LAMISIL ONCE
Alternate Name:terbinafine
Strength: 1% cutaneous solution
Lamisil once USES: Fungal infections
single dose treatment for athlete's foot
Therapeutic indications
Fungal infections of the skin caused by Trichophyton (eg. T. Rubrum, T.Mentagrophytes, T. Verrucosum, T. Violaceum), Microsporum canis and Epidermophyton floccosum.
Yeast infections of the skin, principally those caused by the genus Candida (eg. C. albicans).
Pityriasis (tinea) versicolor due to Pityrosporum orbiculare (also known as Malassezia furfur).
Posology and method of administration
LAMISIL can be applied once or twice daily. Cleanse and dry the affected areas thoroughly before application of LAMISIL. Apply the cream to the affected skin and surrounding area in a thin layer and rub in lightly. In the case of intertriginous infections (submammary, interdigital, intergluteal, inguinal) the application may be covered with a gauze strip, especially at night.
The likely durations of treatment are as follows:
Tinea corporis, cruris: 1 to 2 weeks
Tinea pedis: 1 week
Cutaneous candidiasis: 2 weeks
Pityriasis versicolor: 2 weeks
Relief of clinical symptoms usually occurs within a few days. Irregular use or premature discontinuation of treatment carries the risk of recurrence. If there are no signs of improvement after two weeks, the diagnosis should be verified.
Children
The experience with topical LAMISIL in children is still limited and its use cannot therefore be recommended.
Use in the elderly
There is no evidence to suggest that elderly patients require different dosages or experience side-effects different to those of younger patients.
Method of administration
Via the topical route.
Contraindications
Hypersensitivity to terbinafine or any of the excipients contained in the cream.
Undesirable effects
Redness, itching or stinging occasionally occur at the site of application; however, treatment rarely has to be discontinued for this reason. This must be distinguished from allergic reactions such as pruritus, rash, bullous eruptions and hives which are very rare but require discontinuation.
