For general information only. Not a substitute for professional medical advice.
Medi Info Hub Logo
Educational Medication GuidePrescription Only (Oral) / OTC (Topical)Class: Allylamine Antifungals

Terbinafine

Generic Name: Terbinafine

Common Brand Names: Lamisil
Dosage Form:Tablet, Cream, Spray
Route:Oral, Topical
Pregnancy Category:B
Last Reviewed:9/21/2026

Uses & Medical Indications

Treatment of onychomycosis, tinea infections

Medical Conditions Treated:

Fungal nail infections, Ringworm, Athlete's foot

Work Mechanism & Pharmacology

How It Works

Patient Overview of Work Mechanism

Terbinafine works at the cellular level to correct underlying biochemical imbalances, reduce clinical symptoms, and support overall health.

Clinical Mechanism of Action (MoA)

Terbinafine exerts targeted therapeutic activity by interacting with specific cellular receptors, enzymatic pathways, or biological signaling cascades to relieve symptoms and restore physiological balance.

Primary TargetTerbinafine hydrochloride
Therapeutic FamilyAntifungals
Administration RouteOral, Topical

Dosage & Administration Guidelines

Adult Dosage

250 mg once daily (Oral)

Pediatric Dosage

Weight-based for tinea capitis

Elderly / Geriatric Considerations

No adjustment necessary

Maximum Dose Limit

250 mg/day

Renal Impairment:

Use not recommended if CrCl < 50 mL/min

Hepatic Impairment:

Contraindicated in chronic or active liver disease

Side Effects & Safety Warnings

Common Side Effects

Headache, diarrhea, rash, dyspepsia

Serious Adverse Reactions

Hepatotoxicity, Stevens-Johnson syndrome, neutropenia

Contraindications:

Chronic or active hepatic disease

Important Warnings & Precautions:

Rare cases of liver failure. Taste and smell disturbances.

Interactions (Drugs, Food & Alcohol)

Drug-Drug Interactions:

Rifampin, cimetidine, TCAs, SSRIs, beta-blockers

Food & Dietary Interactions:

N/A

Alcohol Interaction Warning:

Avoid excessive alcohol due to liver risk

Pregnancy & Breastfeeding Safety

Pregnancy Safety

Not recommended during pregnancy

Breastfeeding / Lactation

Excreted in milk, not recommended

Patient Counseling & Practical Advice

How to Take:

Report persistent nausea, fatigue, or jaundice. May take with food.

What to Do if You Miss a Dose:

Take as soon as remembered if >12 hours until next dose.

Recommended Monitoring & Lab Tests:

Liver function tests (AST/ALT) before and during treatment

Emergency Medical Warning

When to Seek Urgent Medical Attention

Seek immediate emergency medical care (call emergency services or proceed to the nearest emergency department) if you experience signs of a life-threatening allergic reaction (anaphylaxis: facial, lip, tongue, or throat swelling causing airway obstruction), severe cutaneous blistering with skin peeling, sudden intense chest pain, or symptoms of overdose.

Emergency Safety Protocol: If an intentional or accidental overdose is suspected, contact your regional Poison Control Center or emergency services immediately. Do not induce vomiting unless strictly advised by emergency healthcare personnel.
Educational Sources & References

Content for Terbinafine was synthesized from standardized public health monographs, official pharmacopoeias, and health authorities:

  • Central Drugs Standard Control Organization (CDSCO) — National List of Essential Medicines
  • World Health Organization (WHO) — Model List of Essential Medicines
  • Indian Pharmacopoeia Commission (IPC) — Indian Pharmacopoeia Drug Monographs
  • National Health Service (NHS) — Medicines A to Z Clinical Guidelines
Published by: Medi Info Hub TeamLast Updated: 10/19/2026

The information provided on this website is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.