Terbin 1% (Topical Spray)

30 ml bottle: ৳ 600.00

Medicine Details

Title

  • Terbinafine Antifungal Medicine

Categories

  • Medicine
  • Health & Wellness
  • Antifungal

Description

  • Terbinafine medicine for the treatment of fungal infections

Dosage And Administration

  • Dosage instructions for tablets, granules, cream, and spray

Indications

  • Indications for terbinafine tablet, granules, cream, and spray

Pharmacology

  • Pharmacological action of terbinafine - inhibits biosynthesis of Ergosterol via inhibition of Squalene Epoxidase enzyme

Interaction

  • Inhibitor of the CYP450 2D6 isozyme with implications for certain drug classes

Contraindications

  • Patients hypersensitive to terbinafine should not use tablet or cream

Side Effects

  • Reported adverse events such as gastrointestinal symptoms, liver test abnormalities, rashes, and taste disturbances

Pregnancy And Lactation

  • Recommendations for use of terbinafine during pregnancy and lactation

Precautions And Warnings

  • Liver failure warnings and precautions for patients with chronic or active liver disease

Use In Special Populations

  • Not established for pediatric patients, no evidence of different effects in the elderly

Overdose Effects

  • Limited clinical experience regarding overdose with terbinafine tablets

Therapeutic Class

  • Belongs to the class of antifungal preparations

Storage Conditions

  • Storage instructions for maintaining medicine quality

Body Weight Dosage

  • Different dosages based on body weight for terbinafine granules

Treatment Duration

  • Duration of treatment for different types of fungal infections

Mode Of Action

  • Details on how terbinafine works at a molecular level

Drug Metabolism

  • Inhibition of the CYP450 2D6 isozyme with implications for drug metabolism

Topical Application

  • Instructions for applying terbinafine cream and spray

Skin Infections

  • Indicated for fungal infections of the skin caused by specific microorganisms

Spray Application

  • Instructions for applying terbinafine 1% spray for various conditions

Symptomatic Hepatic Injury

  • Possible occurrence of symptomatic hepatic injury as an adverse reaction

Systemic Conditions

  • Possible association with serious hepatic events in patients with serious underlying systemic conditions

External Use Only

  • Indication that terbinafine cream is for external use only

Eye Contact

  • Warning to avoid contact with eyes when using terbinafine cream

Patients Monitoring

  • Recommendation for monitoring serum transaminase levels before taking terbinafine tablets

Pretreatment Assessment

  • Assessment of pre-existing liver disease before prescribing terbinafine

Hepatotoxicity

  • Potential occurrence of hepatotoxicity in patients with and without pre-existing liver disease

Safety And Efficacy

  • Need for established safety and efficacy data in pediatric patients

Elderly Patients

  • Lack of evidence for different dosages or side-effects in elderly patients

Drug Overdose

  • Clinical experience and symptoms associated with overdose of terbinafine tablets

Therapeutic Use

  • Application for the treatment of onychomycosis and tinea infections

Inhibitory Action

  • Mechanism of inhibiting biosynthesis of Ergosterol as an essential component of fungal cell membrane

Biochemical Evidence

  • Need for discontinuation of treatment in case of biochemical or clinical evidence of liver injury

Storage Temperature

  • Instructions for storing the medicine in a cool and dry place below 30°C

Light Protection

  • Recommendation to protect the medicine from light during storage

Anaphylaxis

  • Possibility of severe allergic reactions, including anaphylaxis, as an adverse event

Liver Transplant

  • Rare reported cases of liver failure leading to liver transplant in association with terbinafine use

Squalene Accumulation

  • Fungal cell death caused by increased membrane permeability from Squalene accumulation

Clinical Significance

  • Uncertainty regarding the clinical significance of in vitro data on terbinafine's activity

Potential Risk

  • Advice to avoid terbinafine administration in pregnant women unless potential benefits outweigh potential risk

Breast Milk

  • Presence of terbinafine in breast milk

Nursing Mothers

  • Recommendation against terbinafine treatment in nursing mothers due to presence in breast milk

Fertility Studies

  • No adverse effects observed in foetal toxicity and fertility studies in animals

Hepatic Events

  • Possible manifestation of severe hepatic events in patients with active or chronic liver disease

Progressive Skin Rash

  • Need for discontinuation of treatment in case of progressive skin rash

Hepatic Disease

  • Not recommended for patients with chronic or active liver disease

Elderly Experience

  • Lack of evidence suggesting different experience in elderly patients

Limited Clinical Experience

  • Limited information available regarding clinical experience with terbinafine tablet overdose

Therapeutic Administration

  • Instructions for administering the terbinafine tablet, granules, cream, and spray

Animal Reproduction Studies

  • Caution regarding the predictiveness of animal reproduction studies for human response

Hypersensitivity

  • Contraindication for individuals hypersensitive to terbinafine

Clinical Symptoms Relief

  • Expectation for relief of clinical symptoms within a few days of treatment

Liver Disease

  • Assessment of pre-existing liver disease before prescribing terbinafine

Nail Onychomycosis

  • Specific dosage and treatment duration for onychomycosis of the toenail or fingernail

Pityriasis Versicolor

  • Indication for the treatment of pityriasis versicolor due to specific microorganisms

Treatment Cessation

  • Need for cessation of treatment after mycological cure for optimal clinical effect

Indication Specifics

  • Specific indications for terbinafine tablet, granules, cream, and spray

Fungal Infections

  • Indication for the treatment of fungal infections caused by specific microorganisms

Skin Application

  • Instruction for applying terbinafine cream to the affected skin and surrounding area

Clinical Effect

  • Optimal clinical effect expected some months after mycological cure and treatment cessation

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