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 antifungal presented as a topical formulation for skin use. It treats dermatophyte infections such as athlete’s foot, ringworm, jock itch, and fungal nail disease in both adults and children, helping to clear lesions and relieve associated symptoms.

GNH India supplies Lamisil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with distribution aligned to EU market standards. The product meets stringent quality controls and is manufactured under GMP conditions.

Manufacturer / TM Owner

Karo Healthcare Ab

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Indications & Clinical Uses

Lamisil is an antifungal agent indicated for dermatophyte infections of the skin and nails.

  • Tinea pedis: clears athlete’s foot infection and reduces itching and scaling.
  • Tinea corporis: resolves ringworm lesions on the body.
  • Tinea cruris: treats jock itch, alleviating redness and discomfort.
  • Onychomycosis: improves fungal nail involvement, promoting clearer nail appearance.

How It Works

  • Terbinafine inhibits the fungal enzyme squalene epoxidase, a key step in the biosynthesis of ergosterol, an essential component of fungal cell membranes. By blocking this pathway, intracellular squalene accumulates to toxic levels while ergosterol production falls, leading to disruption of membrane integrity and ultimately fungal cell death. The selective action spares human cells because the target enzyme is absent in mammalian sterol synthesis, providing a favorable safety profile for topical application.

Side Effects

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

Common Side Effects

  • Skin irritation: mild burning or stinging at application site.
  • Redness: localized erythema.
  • Itching: pruritus around treated area.
  • Dryness: skin peeling or flaking.

Serious or Rare Side Effects

  • Severe allergic reaction: angioedema or anaphylaxis.
  • Contact dermatitis: intense rash with swelling.
  • Stevens‑Johnson syndrome: blistering skin eruption.
  • Hepatic dysfunction: elevated liver enzymes (rare systemic absorption).

Precautions & Warnings

Before using Lamisil, consider the following precautions to ensure safe and effective treatment.

  • Assess hypersensitivity: confirm no known allergy to terbinafine or cream excipients.
  • Avoid broken skin: do not apply on open wounds or extensive erosions.
  • Limit surface area: restrict use to less than 20% of body surface at a time.
  • Caution in hepatic impairment: use with medical supervision if liver disease is present.
  • Pregnancy and lactation: discuss risks with a healthcare professional before use.
  • Store at room temperature: keep in original container, protect from moisture and heat.

Avoid Interactions

Terbinafine may interact with other medicines, especially when systemic exposure occurs.

Major Interactions (Avoid)

  • Strong CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may increase systemic terbinafine levels if absorbed.
  • Concurrent topical azole antifungals: can antagonize terbinafine’s activity.
  • Occlusive dressings: may enhance percutaneous absorption leading to higher systemic exposure.

Moderate Interactions (Monitor Closely)

  • Topical corticosteroids: may mask irritation signs, requiring monitoring.
  • Alcohol‑based skin cleansers: can increase local irritation when used before application.
  • Systemic antifungals (itraconazole, ketoconazole): combined use may increase risk of liver toxicity.

Frequently Asked Questions

Lamisil is indicated for dermatophyte infections of the skin and nails, including athlete’s foot (tinea pedis), body ringworm (tinea corporis), jock itch (tinea cruris), and fungal nail disease (onychomycosis). It helps to clear lesions, reduce scaling and itching, and improve the appearance of affected nails.

Terbinafine blocks the fungal enzyme squalene epoxidase, which is essential for producing ergosterol, a key component of fungal cell membranes. Inhibition leads to toxic buildup of squalene and loss of ergosterol, disrupting membrane integrity and causing fungal cell death while sparing human cells.

The prescribed dose of Lamisil is determined by a qualified healthcare professional based on the specific infection, severity, and patient characteristics. Typically, the cream is applied once or twice daily to the affected area for a defined treatment period, but exact instructions should follow the prescriber’s order.

Safety data for topical terbinafine in pregnancy and lactation are limited. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss potential risks and benefits with their healthcare provider before using Lamisil. The prescriber will decide if treatment is appropriate.

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

Lamisil (terbinafine) belongs to the allylamine class, which inhibits squalene epoxidase, whereas azole antifungals block lanosterol 14‑α‑demethylase. Allylamines often achieve faster fungicidal activity and are effective against dermatophytes, while azoles have a broader spectrum but may be more prone to resistance. Choice depends on infection type and clinician judgment.

Lamisil should be stored at room temperature, typically below 25 °C (77 °F). Keep the product in its original container, protect it from moisture, direct sunlight and excessive heat. Do not freeze the cream, and ensure the cap is tightly closed to maintain stability.

The cream is applied to clean, dry skin of the affected area. A thin layer is spread gently and rubbed in until fully absorbed. The usual frequency is once or twice daily, as directed by the prescriber, and treatment should continue for the full course even if symptoms improve early.

Although rare, serious adverse reactions can include severe allergic responses such as angioedema or anaphylaxis, extensive skin reactions like Stevens‑Johnson syndrome, and, in exceptional cases of systemic absorption, liver enzyme elevations. Patients should seek immediate medical attention if they notice swelling, blistering, or signs of liver dysfunction.

Lamisil should be avoided in individuals with a known hypersensitivity to terbinafine or any cream excipients. It is also not recommended for use on extensive broken skin, on more than 20 % of body surface without medical supervision, or in patients with severe hepatic impairment unless specifically advised by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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