Země: Spojené státy
Jazyk: angličtina
Zdroj: NLM (National Library of Medicine)
TERBINAFINE HYDROCHLORIDE (UNII: 012C11ZU6G) (TERBINAFINE - UNII:G7RIW8S0XP)
Preferred Pharmaceuticals, Inc.
ORAL
PRESCRIPTION DRUG
Terbinafine tablets are indicated for the treatment of onychomycosis of the toenail or fingernail due to dermatophytes (tinea unguium). Prior to initiating treatment, appropriate nail specimens for laboratory testing [potassium hydroxide (KOH) preparation, fungal culture, or nail biopsy] should be obtained to confirm the diagnosis of onychomycosis. Terbinafine tablets are contraindicated in patients with: Risk Summary Available data from postmarketing cases on the use of terbinafine tablets in pregnant women are insufficient to evaluate a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. In animal reproduction studies, terbinafine did not cause malformations or any harm to the fetus when administered to pregnant rabbits and rats during the period of organogenesis at oral doses up to 12 and 23 times the maximum recommended human dose (MRHD) of 250 mg/day, respectively (see data) . All pregnancies have a background risk of birth defect, loss, or other adverse
Terbinafine Tablets USP, 250 mg are supplied as white to off-white, round uncoated, biconvex beveled edge tablets having ‘D’ debossed on one side and ‘74’ on the other side. Bottles of 30 NDC 68788-7450-03 Bottles of 100 NDC 68788-7450-01 Store at 20° to 25°C (68° to 77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. Protect from light.
Abbreviated New Drug Application
TERBINAFINE- TERBINAFINE HYDROCHLORIDE TABLET Preferred Pharmaceuticals, Inc. ---------- MEDICATION GUIDE Terbinafine Tablets, USP [Terbinafine (ter BIN na feen)] What is the most important information I should know about terbinafine tablets? Terbinafine tablets may cause serious side effects, including: • Liver problems that can lead to the need for a liver transplant or death. This can happen in people who have liver problems and in people who have never had liver problems. Tell your doctor right away if you get any of these symptoms of liver problems: • nausea • poor appetite • tiredness • vomiting • upper right stomach-area (abdomen) pain • yellowing of your skin or eyes (jaundice) • dark (tea-colored) urine • pale or light colored stools Your doctor should do a blood test to check you for liver problems before you start treatment with terbinafine tablets. Your doctor may also check you for liver problems during treatment, and tell you to stop taking terbinafine tablets if you develop liver problems. What are terbinafine tablets? Terbinafine tablets are a prescription medicine used to treat fungal infections of the fingernails and toenails (onychomycosis). Your doctor should do tests to check you for fungal infection of your nails before you start terbinafine tablets. It is not known if terbinafine tablets are safe and effective in children for the treatment of onychomycosis. Who should not take terbinafine tablets? Do not take terbinafine tablets if you: • have had a severe allergic reaction to terbinafine hydrochloride when taken by mouth. • have had liver disease for a long time (chronic) or have active liver disease. What should I tell my doctor before taking terbinafine tablets? Before taking terbinafine tablets, tell your doctor about all of your medical conditions, including if you: • have or had liver problems • have a weakened immune system (immunocompromised) • have lupus (an autoimmune disease) • are pregnant or plan to become pregnant. It is not known if terbinafine t Přečtěte si celý dokument
TERBINAFINE- TERBINAFINE HYDROCHLORIDE TABLET PREFERRED PHARMACEUTICALS, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE TERBINAFINE TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR TERBINAFINE TABLETS. TERBINAFINE TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 1992 INDICATIONS AND USAGE Terbinafine tablets are an allylamine antifungal indicated for the treatment of onychomycosis of the toenail or fingernail due to dermatophytes (tinea unguium). (1) DOSAGE AND ADMINISTRATION • • • DOSAGE FORMS AND STRENGTHS Tablet, 250 mg (3) CONTRAINDICATIONS • • WARNINGS AND PRECAUTIONS • • • • • • ADVERSE REACTIONS COMMON (GREATER THAN 2% OF PATIENTS TREATED WITH TERBINAFINE TABLETS) REPORTED ADVERSE EVENTS INCLUDE HEADACHE, DIARRHEA, RASH, DYSPEPSIA, LIVER ENZYME ABNORMALITIES, PRURITUS, TASTE DISTURBANCE, NAUSEA, ABDOMINAL PAIN, AND FLATULENCE. (6.1) TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT AUROBINDO PHARMA USA, INC. AT 1-866-850-2876 OR FDA AT 1- 800-FDA-1088 OR WWW.FDA.GOV/MEDWATCH. DRUG INTERACTIONS Terbinafine is an inhibitor of CYP450 2D6 isozyme and has an effect on metabolism of desipramine. Drug interactions have also been noted with cimetidine, fluconazole, cyclosporine, rifampin, and caffeine. (7.1) SEE 17 FOR PATIENT COUNSELING INFORMATION AND MEDICATION GUIDE. REVISED: 9/2023 Prior to administering, evaluate patients for evidence of chronic or active liver disease. (2.1) Fingernail onychomycosis: One tablet, once daily for 6 weeks. (2.2) Toenail onychomycosis: One tablet, once daily for 12 weeks. (2.2) Chronic or active liver disease. (4) History of allergic reaction to oral terbinafine because of the risk of anaphylaxis. (4) Liver failure, sometimes leading to liver transplant or death, has occurred with the use of oral terbinafine. Obtain pretreatment serum transaminases. Prior to initiating treatment and periodically during therapy, assess liver function tests. Discontinue terbinafine tablets i Přečtěte si celý dokument