{"id":24723,"date":"2022-08-30T08:56:10","date_gmt":"2022-08-30T08:56:10","guid":{"rendered":"https:\/\/zeepedia.com\/?p=24723"},"modified":"2022-08-31T07:20:07","modified_gmt":"2022-08-31T07:20:07","slug":"terbinafine-hexal","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/terbinafine-hexal\/","title":{"rendered":"Terbinafine Hexal &#8211; Terbinafine uses, dose and side effects"},"content":{"rendered":"\n<p>250 mg&nbsp;tablets<br>terbinafine<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Terbinafine Hexal is and what it is used for<\/h2>\n\n\n\n<p>Terbinafine, the active substance in Terbinafine Hexal, is an anti-fungal medicine.<\/p>\n\n\n\n<p>Terbinafine Hexal is used to treat various fungal infections of the skin and nails.<\/p>\n\n\n\n<p>Terbinafine contained in Terbinafine Hexal may also be approved to treat other conditions not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or other healthcare professional if you have further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Terbinafine Hexal<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Terbinafine Hexal<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to terbinafine or any of the other ingredients of this medicine (listed in section 6)<\/li><li>if you have severely impaired liver function.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>Talk to your doctor before taking Terbinafine Hexal if any of the following apply to you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you have problems with your kidneys or liver<\/li><li>you have&nbsp;psoriasis<\/li><li>you have lupus erythematosus (an&nbsp;autoimmune&nbsp;disease).<\/li><\/ul>\n\n\n\n<p>Your doctor should check your liver function before you start using Terbinafine Hexal and every four to six weeks during treatment.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Use of Terbinafine Hexal in children is not recommended.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Terbinafine Hexal<\/h2>\n\n\n\n<p>Some medicines can affect your treatment.&nbsp;Tell your doctor if you are taking any of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>rifampicin\u00a0against\u00a0infection<\/li><li>cimetidine for stomach problems, e.g.\u00a0indigestion or\u00a0stomach ulcers<\/li><li>certain antidepressants, including\u00a0tricyclic antidepressants\u00a0such as desipramine,\u00a0SSRI\u00a0preparations (selective serotonin reuptake inhibitors), or certain\u00a0MAO inhibitors\u00a0(\u00a0monoamine oxidase inhibitors\u00a0type B)<\/li><li>certain medicines for fungal infections (eg\u00a0fluconazole,\u00a0ketoconazole\u00a0)<\/li><li>dextromethorphan for <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cough-in-children\/\">cough<\/a><\/li><li>Birth control pills\u00a0(irregular periods, breakthrough bleeding, bleeding between periods, and missed periods may occur in some female patients)<\/li><li>certain beta-\u00a0blockers\u00a0(medicines for certain cardiovascular diseases with active substances whose names end in &#8220;-lol&#8221;, e.g.\u00a0metoprolol\u00a0) or medicines for heart rhythm disorders, e.g.\u00a0propafenone\u00a0or\u00a0amiodarone<\/li><li>caffeine<\/li><li>ciclosporin to\u00a0suppress\u00a0the immune system<\/li><li>warfarin\u00a0(a blood-thinning medicine).<\/li><\/ul>\n\n\n\n<p>Tell your doctor or pharmacist if you are using, have recently used, or might be using other medicines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.<\/p>\n\n\n\n<p>As the experience of use in pregnant women is very limited, Terbinafine Hexal should not be used during pregnancy, unless specifically prescribed by the doctor.<\/p>\n\n\n\n<p>Terbinafine Hexal should not be used during breastfeeding, as the active substance terbinafine passes into breast milk and can harm the baby.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>Some patients have reported dizziness when taking Terbinafine Hexal.&nbsp;If you feel dizzy, do not drive or use machines.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0A description of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0Discuss with your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Terbinafine Hexal contains sodium<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;of sodium&nbsp;per tablet, i.e. it is almost &#8216;sodium-free&#8217;.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Terbinafine Hexal<\/h2>\n\n\n\n<p>Always take this medicine as directed by your doctor or pharmacist.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><strong>The recommended\u00a0dose\u00a0for adults<\/strong>, including elderly patients, is\u00a0<strong>1 tablet once a day.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>In the case of\u00a0<strong>skin infections<\/strong>, treatment continues for\u00a02\u20136 weeks.<\/li><li>In the case of\u00a0nail\u00a0infections, the treatment normally lasts between\u00a06 weeks and 3 months, but some patients with\u00a0infection\u00a0in the\u00a0<strong>toenails<\/strong>\u00a0may need to be treated for\u00a0<strong>6 months or longer.<\/strong><\/li><\/ul>\n\n\n\n<p><strong>How to take the medicine<\/strong><\/p>\n\n\n\n<p>Swallow the tablets whole with a glass of water, preferably at the same time every day.<\/p>\n\n\n\n<p>The tablets can be taken before or after a meal.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you have taken too much Terbinafine Hexal<\/h2>\n\n\n\n<p>If you take too many Terbinafine Hexal tablets at one time, you may get headaches, nausea, upper stomach <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/brain-and-nerves\/pain\/\">pain<\/a>, and dizziness.\u00a0Always contact a doctor or hospital emergency department immediately.\u00a0Take the medicine packaging with you so the staff can see what you have taken.<\/p>\n\n\n\n<p>If you have ingested too much medicine or if, for example,\u00a0a child has ingested the medicine by mistake, contact a doctor, pharmacy, or hospital for an assessment of the risk and advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Terbinafine Hexal<\/h2>\n\n\n\n<p>If you forget to take a Terbinafine Hexal tablet, you do not need to worry.\u00a0Take it as soon as you remember.\u00a0However, if it is almost time for the next\u00a0dose, you should wait and take the next tablet at the usual time.\u00a0Then continue as before.\u00a0Do not take a double\u00a0dose\u00a0to make up for a missed tablet.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Terbinafine Hexal<\/h2>\n\n\n\n<p>Do not stop taking the tablets without consulting your doctor.&nbsp;If this is not possible, you should tell the doctor as soon as possible that you have stopped the treatment so that he or she can decide on further measures together with you.<\/p>\n\n\n\n<p>If you have any further questions about this medicine, ask your doctor or pharmacist.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Some&nbsp;side effects&nbsp;can be serious.<\/strong><\/p>\n\n\n\n<p><strong>Tell your doctor immediately if<\/strong>&nbsp;you notice any of the following rare or very rare symptoms:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Yellowing of the skin or whites of the eyes, unusually dark urine or light stools, unexplained persistent nausea, stomach problems, pain in the upper right side of the abdomen, loss of appetite, unusual tiredness or weakness (may indicate liver problems).<\/li><li>Severe skin reactions with rashes, photosensitivity, blisters, peeling skin, or rash.<\/li><li>Symptoms such as facial rash, <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cold\/\">fever<\/a>, feeling unwell or tired, and joint or muscle pain (may be signs of lupus erythematosus, an\u00a0autoimmune\u00a0disease).<\/li><li>The severe\u00a0allergic reaction\u00a0that can cause breathing difficulties, dizziness,\u00a0flushing, stomach cramps, stiffness, skin rash, swelling mainly of the face and throat, fever, or swollen\/enlarged\u00a0lymph nodes.<\/li><li>Unusual bleeding, bruising, abnormally pale skin, unusual tiredness or weakness or shortness of breath on exertion, <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/sore-throat\/\">sore throat<\/a> with fever and chills, or frequent\u00a0infection\u00a0(may be a sign of a blood disorder).<\/li><li>Symptoms such as skin rash, fever,\u00a0itching, tiredness, or purple-red spots under the skin (may be signs of\u00a0inflammation\u00a0of the blood vessels).<\/li><li>Severe pain in the upper abdomen that radiates to the back (may be a sign of\u00a0inflammation\u00a0of the pancreas).<\/li><li>Unexplained muscle weakness and pain, or dark (reddish-brown) urine (may be signs of muscle breakdown).<\/li><\/ul>\n\n\n\n<p><strong>The following&nbsp;side effects&nbsp;have been reported with terbinafine tablets<\/strong><\/p>\n\n\n\n<p><strong>Very common<\/strong>&nbsp;(may affect more than 1 in 10 users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>headache<\/li><li>indigestion<\/li><li>nausea<\/li><li>stomach pains<\/li><li>diarrhea<\/li><li>feeling of bloating<\/li><li>loss of appetite<\/li><li>itching, rash, or swelling<\/li><li>joint and muscle pain<\/li><\/ul>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Depression<\/li><li>taste disturbances and loss of taste these usually disappear slowly within several weeks when you stop taking the medicine.\u00a0In very rare cases, taste disturbances or loss of taste may persist for a longer period.<\/li><li>visual disturbances<\/li><li>dizziness or fatigue<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>decreased number of\u00a0red blood cells<\/li><li>anxiety (with symptoms such as sleep disturbances, fatigue, weakness, or reduced ability to think or concentrate)<\/li><li>numbness or tingling<\/li><li>ringing or buzzing in the ears<\/li><li>increased sensitivity to sunlight<\/li><li>fever<\/li><li>weight loss due to taste disturbances<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>liver problems such as liver failure, inflammation of the liver, yellowing of the skin or the whites of the eyes, and increased levels of liver enzymes in the blood<\/li><\/ul>\n\n\n\n<p><strong>Very rare<\/strong>&nbsp;(may affect up to 1 in 10,000 users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>reduced number of certain\u00a0blood\u00a0cells<\/li><li>lupus erythematosus (an\u00a0autoimmune\u00a0disease)<\/li><li>serious skin reactions<\/li><li>allergic reactions<\/li><li>hair loss<\/li><li>skin disease in which skin cells grow too quickly, leading to thick, white, silvery, or red patches on the skin (psoriasis-like rash, worsening of\u00a0psoriasis\u00a0)<\/li><li>liver failure, leading to liver transplantation or death.\u00a0In most of these cases, the patients had serious underlying diseases.<\/li><\/ul>\n\n\n\n<p><strong>Has been reported<\/strong>&nbsp;(occurring in an unknown number of users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>severe allergic reactions (anaphylactic reactions, reactions similar to serum sickness)<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/impaired-hearing\/\">impaired hearing<\/a><\/li><li>blurred vision reduced\u00a0visual acuity<\/li><li>inflammation\u00a0of the blood vessels<\/li><li>effect on the sense of smell, including permanent loss of the sense of smell<\/li><li>symptoms of depression (e.g. depressed mood) due to taste disturbances<\/li><li>inflammation\u00a0of the pancreas<\/li><li>drug-induced rash with an increase in certain\u00a0blood cells\u00a0(\u00a0eosinophilia\u00a0) and\u00a0inflammation\u00a0in internal organs, which is called &#8220;drug-induced rash with\u00a0eosinophilia\u00a0and systemic symptoms&#8221; (DRESS)<\/li><li>a condition that causes severe muscle cell damage leading to cell death (muscle necrosis) called\u00a0rhabdomyolysis\u00a0or increased amount of muscle enzyme (creatine phosphokinase) in the blood<\/li><li>flu-like symptoms\u00a0such as fatigue, chills, sore throat, joint or muscle pain<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Terbinafine Hexal<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Use before the expiry date which is stated on the carton and blister pack\/tablet container after Ex.date.&nbsp;or EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Blister pack: Store the blister pack in the outer carton.&nbsp;Light sensitive.<\/p>\n\n\n\n<p>Tablet jar: Store in the original packaging.&nbsp;Light sensitive.<\/p>\n\n\n\n<p>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to dispose of medicines that are no longer used.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is terbinafineEach tablet contains 250 mg of terbinafine as terbinafine hydrochloride.<\/li><li>Other ingredients are sodium starch glycolate (type A), hypromellose, anhydrous\u00a0colloidal\u00a0silicon dioxide, potato starch, and magnesium stearate.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<p>White or almost white, round, convex tablets with a score on both sides and the code &#8220;TER 250&#8221; on one side.&nbsp;The tablets are packed in blisters or tablet jars.<\/p>\n\n\n\n<p>Package sizes:<\/p>\n\n\n\n<p>8, 10, 14, 20, 28, 30, 42, 56, 98 and 100 tablets.<\/p>\n\n\n\n<p>The tablet can be divided into two equal\u00a0doses.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing authorization holder and manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder:<\/strong><\/p>\n\n\n\n<p>HEXAL A\/S, Edvard Thomsens Vej 14, 2300 Copenhagen S, Denmark<\/p>\n\n\n\n<p><strong>Manufacturer:<\/strong><\/p>\n\n\n\n<p>Salutas Pharma GmbH, Otto-von-Guericke-Allee 1, D-39179 Barleben, Germany<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Rowa Pharmaceuticals Ltd.&nbsp;Bantry, Co.&nbsp;Cork, Ireland<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Lek SA, Ul.&nbsp;Domaniewska 50 C, PL-02-672 Warsaw, Poland<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Lek Pharmaceuticals dd, Verov\u0161kova 57, 1526 Ljubljana, Slovenia (valid for tablet containers only)<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Lek Pharmaceuticals dd Trimlini 2D, Lendava, 9220, Slovenia (valid for blister packs only)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Terbinafine, the active substance in Terbinafine Hexal, is an anti-fungal medicine.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22500],"tags":[15183,25608,25612,25611,15187,25601,25607,25609,25610,15185],"class_list":["post-24723","post","type-post","status-publish","format-standard","hentry","category-medicines","category-t","tag-terbinafine","tag-terbinafine-hexal","tag-terbinafine-hexal-side-effects","tag-terbinafine-hexal-tablet","tag-terbinafine-side-effects","tag-terbinafine-tablet","tag-wha-is-terbinafine","tag-what-is-terbinafine-hexal","tag-what-terbinafine-hexal-is-used-for","tag-what-terbinafine-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24723","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=24723"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24723\/revisions"}],"predecessor-version":[{"id":24748,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24723\/revisions\/24748"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=24723"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=24723"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=24723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}