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Side Effects > Terbinafine

Terbinafine Side Effects

Brand Names: Lamisil

Please note - some side effects for Terbinafine may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA at http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).


For the consumer

For the professional

Side Effects of Terbinafine - for the consumer


Terbinafine

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Terbinafine:

Diarrhea; headache; indigestion; taste changes.

Seek medical attention right away if any of these SEVERE side effects occur when using Terbinafine:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); red, blistered, peeling, or swollen skin; symptoms of infection (eg, fever, chills, sore throat); symptoms of liver problems (eg, dark urine; loss of appetite; pale stools; stomach pain; unexplained, persistent nausea; unusual tiredness; vomiting; yellowing of the skin or eyes); unusual bruising or bleeding; vision changes.


Terbinafine Cream

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with Terbinafine Cream. Seek medical attention right away if any of these SEVERE side effects occur when using Terbinafine Cream:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); new or worsening skin irritation.


Terbinafine Gel

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with Terbinafine Gel. Seek medical attention right away if any of these SEVERE side effects occur when using Terbinafine Gel:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); new or worsening skin irritation.


Terbinafine Granules

All medicines may cause side effects, but many people have no, or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Terbinafine Granules:

Diarrhea; headache; indigestion; nausea.

Seek medical attention right away if any of these SEVERE side effects occur when using Terbinafine Granules:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); red, blistered, peeling, or swollen skin; symptoms of infection (eg, fever, chills, sore throat); symptoms of liver problems (eg, dark urine, decreased appetite, pale stools, persistent nausea, stomach pain, unusual tiredness or weakness, vomiting, yellowing of the skin or eyes); unexpected weight loss; vision changes.


Terbinafine Spray

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with Terbinafine Spray. Seek medical attention right away if any of these SEVERE side effects occur when using Terbinafine Spray:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); new or worsening skin irritation.

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For the professional


Terbinafine

The most frequently reported adverse events observed in the three US/Canadian placebo-controlled trials are listed in the table below. The adverse events reported encompass gastrointestinal symptoms (including diarrhea, dyspepsia, and abdominal pain), liver test abnormalities, rashes, urticaria, pruritus, and taste disturbances. In general, the adverse events were mild, transient, and did not lead to discontinuation from study participation.

Adverse Event Discontinuation
Terbinafine Hydrochloride Tablets (%) N=465 Placebo (%) N=137 Terbinafine Hydrochloride Tablets (%) N=465 Placebo (%) N=137
Headache 12.9 9.5 0.2 0.0
Gastrointestinal Symptoms:
Diarrhea 5.6 2.9 0.6 0.0
Dyspepsia 4.3 2.9 0.4 0.0
Abdominal Pain 2.4 1.5 0.4 0.0
Nausea 2.6 2.9 0.2 0.0
Flatulence 2.2 2.2 0.0 0.0
Dermatological Symptoms:
Rash 5.6 2.2 0.9 0.7
Pruritus 2.8 1.5 0.2 0.0
Uticaria 1.1 0.0 0.0 0.0
Liver Enzyme Abnormalities 3.3 1.4 0.2 0.0
Taste Disturbance 2.8 0.7 0.2 0.0
Visual Disturbance 1.1 1.5 0.9 0.0

Rare adverse events, based on worldwide experience with Terbinafine hydrochloride tablets use, include: idiosyncratic and symptomatic hepatic injury and more rarely, cases of liver failure, some leading to death or liver transplant,, serious skin reactions, severe neutropenia, thrombocytopenia, angioedema and allergic reactions (including anaphylaxis). Precipitation and exacerbation of cutaneous and systemic lupus erythematosus have been reported infrequently in patients taking Terbinafine. Uncommonly, Terbinafine may cause taste disturbance (including taste loss) which usually recovers within several weeks after discontinuation of the drug. There have been isolated reports of prolonged (greater than one year) taste disturbance. Rarely, taste disturbances associated with oral Terbinafine have been reported to be severe enough to result in decreased food intake leading to significant and unwanted weight loss.

Other adverse reactions which have been reported include malaise, fatigue, vomiting, arthralgia, myalgia, and hair loss.

Clinical adverse effects reported spontaneously since the drug was marketed include altered prothrombin time (prolongation and reduction) in patients concomitantly treated with warfarin and Terbinafine hydrochloride tablets and agranulocytosis (rare).

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More resources:

Drugs.com Lamisil

PDR Lamisil

MedFacts Terbinafine

Micromedex Terbinafine - Includes detailed dosage instructions.

FDA Terbinafine

Facts & Comparisons Terbinafine

FDA Lamisil

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