Product image of Lamisil (Terbinafine) supplied by GNH India

Lamisil

Active Ingredient:
Terbinafine
Origin:
EU

Lamisil (Terbinafine)

Terbinafine, the active ingredient in Lamisil, is an allylamine antifungal presented as an oral tablet for systemic use. It treats dermatophyte skin infections and fungal nail disease in adult patients.
GNH India supplies Lamisil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Novartis Hrvatska D.O.O.

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Indications & Clinical Uses

Lamisil is used to treat fungal infections caused by dermatophytes and related organisms.

  • Tinea pedis: relieves itching and clears fungal infection of the feet.
  • Tinea corporis: eliminates ring‑shaped skin lesions caused by dermatophytes.
  • Tinea cruris: treats fungal infection of the groin area.
  • Onychomycosis: improves appearance and clears fungal infection of the toenails and fingernails.

How It Works

  • Terbinafine inhibits fungal squalene epoxidase, causing accumulation of squalene and depletion of ergosterol, an essential component of the fungal cell membrane. This disruption impairs membrane synthesis, leading to fungal cell death and resolution of the infection.

Side Effects

Terbinafine may cause a range of adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Gastrointestinal upset: nausea, abdominal discomfort, or diarrhea.
  • Taste disturbance: altered or loss of taste sensation.
  • Headache: mild to moderate intensity.
  • Skin rash: localized erythema or pruritus.
  • Elevated liver enzymes: mild, transient increases in laboratory tests.

Serious or Rare Side Effects

  • Hepatotoxicity: signs of liver injury such as jaundice or severe enzyme elevation.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Blood dyscrasias: agranulocytosis, thrombocytopenia, or anemia.
  • Peripheral neuropathy: numbness or tingling in extremities.
  • Acute interstitial nephritis: kidney inflammation presenting with reduced urine output.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient-specific risk factors and monitor for adverse events.

  • Liver function assessment: obtain baseline hepatic enzymes and repeat if symptoms develop.
  • Skin monitoring: watch for rash, blistering, or signs of severe cutaneous reactions.
  • Hypersensitivity: avoid use in patients with known terbinafine allergy.
  • Renal impairment: adjust dosing or monitor renal function in patients with reduced clearance.
  • Drug interactions: review concomitant medications for potential hepatic or CYP interactions.
  • Store below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Terbinafine can affect the metabolism of several co‑administered drugs, requiring careful management.

Major Interactions (Avoid)

  • Itraconazole: combined use may increase risk of hepatotoxicity.
  • Cimetidine: may raise terbinafine plasma concentrations, enhancing toxicity.
  • CYP2D6 substrates (e.g., tricyclic antidepressants, certain antipsychotics): risk of elevated levels and adverse effects.

Moderate Interactions (Monitor Closely)

  • Warfarin: monitor INR for potential anticoagulant effect changes.
  • Oral contraceptives: assess efficacy as terbinafine may reduce hormonal levels.
  • Antiretroviral agents (e.g., protease inhibitors): observe for altered drug exposure.
  • Statins: watch for increased risk of myopathy.
  • Rifampicin: may reduce terbinafine effectiveness by inducing metabolism.

Frequently Asked Questions

Lamisil is prescribed for infections caused by dermatophyte fungi, including athlete's foot (tinea pedis), body ringworm (tinea corporis), groin infection (tinea cruris), and fungal nail disease (onychomycosis). It works systemically to eliminate the fungus from skin and nails.

Terbinafine blocks the fungal enzyme squalene epoxidase, leading to a buildup of squalene and a shortage of ergosterol, a key component of the fungal cell membrane. This disruption compromises membrane integrity, causing fungal cell death and clearing the infection.

The specific dosage and treatment duration for Lamisil are determined by the prescribing clinician based on the infection type, severity, and patient characteristics. Patients should follow the prescriber’s instructions and not alter the dose on their own.

Safety data for terbinafine in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies any possible risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.

To request Lamisil, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with azole antifungals, terbinafine has a different mechanism—squalene epoxidase inhibition—and often achieves higher cure rates for dermatophyte infections, especially onychomycosis, with a shorter treatment course. However, individual response and safety profiles vary, so clinicians choose therapy based on patient needs.

Lamisil tablets should be stored at temperatures below 25 °C, in their original packaging, protected from moisture and direct sunlight. Keeping the product in a dry, cool place helps maintain its stability and potency throughout its shelf life.

Lamisil is taken orally, usually with or without food, as directed by the prescriber. The tablet should be swallowed whole with a glass of water and not chewed or crushed, unless the prescribing information specifically allows an alternative method.

Serious adverse events include liver injury, severe skin reactions such as Stevens‑Johnson syndrome or toxic epidermal necrolysis, and blood disorders like agranulocytosis. Patients should report symptoms such as jaundice, rash, fever, or unexplained bruising to their healthcare provider promptly.

Lamisil is contraindicated in individuals with known hypersensitivity to terbinafine or any component of the formulation. Caution is also advised for patients with pre‑existing liver disease, severe renal impairment, or those taking medications that strongly interact with terbinafine.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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