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Lamisil (terbinafine hydrochloride) is an antifungal medication which, in tablet form, is primarily used to eradicate fungal infections of the scalp, fingernails, or toenails.

Rarely Lamisil may be used to treat infections in other parts of the body, such as the groin or feet, when topical solutions fail, but generally topical medications are preferred for those areas, such as:

Topical applications are typically just as effective on the skin as taking the medication in tablet form, but carry less risk of serious side effects. However for scalp or nail infections, taking Lamisil orally proves most effective.

Eliminating Fungal Infections

Fungal infections of the nails are, unfortunately, very common. Untreated infections not only look bad, but can be painful, can lead to more serious infections, and may spread to other parts of the body. Infections of the scalp are less common, but can lead to unsightly wounds, permanent scarring and hair loss.

Hair and nails contain a large amount of the protein keratin, which is what invasive fungi thrive on. When taken orally, the terbinafine hydrochloride in Lamisil accumulates in exactly those areas. This makes it a very effective tool in combating fungal infections of the scalp and nails.

Treatment with Lamisil is very similar regardless of where the infection is found:

  • Take one 250 mg tablet each day, with a glass of fluid
  • It may be taken with our without food; eating may ease nausea
  • Ideally tablets are taken at the same time each day to keep levels of the drug consistent in the body
  • Missed doses should be taken as soon as remembered, or skipped if it's near time for the next dose
  • Take all tablets as prescribed even if the condition improves; the fungus might not be completely eradicated
  • Do not take more than 1 pill per day; there is no benefit, but increased risk of adverse reactions

Duration of treatment will vary by the location of the infection:

  • Scalp - 4 weeks
  • Fingernails - 6 weeks
  • Toenails - 12 weeks

It may take several weeks or even a few months to see significant improvement. This is normal, due to the relatively slow rate at which hair, fingernails and toenails grow, unlike skin, which usually clears up fairly quickly.

In addition to Lamisil treatment, it's a good idea to frequently wash shoes, clothing and bedding that has come into contact with infected areas, and sterilize or replace combs, brushes or other instruments which have contacted infected scalps, until the infection is completely cleared up.

Important Warnings

Most side effects resulting from Lamisil are mild, and often clear up with continued treatment. They are, in order of frequency:

  • Headache
  • Stomach upset/nausea
  • Diarrhea
  • Flatulence

Other side effect are much more rare, but also much more serious; if encountered, treatment should stop immediately and a doctor be consulted:

  • Smell or taste disturbances, including loss of smell or taste
  • Any symptoms of liver damage; clay-colored stools, dark urine, severe itching, jaundice
  • Depression or unusual mood changes
  • Photosensitivity; skin sores, blisters, peeling or rashes that worsen in sunlight
  • Altered immune system function; particularly exacerbation of cutaneous and systemic lupus erythematosus

It is common for a doctor to run tests on liver function prior to prescribing this medication, and regular checkups, including blood tests, are advisable to monitor for developing adverse reactions.

Women who are pregnant or breast-feeding should avoid use of this product altogether; effects on unborn babies or infants are unknown, but since there's no reason treatment can't be delayed it's generally considered to not be worth the risk.


250mg terbinafine  Buy Lamisil 28 Tablets - $39.99
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Medicines have benefits and some have risks. Always read the label and use only as directed. If symptoms persist or you have side effects see your health professional.

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