Description
What are Lamisil Tablets used for?
Lamisil Tablets are used for the treatment of onychomycosis (on-ee-ko-mi-ko-sis).
What is Onychomycosis?
Onychomycosis
is a fungal infection of fingernails or toenails. Because the fungus
infects the area underneath the nail and in the place where the nail
forms, it can be very stubborn and difficult to cure. The infection may
cause some or all of the following: the nail can turn colors like
white, yellow or brown, and become thickened and brittle. Additionally,
it may be painful for some people.
How do Lamisil Tablets work?
When you take
Lamisil Tablets, the active ingredient, terbinafine, travels to the
infected area under the toenail or fingernail. Because terbinafine
accumulates and lingers in the area of the nail that is growing, it can
continue to work for months even after your prescription is finished,
allowing the nail to heal naturally over a period of time.
How to take Lamisil Tablets?
Patients take
one 250mg tablet per day (it may be taken with or without food). You
should follow your doctor's advice on how to take LAMISIL Tablets. Be
sure to take the complete course of your medicine. For toenail
infections, treatment time is 12 weeks. For fingernail infections,
treatment time is 6 weeks. It is important to note that the complete
healing process often takes at least 10 to 12 months for toenails and 4
months for fingernails. This is due to the length of time it takes for
the new nails to grow in.
Who should not take Lamisil Tablets?
Lamisil
Tablets should not be taken by anyone allergic to any of its
ingredients. You should be aware of these warnings and precautions when
taking Lamisil Tablets:
- As with all medications, you should discuss any side effects you experience with your doctor or healthcare professional.
- Rare instances of serious liver problems or skin
reactions have been reported in patients using Lamisil Tablets. In such
cases, treatment with Lamisil should be discontinued. Your doctor may
ask you to undergo tests before and during treatment with Lamisil
Tablets.
- In clinical studies, 0.9% of patients taking
Lamisil Tablets discontinued therapy because of a skin rash. In rare
cases, these skin reactions could indicate a serious side effect. If
you notice a rash, stop taking Lamisil and tell your doctor.
- Isolated cases of decreases in white blood cell
count have been reported. In all of the reported cases to date, these
have been reversible.
- Patients with liver disease or kidney problems should not take Lamisil Tablets.
- If you have problems with your immune system, your
doctor may need to monitor your white blood cell count carefully if you
take Lamisil Tablets for more than 6 weeks. In some cases, Lamisil
therapy may need to be discontinued.
- Changes in the retina and lens of the eye have
been reported following the use of Lamisil. The significance of these
changes is not known. In clinical studies, 0.9% of patients
discontinued taking Lamisil because of visual disturbances.
- The tumor-causing potential of Lamisil has been
examined in numerous studies in mice, rats, dogs, and monkeys. Male
rats, given a daily dosage approximately 13.8 times the maximum
recommended human dose based on body weight, showed a marginal increase
in the incidence of liver tumors. No increase in tumors was noted in a
wide range of studies in mice, dogs, and monkeys. These tests suggest
that this is a finding specific to rats.
- No studies with pregnant women have been done to
evaluate the safety of Lamisil Tablets. Because treatment of
onychomycosis can be delayed until after pregnancy is completed,
Lamisil Tablets should not be taken by pregnant women.
- The active ingredient of Lamisil Tablets,
terbinafine, is present in the breast milk of nursing mothers.
Therefore, Lamisil Tablets should not be taken by nursing mothers.
- No studies have been done in children to evaluate the safety of Lamisil Tablets.
- Talk to your doctor or healthcare professional
before combining Lamisil Tablets with any other medications. Certain
medications, including Tagamet and rifampin, may affect the rate at
which Lamisil is eliminated from the body. However, unlike some other
antifungal medications, Lamisil Tablets have been used safely with many
commonly prescribed medications, such as Zantac, Lanoxin or Zocor.
Possible Side Effects
Most patients
tolerate treatment with Lamisil Tablets very well. However, like all
prescription drugs, Lamisil Tablets may cause some side effects in some
people. These side effects, as determined by three clinical studies,
were mild and in general did not lead to discontinuation of treatment
with Lamisil Tablets. The most commonly reported side effects were
headache, which occurred in 12.9% of patients, gastrointestinal
symptoms, including diarrhea (5.6%), upset stomach (4.3%), taste
disturbances (2.8%), nausea (2.6%), abdominal pain (2.4%). flatulence
(2.2%), rash (5.6%), itching (2.8%), hives (1.1%), and abnormalities in
laboratory tests of liver enzymes (3.3%). In some cases, these
complaints were no more frequent than in patients taking placebo (sugar
pill).
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