Terbinafine is a powerful and effective pill for the treatment of fungal nail infections.
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Fungal Nail: Here are some other options.
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Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor.
Terbinafine are antifungal tablets that contain an active ingredient called terbinafine. This attacks the source of fungal nail infections to reduce symptoms and treat infection. The tablets are small and easy to swallow, and a normal course for fungal nail infections can last for a few months.
Terbinafine tablets are also available under the brand name Lamisil. The main difference between Terbinafine and Lamisil is the branding: Terbinafine is a generic treatment and is made by several companies, while Lamisil is a branded tablet made by just one company.
Fungal nail infections happen when yeast or mould from the environment enter small cracks in the skin around your nail. This fungus is strengthened by chemicals called sterols. Sterols hold the membrane of the fungi together so that it can grow.
Terbinafine attacks sterols and prevents them from strengthening the fungi. Without the sterols the infection membranes breakdown and the infection is killed.
Terbinafine comes in a single dosage size – 250mg. You can take it as a daily course, or as something called ‘pulsed therapy’, where you’ll take it for one week at the start of every month but at a higher dose.
Terbinafine is also available as a cream, gel and spray, and your clinician may suggest a short combined course of tablets and cream.
Terbinafine: antifungal medicine for skin infections. nhs.uk.
Fungal Nail Infections (Onychomycosis): A Never-Ending Story? PLoS Pathogens, 10(6), p.e1004105
There are two ways to take Terbinafine tablets. Your clinician will advise you about the best treatment plan for you.
Daily
Pulsed
If taken daily, terbinafine tablets take from two weeks to six months to work. Your treatment time will depend on the severity of your infection. Our clinician will tell you how long to take the tablets for.
For pulsed treatment, the tablets are usually taken for three months. You may need to take them for longer if your infection does not go away.
Let our clinician know if you forget to take Terbinafine.
The best way to avoid making a mistake when taking Terbinafine tablets is to take the tablets at the same time every day.
If you forget to take your tablet you should take the missed tablet as soon as you remember. You shouldn’t take two tablets at the same time to make up for the forgotten one as this can increase the risk of side effects. If it’s nearly time to take your next tablet, simply skip the one you missed, and carry on as normal from your next tablet.
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