Product image of Lamisil (Terbinafine Hydrochloride) supplied by GNH India

Lamisil

Active Ingredient:
Terbinafine Hydrochloride
Origin:
EU

Lamisil (Terbinafine Hydrochloride)

Terbinafine hydrochloride, the active ingredient in Lamisil, is an allylamine antifungal presented as a topical cream for skin use. It treats fungal infections of the skin such as athlete’s foot, ringworm and beard‑area infections in adults and children, providing a convenient over‑the‑counter‑type option for localized therapy.

GNH India supplies Lamisil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches for global distribution, ensuring reliable supply chains and compliance with EU pharmacopeial specifications.

Manufacturer / TM Owner

Karo Pharma Ab

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Indications & Clinical Uses

Terbinafine is an allylamine antifungal that targets dermatophyte infections of the skin.

  • Tinea corporis: resolves ring‑shaped body rash caused by dermatophytes.
  • Tinea cruris: alleviates itching and redness in the groin area.
  • Tinea pedis: treats athlete’s foot, reducing scaling and discomfort on the feet.
  • Tinea barbae: clears fungal infection of the beard region, improving skin integrity.

How It Works

  • Terbinafine inhibits the fungal enzyme squalene epoxidase, a key step in ergosterol biosynthesis. Blockade of this enzyme causes intracellular accumulation of squalene, which is toxic to the fungus, and depletes ergosterol, a vital component of the fungal cell membrane. The resulting membrane disruption impairs fungal growth and leads to cell death. The selective inhibition spares human cells because the target pathway is absent in mammalian cholesterol synthesis.

Side Effects

Topical terbinafine may cause local skin reactions and, rarely, systemic adverse events.

Common Side Effects

  • Burning sensation: mild heat or sting at the application site.
  • Itching: transient pruritus around the treated area.
  • Redness: localized erythema that usually resolves.

Serious or Rare Side Effects

  • Severe allergic reaction: swelling, hives, or difficulty breathing.
  • Contact dermatitis: intense inflammation and blistering.
  • Systemic toxicity: rare liver enzyme elevation if absorbed extensively.

Precautions & Warnings

When using topical terbinafine, consider the following precautions to ensure safe and effective therapy.

  • Avoid application on broken skin: do not apply to open wounds or irritated areas.
  • Limit use to prescribed area: restrict treatment to affected sites to reduce systemic absorption.
  • Monitor for allergic signs: discontinue if rash, swelling or breathing difficulty occurs.
  • Use as directed duration: follow healthcare professional’s recommended treatment length to prevent resistance.
  • Pregnancy and lactation: consult a physician as safety data are limited.
  • Store at room temperature below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Terbinafine may interact with other medicines; awareness of these interactions helps avoid reduced efficacy or increased toxicity.

Major Interactions (Avoid)

  • Strong CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may increase systemic terbinafine levels.
  • Concomitant use with other topical antifungals containing azoles: can heighten local irritation.

Moderate Interactions (Monitor Closely)

  • Warfarin: terbinafine may enhance anticoagulant effect, requiring INR monitoring.
  • Oral antihistamines: may increase sedation if systemic absorption occurs.
  • Systemic corticosteroids: may alter immune response, affecting infection control.

Frequently Asked Questions

Lamisil is indicated for the topical treatment of common dermatophyte infections of the skin, including tinea corporis (ringworm of the body), tinea cruris (jock itch), tinea pedis (athlete’s foot), and tinea barbae (fungal infection of the beard area). It works by directly targeting the fungi that cause these conditions.

Terbinafine blocks the fungal enzyme squalene epoxidase, which is essential for producing ergosterol, a key component of the fungal cell membrane. Inhibition leads to a buildup of toxic squalene and a shortage of ergosterol, disrupting membrane integrity and ultimately causing fungal cell death.

The specific amount of Lamisil to apply, the frequency of application, and the total duration of therapy are determined by a qualified healthcare professional based on the infection type, severity, patient age and other clinical factors. Patients should follow the prescriber’s instructions precisely.

Safety data for topical terbinafine during pregnancy and lactation are limited. Healthcare providers usually weigh the potential benefits against any possible risks before prescribing. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss the use of Lamisil with their physician.

To request Lamisil, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After the enquiry, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details and any necessary import documentation.

Compared with azole antifungals, terbinafine has a different mechanism of action, targeting squalene epoxidase rather than lanosterol 14‑α‑demethylase. This can result in faster clinical cure rates for dermatophyte infections and a lower likelihood of drug‑drug interactions mediated by CYP enzymes. Choice of therapy depends on infection type, patient factors and local resistance patterns.

Lamisil should be stored at room temperature below 25 °C, in its original container, protected from moisture, heat and direct sunlight. Keep the product out of reach of children and avoid freezing. If the cream appears discoloured or contaminated, discard it according to local regulations.

Clean and gently dry the affected skin area before applying a thin layer of Lamisil. Use enough cream to cover the lesion and a small margin of surrounding skin. Apply once or twice daily as directed by the prescriber, and continue treatment for the full course even if symptoms improve early.

Although rare, serious adverse events can include severe allergic reactions such as swelling, hives, or difficulty breathing, and contact dermatitis with intense inflammation or blistering. Systemic absorption may rarely cause liver enzyme elevations. Patients should stop use and seek medical attention if any of these symptoms develop.

Lamisil should be avoided in individuals with known hypersensitivity to terbinafine, other allylamine antifungals, or any component of the formulation. It is also contraindicated on extensive broken skin or open wounds, and caution is advised for pregnant or breastfeeding women until safety is confirmed by a healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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