A disease with the funny name "fungus", unfortunately, is not fraught with anything funny. Many are familiar with it firsthand. Someone manages to cope with misfortune quickly, someone suffers for a long time. The drug "Terbinafine" is called to help both. What is the specificity of its action, what is its cost, are there any analogues?
"Terbinafine": area of application
As already understood, Terbinafine is an antifungal agent. The instructions for use as a nosological classification indicate mycosis of the body (mycosis, for those who do not know, this is a fungus, more precisely, a disease caused by parasitic fungi), mycosis of the feet, head, nails, even the beard - and much more, including lichen.
The medicine is actively used to treat diseases caused by fungi of a very different nature - from dermatophytes to yeast. It is considered the most effective, because it quickly enough after ingestion penetrates into the lowest layers of the skin, into hair follicles, nail plates, which contributes to the speedy destruction of the parasites that have settled in them.
Types of drug
The release form of "Terbinafine" is different. First of all, these are pills. In addition, there are spray, gel, ointment, cream and even Terbinafine solution - all for external use.
The composition of the drug
The composition of the Terbinafine ointment, like cream, gel, and all other forms of this medicine is as follows: the main component of the medication is terbinafine - in one hundred grams of the ointment, for example, there is up to one gram of this ingredient. Everything else is various auxiliary substances, including, for example, water in external forms, or calcium stearate in tablets.
Indications for use
To use inside "Terbinafine" is allowed in case of all kinds of mycoses of various degrees that appear on the head, trunk or legs (whether it is the lower leg or foot). As for external use, all such forms of the drug can be used both for prophylaxis and for the treatment of a variety of fungal skin ailments.
Contraindications
As with any other medicine, Terbinafine has contraindications. First of all, they include high sensitivity to any components of medicines. In addition, the tablet form of the drug cannot be used for people with liver diseases in any form, with kidney problems, and in addition, for children under two years of age and / or with a body weight of less than twenty kilograms. With caution, Terbinafine tablets should be used for fungus in cases when a person suffers from lupus erythematosus, psoriasis, and also when bone marrow hematopoiesis is inhibited.
As for the external use of "Terbinafine", then any of its forms are prohibited only in one case - with breastfeeding. Also, you cannot use Terbinafine cream and ointment for up to twelve years, a solution for up to fifteen, and a gel and spray for up to eighteen years. In addition, with alcoholism, vascular diseases of the extremities, liver and / or renal failure, various tumors, it is recommended to use the drug with caution, best after consultation with a specialist.
Speaking of the liver: even those who have never suffered from any of its diseases, it is recommended that an analysis of liver function be performed before the first use of Terbinafine. The instruction of the drug reports that hepatotoxicity can appear in absolutely any person.
"Terbinafine" during pregnancy
About the lactation period, it has already been said above - any form of the drug is prohibited for a given period of time. If there is an urgent need to take the medication, breastfeeding will have to be stopped at that time. As for pregnancy, then, as in many other cases, research has not been conducted here, and therefore the instruction "Terbinafine" recommends using this drug only in a situation where the potential benefit for the expectant mother is higher than the potential risk. By the way, if there is a baby in the house, it is required to carefully monitor that it does not touch the skin areas of people treated with the drug.
Side effects
The instruction to "Terbinafine" notes that side effects of this medication are usually rare. If they appear, then they are weakly expressed. Side effects of the medicine include anemia, depression, anxiety, headache and / or dizziness, taste disturbance (and even loss), tinnitus, bloating, loss of appetite, rash. In the instructions for use of the drug, a huge number of possible adverse reactions are listed - this does not mean that they will happen, but the manufacturer is obliged to warn about them.
Overdose
Cases of overdose are, of course, associated with the use of a tablet form of the drug. As well as side effects, they are extremely rare - only if the patient knows no boundaries at all and takes the medicine in truly unlimited, "horse" doses. For the entire time of using the drug, only a few cases of overdose were reported, and in each of them a person drank no more than five grams of the drug.
You can think about an overdose if there are the following symptoms: severe headache, dizziness, stomach pain, nausea. Activated charcoal (or its analogues in case of its absence), as well as gastric lavage, helps to cope with such a scourge. As for an overdose of any external form of Terbinafine, it is unlikely, moreover, it is practically reduced to zero - except with the exception of the case if Terbinafine in this form is used for some reason inside.
special instructions
Any form of external use of the drug called "Terbinafine" must be used with caution and controlled so that it does not get into the eyes, since otherwise an allergic reaction may develop. If this still happened, you should rinse your eyes with running water as soon as possible.
In the event that “Terbinafine” is decided to be used for multi-colored lichen, one should know that the tablet form of this drug is ineffective with such a disease, only external preparations (any) can help the patient.
As for driving a vehicle, there is nothing to worry about - Terbinafin in no way affects the ability to drive a car. However, if such a reaction to the drug as dizziness occurs, it is better not to drive.
Store the medication in a dry place, protected from sunlight. The temperature in the room should not exceed twenty-five degrees above zero. The shelf life of the drug is three years. You can get it at the pharmacy only by prescription.
Method of action and application
"How does Terbinafine work?" - Perhaps one of the most common and interesting questions for potential buyers. The answer is very simple - the drug kills the fungi that affected the person. Or rather, it kills some types of fungi, while others simply amaze - that is, it stops their growth and development, helping the body fight these parasites and then providing it with a "bridgehead" for further independent actions. As already mentioned, the drug penetrates deep into the layers of the skin, acting at the intracellular level. However, there is no need to worry - no effect on the cells themselves.
As for the method of using the medication, it varies depending on the form of the drug. Cream, for example, must be applied with a thin even layer on the affected area of the skin, which was previously cleaned and dried. Rubbing the product over diseased tissue, you should distribute a small part of it over healthy skin in the neighborhood. This procedure should be carried out once a day for at least seven days. An important point: on the skin should not be any cracks, scratches or any other damage.
Both gel and ointment should be used in the same way, the only recommendation regarding the ointment: if it is used in places where there are diaper rash (armpits, inguinal region, etc.), it is advisable to cover them (places, not diaper rash) with gauze, especially at night.
The method of applying the spray or solution is not too different - they need to be applied once or twice a day in such a volume that the moistening of the affected area is sufficient. How long can I take Terbinafine tablets - another question that does not leave patients indifferent. It must be said right away that the course of treatment is discussed individually with the attending physician and directly depends on the disease, and which you need to fight. As a rule, the duration of the medication does not exceed twelve weeks, but at the same time it does not happen below fourteen days.
Terbinafine tablets are drunk once a day after meals. The standard daily dose for an adult is 250 milligrams. Children weighing twenty to forty kilograms should take half as much - 125 milligrams, the same children whose weight exceeded the mark "forty" receive the same dosage as adults.
Drug cost
The price of this drug, of course, depends most directly on the form that a person wants to acquire. The ointment and cream will cost the cheapest - their cost does not exceed one hundred rubles. For the spray will have to give a little more - from a hundred to two hundred. The most expensive, of course, were tablets - from two hundred and fifty rubles and above. However, Terbinafine has cheap analogues. What kind? - is told further.
Analogs
The analogs of "Terbinafine" described below are called synonyms - this means that they have exactly the same effect on the body as "Terbinafine", are interchangeable drugs.
Terbinafine has cheap analogues, but there are expensive ones. Perhaps it’s worth starting with the latter. This, for example, “Lamisil" - the price for a spray with this name ranges from five hundred to six hundred rubles, and for the tablets you have to boil a tidy sum - more than two thousand for only fourteen pieces in a box (for reference, Terbinafine tablets "contains thirty pieces in a package). "Binafin" is also not cheap: the cost of the cream exceeds three hundred rubles, tablets - two times more expensive. Terbizil cream will be released in the same three hundred rubles, and if someone wants to buy such pills, you will need to put out more than seven hundred (for fourteen) to one and a half thousand rubles with a hook (for twenty eight).
Of the cheap analogues of "Terbinafine", first of all, "Thermicon" can be noted, which exists not only in the form of cream, ointment and spray, but also in the form of dragees. Also called "Fungoterbin" and "Exifin." We will talk a little more about each of them.
"Thermicon" in any form can be used both for prevention and for the elimination of a variety of fungal misfortunes. This medicine also contains terbinafine - in one tablet two hundred and fifty milligrams, in one gram of cream - one hundredth of a gram, in one milliliter of spray - the same amount. Accordingly, "Thermicon" acts in exactly the same way as the medication described in this article. Pills can be drunk either once a day, a whole dose (250 milligrams), or twice in twenty-four hours, half a tablet - to whom it is more convenient (in fact, this applies to “Terbinafine” itself). The duration of use is usually not more than six weeks. Unlike Terbinafine, whose effect during pregnancy has not been studied, Termikon is strictly forbidden to expectant mothers.
Fungoterbin is also synonymous with Terbinafine, that is, its interchangeable medicine. Spray with this name is not recommended for children under twelve years of age. The dosage of "Fungoterbine" in tablets is no different from that described above in "Thermicon". Regarding the issue of using during pregnancy and / or breastfeeding, everything is exactly the same as that of Terbinafine itself: lactation is prohibited, during pregnancy it is allowed in case of urgent need only after strict consultation with a specialist. Unlike Terbinafine, this drug can only be stored for two years.
And finally, Exifin. Its composition is no different from the aforementioned "colleagues", as, however, is the way it is used. Like Termikon, Exifin is not approved for use during pregnancy or lactation. The only significant difference between the last analogue of the drug described here and all the previous ones is, perhaps, that Exifin has only one single release form - these are tablets. Neither cream, nor spray, nor gel, nor anything else with a similar name exists. In one package of the drug contains four blisters with four tablets in each of them.
"Terbinafine": reviews
Both negative and positive opinions cannot be avoided by any medicine, since the medication helps someone, but not (for various reasons). From the favorable reviews about "Terbinafine" you can find out that the drug acts quite quickly and, most importantly, effectively. People write that for quite a long time they fought with the fungus, but nothing could save them - until the very moment they tried Terbinafine. Reviews of the drug contain, incidentally, the comments that in some mild cases, at the initial stage of the disease, topical dosage forms can cope with it; as for the tablets, they have a good therapeutic effect in severe neglected situations.
If we talk about positive opinions, then, of course, it pleases the price of those who use the medication. In addition, among the positive reviews about "Terbinafine" - words about the instant elimination of the drug by an unpleasant foot odor.
There is no fly in the ointment in a barrel of honey. So, people say that the drug did not help from the fungus of the nail plate. In addition, in negative reviews of Terbinafine, people notice that the medication has only a temporary effect, and does not completely remove the problem.
Interesting facts about the fungus
- The spores of the fungus withstand temperatures up to 100 degrees above zero.
- Most often, the fungus appears in people who are overweight, those who take alcoholic beverages and smoke a lot, as well as people with reduced immunity.
- The fungus will survive even at a temperature of minus sixty degrees Celsius.
- It’s important to remember that the fungus is contagious, so you should never walk barefoot in public places.
How many people, so many opinions. However, the pharmaceutical market now has such a wide range that everyone can certainly find their own medicine. And for someone they will be Terbinafine.