Terbinafine (Topical)

• Lamisil tablets treat fungal infections of the nails and stubborn fungal skin infections that have not cleared up with a topical treatment.
• Lamisil cream and spray treat fungal skin infections such as athlete's foot, jock itch, ringworm, and a skin condition called pityriasis (tinea) versicolor.
• This medicine works by killing the fungus causing your infection.

• If you take the tablets: swallow them whole with water, at the same time each day. You can take them with or without food.
• If you use the cream: clean and dry the affected area first, then apply a thin layer and rub it in gently.
• If you use the spray: clean and dry the affected area first, then spray enough to thoroughly wet the area. Do not use the spray on your face.
• Keep using this medicine for the full length of time your healthcare professional recommends, even if your symptoms improve sooner, so the infection does not come back.
• Take this medicine exactly as your healthcare professional tells you. The amount and how often you take it will be on your prescription label.

If you miss a dose

• If you take the tablets and miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed one and continue your regular schedule. Do not take two doses at once.
• If you use the cream or spray and miss an application, apply it as soon as you remember and continue your regular schedule.

• This medicine has not been well studied in pregnant women, so tell your healthcare professional if you are or could become pregnant.
• Do not breastfeed while taking the tablets, since terbinafine passes into breast milk.
• If you use the cream or spray while breastfeeding, do not apply it to your breast area, and make sure your baby does not touch treated skin.

• Tell your healthcare professional if you are allergic to terbinafine or any ingredient in this medicine.
• If you will take the tablets, tell your healthcare professional if you have liver disease, since the tablets should not be used with active liver disease.
• Tell your healthcare professional if you have kidney problems.
• Tell your healthcare professional if you are pregnant, planning a pregnancy, or breastfeeding.
• Tell your healthcare professional about all medicines you take, especially antidepressants, heart rhythm medicines, and blood pressure medicines, if you will take the tablets.

Important warnings

• The tablets can cause serious liver problems, which have very rarely been fatal or required a liver transplant. You will need a blood test to check your liver before starting and sometimes during treatment.
• Stop taking the tablets and contact your healthcare professional right away if you notice nausea that does not go away, loss of appetite, tiredness, stomach pain, dark urine, pale stools, or yellowing of your skin or eyes.
• Rare but serious skin reactions, such as widespread blistering or peeling skin, can occur with the tablets.
• Rare blood disorders can occur with the tablets, causing symptoms like sore throat, fever, or unusual bruising or bleeding.
• Changes or loss of taste or smell can occur with the tablets and sometimes last a long time; tell your healthcare professional if this happens.

• Headache.
• Feeling sick to your stomach, heartburn, or stomach discomfort.
• Diarrhea or a bloated feeling.
• Loss of appetite.
• Itchy skin rash.
• Joint or muscle pain.
• Changes in taste, dizziness, or tiredness, with the tablets.
• Flaking, redness, burning, or itching where you applied the cream or spray.

When to get emergency help

• Yellowing of your skin or eyes, dark urine, or pale stools.
• Signs of a serious allergic reaction, such as swelling of the face, lips, or throat, or trouble breathing.
• A severe skin reaction with blistering or peeling skin.
• Unusual bruising, bleeding, or signs of infection, such as a sore throat and fever that will not go away.

When to contact a healthcare professional

• Nausea, loss of appetite, or tiredness that does not go away, especially if you are taking the tablets.
• A change or loss of your sense of taste or smell.
• Vision or hearing changes, such as ringing in your ears.
• New or worsening skin patches, joint pain, or muscle pain.
• Any side effect that bothers you or does not go away.

• If you take the tablets, you can take them with or without food; either way is fine.
• Tell your healthcare professional about all medicines you take, including antidepressants, heart medicines, and birth control pills, before starting the tablets.
• The cream and spray have not been shown to interact with other medicines, since very little is absorbed into your body.

• If you take the tablets: store at room temperature and protect from light.
• If you use the cream or spray: store at room temperature.
• Keep out of the reach and sight of children.
• Return unused medicine to your pharmacy for safe disposal.