Terbigel 250 mg (Tablet)

Unit Price: ৳ 40.00 (3 x 10: ৳ 1,200.00)
Strip Price: ৳ 400.00

Medicine Details

Indications

  • Treatment of onychomycosis of the toenail or fingernail due to dermatophytes
  • Indicated in Tinea Capitis
  • Fungal infection of the skin caused by Trichophyton
  • Microsporum and Epidermophyton
  • Yeast infections of the skin caused by Candida
  • Pityriasis versicolor due to Malassezia furfur

Pharmacology

  • Inhibits biosynthesis of Ergosterol
  • Inhibition of Squalene Epoxidase enzyme
  • Results in fungal cell death
  • Active against Tricophyton Mentagrophyte and Trichophyton Rubrum

Dosage & Administration

  • Dosage for fingernail onychomycosis: Terbinafine 250 mg once daily for 6 weeks
  • Dosage for toenail onychomycosis: Terbinafine 250 mg once daily for 12 weeks
  • Dosage for Body Weight <25 kg: 125 mg/day up to 6 weeks
  • Dosage for Body Weight 25-35 kg: 187.5 mg/day up to 6 weeks
  • Dosage for Body Weight >35 kg: 250 mg/day up to 6 weeks
  • Terbinafine cream can be applied once or twice daily
  • Terbinafine 1% Spray is applied once or twice daily

Interaction

  • Inhibitor of the CYP450 2D6 isozyme
  • Inhibits drugs metabolized by CYP450 2D6 isozyme

Contraindications

  • Contra-indicated in individuals with 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 & Lactation

  • Not recommended in pregnant women
  • Terbinafine is present in the breast milk of nursing mothers

Precautions & Warnings

  • Rare cases of liver failure
  • Serious skin reaction
  • External use only
  • Not recommended for patients with chronic or active liver disease

Use in Special Populations

  • Safety and efficacy not established in pediatric patients
  • No evidence to suggest differences in elderly patients

Overdose Effects

  • Limited clinical experience regarding overdose with terbinafine tablets

Therapeutic Class

  • Antifungal preparations

Storage Conditions

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

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