily for 12 weeks for toenail onychomycosis
        • Granules - varies based on body weight for up to 6 weeks
        • Cream - once or twice daily for specific durations based on type of infection
        • 1% Spray - once or twice daily for specific durations based on indication

        Interaction

        • Inhibitor of the CYP450 2D6 isozyme
        • Co-administration with 2D6-metabolized drugs requires careful monitoring and may require dose reduction

        Contraindications

        • Hypersensitivity to terbinafine

        Side Effects

        • Gastrointestinal symptoms
        • Liver test abnormalities
        • Rashes
        • Urticaria
        • Pruritus
        • Taste disturbances
        • Idiosyncratic and symptomatic hepatic injury
        • Serious skin reactions
        • Severe neutropenia
        • Thrombocytopenia
        • Angioedema
        • Allergic reactions
        • Malaise
        • Fatigue
        • Vomiting
        • Arthralgia
        • Myalgia
        • Hair loss

        Pregnancy and Lactation

        • Not recommended during pregnancy
        • Terbinafine is present in breast milk of nursing mothers

        Precautions and Warnings

        • Discontinue treatment in case of progressive skin rash
        • Not recommended for patients with chronic or active liver disease
        • Pretreatment serum transaminase tests advised before taking terbinafine tablets

        Pediatric Uses

        • Safety and efficacy not established in pediatric patients

        Use in the Elderly

        • No evidence to suggest different dosages or side effects compared to younger patients

        Overdose Effects

        • Clinical experience limited
        • Doses up to 5 gm (20 times therapeutic daily dose) taken without inducing serious adverse reactions

        Therapeutic Class

        • Other Antifungal Preparations
        • Topical Antifungal Preparations

        Storage Conditions

        • Store in a cool and dry place
        • Below 30°C
        • Protect from light

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