LAMISIL ^®

What to do if you missed your LAMISIL ^® dose

About Lamisil

Lamisil contains the active ingredient terbinafine hydrochloride. Terbinafine is an antifungal, used to treat fungal skin infections, including:

• Athlete’s foot (tinea pedis)
• Fungal nail infections
• Ringworm (tinea capitis)
• Jock itch/Dhobie itch (tinea cruris)

Lamisil is available with a prescription and over the counter, as Lamisil once. Now Patient offers Lamisil tablets or generic terbinafine as a treatment for fungal nail infections only, following an online consultation with a prescribing clinician.

Key facts of Lamisil

• For the treatment of fungal infections
• Lamisil can take up to 3 months to work for nail infections
• Lamisil has some common side effects which include skin irritation when used topically and stomach pain when taken by mouth
• It can be dangerous if you take Lamisil with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician
• Make sure you finish the course of Lamisil. Stopping treatment too soon may allow the fungal infection to come back

Who is Lamisil suitable for?

Lamisil tablets, cream and gel are suitable for adults and children aged 1 and over. Creams, gels and sprays available to buy in pharmacies are suitable for patients aged 16 years and over. Terbinafine in solution form is only suitable for adults 18 years of age and over.

Who is Lamisil not suitable for?

Lamisil may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before taking Lamisil if you:

• Have had an allergic reaction to terbinafine in the past
• Have ever had liver disease
• Have kidney problems
• Are pregnant, trying to get pregnant or are breastfeeding

How and where to get Lamisil?

Lamisil is available from a number of sources. It is available on prescription or over the counter at a pharmacy.

Now Patient does not allow customers to buy Lamisil directly. Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician for the treatment of a fungal nail infection, you can discuss if Lamisil is a suitable treatment option for you.

At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by Now Patient.

Dosage and strength for Lamisil for fungal toenail infections

Lamisil is available as 250 mg tablets when used for fungal nail infections.

Information about how to take Lamisil for fungal nail infections

The typical dose of Lamisil tablets is 250 mg once daily for up to 3 months. Swallow the tablet whole with a glass of water. Take oral Lamisil with or without food at the same time each day.

Continue taking Lamisil until the course is finished. If you stop using your Lamisil too early, the fungal infection may come back. Speak to your healthcare provider for further patient information.

What happens if you take too much Lamisil?

If you take more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have taken too much Lamisil and you experience any side effects.

What are the side effects of Lamisil?

Side effects of Lamisil are split into common and serious.

Common side effects include:

• Skin Rash
• Skin reactions
• Headache
• Diarrhoea
• Nausea or vomiting
• Loss of appetite
• Losing your sense of taste
• Abdominal pain
• Indigestion
• Muscle or joint pain
• Changes in vision

Serious side effects include:

• Liver problems – symptoms include yellowing of the whites of your eyes and/or skin, pale stools and dark urine. These can be signs of a change in your liver function
• Bruising more easily
• Unusual tiredness
• Inflamed pancreas
• Muscles weakness or pain

If you experience any serious side effects, you should contact NHS 111.

If you experience a serious allergic reaction with the signs shown below you should contact emergency services on 999.

• Hives
• Your lips, mouth, throat or tongue suddenly become swollen
• You’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
• Your throat feels tight or you’re struggling to swallow
• Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
• You suddenly become very confused, drowsy or dizzy
• Someone faints and cannot be woken up

Information about taking Lamisil at the same time as other medications or herbal supplements

There is not enough evidence to suggest there are any drug interactions between herbal supplements and Lamisil. In any event, you should let your prescribing clinician know if you are taking any herbal supplements.

Tell your doctor or pharmacist if you are taking any of the following medications when starting treatment with Lamisil.

• Cimetidine
• Cyclosporine
• Fluconazole, kketoconazole
• Monoamine oxidase type B (MAO-B) inhibitors such as rasagiline
• Selective serotonin reuptake inhibitors (SSRIs) such as citalopram
• Blood thinners such as warfarin
• Codeine or tramadol

Why might Lamisil not work for fungal nail infections?

Lamisil may not work for you if the fungal infection has become resistant to terbinafine. Speak to your doctor if terbinafine has stopped working for you.

Can Lamisil taken for fungal nail infections be taken long term?

Lamisil tablets or solution are normally taken or used for up to 3 months when treating fungal nail infections. You should speak to your doctor if your need to use this medication for longer.

Is there a herbal Lamisil?

No. Herbal Lamisil does not exist. If you have been marketed such a formulation, it may be fake.

Should I avoid any particular food or drink when taking Lamisil?

Lamisil tablets may increase the effects of caffeine, so it’s a good idea to not have too much caffeine while taking these tablets. Caffeine is found in coffee, tea, energy drinks and chocolate. Otherwise, you can eat and drink as normal while using or taking Lamisil.

What lifestyle changes can I make to help me with fungal nail infections?

To prevent fungal nail infections:

• Treat athlete’s foot immediately, to avoid it spreading to nails
• Keep your feet clean and dry
• Wear clean socks
• Do not share nail clippers or scissors

Alternatives to Lamisil

Alternatives for the treatment of fungal nail infections include Loceryl nail lacquer.

Sources

• Fungal nail infection – NHS
• Terbinafine: MedlinePlus Drug Information