Terbinafine

Sounds like 'ter-BIN-uh-feen'

Easy-to-read medicine information about terbinafine – what it is, how to take it safely and possible side effects.

Type of medicine Also called
  • Anti-fungal
  • Used to treat fungal infections
  • Terbinafine (Dr Reddy's)®
  • Terbinafine-DRLA®
  • Lamisil®
  • Deolate®

What is terbinafine?

Terbinafine is used to treat some fungal infections, such as fungal infections of your toenail, fingernail, skin or scalp. Read more about fungal infections (also called tinea).

Terbinafine works by stopping the growth of the fungus. It's one of a group of medicines known as antifungals. In New Zealand terbinafine is available as tablets.

Dose

  • The usual dose of terbinafine is 250 milligrams (1 tablet) once a day.
  • Depending on where the fungal infection is, your doctor will prescribe a course of terbinafine that lasts from a few weeks to a few months. 
  • Always take your terbinafine exactly as your doctor has told you.
  • The pharmacy label on your medicine will tell you how much terbinafine to take, how often to take it and any special instructions.

How to take terbinafine

  • Timing: Take terbinafine at the same time each day, either in the morning OR in the evening. You can take terbinafine with or without food.
  • Missed dose: If you forget to take your dose, take it as soon as you remember that day. If it's nearly time for your next dose, skip the missed dose and take your next dose at the usual time. Do not take 2 doses at the same time.
  • Keep taking terbinafine every day, until the course is finished: It may take several months after you finish treatment to see the full benefit of terbinafine. When used to treat nail infections, it takes time for your new healthy nails to grow out and replace the infected nails.

Precautions while taking terbinafine

Before starting terbinafine

  • Do you have problems with your liver or kidneys?
  • Are you pregnant or breastfeeding?
  • Do you have a skin condition called psoriasis or an autoimmune disease such as lupus?

If so, it’s important that you tell your doctor or pharmacist before you start terbinafine. Sometimes a medicine isn’t suitable for a person with certain conditions, or it can only be used with extra care.

While taking terbinafine

Terbinafine can affect your blood cells and your liver. You may need blood tests before you start and while you are taking terbinafine to check your blood cells and see how well your liver is working.

Side effects

Like all medicines, terbinafine can cause side effects, although not everyone gets them. Often side effects improve as your body gets used to the new medicine.

Side effects What should I do?
  • Headache
  • Nausea (feeling sick)
  • Diarrhoea (runny poos)
  • These are quite common when you first start taking terbinafine and usually go away with time.
  • Tell your doctor if troublesome.
  • Changes in your sense of taste
  • Hair loss
  • Tell your doctor.
  • Signs of problems with your blood cells, such as mouth ulcers, fever, sore throat
  • Tell your doctor immediately or phone Healthline free on 0800 611 116.
  • Signs of an allergic reaction such as skin rash, itching, blisters, peeling skin, swelling of your face, lips, mouth or problems breathing
  • Tell your doctor immediately or phone Healthline free on 0800 611 116.
  • Signs of problems with your liver such as yellowing of your skin or eyes, dark urine, pain in your abdomen (tummy), nausea (feeling sick) and vomiting (being sick)
  • Tell your doctor immediately or phone Healthline free on 0800 611 116.

Interactions

Terbinafine may interact with a few medicines and herbal supplements, so check with your doctor or pharmacist before starting terbinafine and before starting any new medicines.

Learn more

The following links have more information on terbinafine.

Terbinafine NZ Formulary Patient Information
Terbinafine SafeRx

References

  1. Terbinafine NZ Formulary
Credits: Sandra Ponen, Pharmacist. Reviewed By: Angela Lambie, Pharmacist, Auckland Last reviewed: 22 Dec 2020