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).

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.

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.

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.

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 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). Psoriasiform eruptions or exacerbation of psoriasis, acute generalized exanthematous pustulosis and precipitation and exacerbation of cutaneous and systemic lupus erythematosus have been reported in patients taking Terbinafine hydrochloride. Terbinafine hydrochloride may cause taste disturbance (including taste loss) which usually recovers within several weeks after discontinuation of the drug. There have been reports of prolonged (greater than one year) taste disturbance. 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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