国: アメリカ合衆国
言語: 英語
ソース: NLM (National Library of Medicine)
Terbinafine Hydrochloride (UNII: 012C11ZU6G) (Terbinafine - UNII:G7RIW8S0XP)
Aphena Pharma Solutions - Tennessee, LLC
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: Pregnancy Category B There are no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, and because treatment of onychomycosis can be postponed until after pregnancy is completed, it is recommended that Terbinafine tablets not be initiated during pregnancy. Oral reproduction studies have been performed in rabbits and rats at doses up to 300 mg/kg/day [12× to 23× the maximum recommended human dose (MRHD), in rabbits and rats, respectively, based on body surface area (BSA) comparisons] and have revealed no evidence of impaired
Terbinafine Tablets, USP are supplied as white, oblong, unscored tablets debossed "B" and "526" on one side and plain on the other side. Bottles of 30 tablets NDC 60429-222-30 Store Terbinafine Tablets, USP at 20° - 25°C (68° - 77°F) [See USP Controlled Room Temperature].
Abbreviated New Drug Application
TERBINAFINE HYDROCHLORIDE- TERBINAFINE HYDROCHLORIDE TABLET Aphena Pharma Solutions - Tennessee, LLC ---------- MEDICATION GUIDE TERBINAFINE (ter' bin a feen) hydrochloride Tablets 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: 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. • 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 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 know 完全なドキュメントを読む
TERBINAFINE HYDROCHLORIDE- TERBINAFINE HYDROCHLORIDE TABLET APHENA PHARMA SOLUTIONS - TENNESSEE, LLC ---------- 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 RECENT MAJOR CHANGES Dosage and Administration: Assessment Prior to Initiation (2.1) 8/2016 Contraindications (4) 8/2016 Warnings and Precautions: Hepatotoxicty (5.1) 8/2016 Warnings and Precautions: Thrombotic Microangiopathy (5.8) 1/2017 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 • 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 BRECKENRIDGE PHARMACEUTICAL, INC. AT 1-800-367-3395, OR GO TO WWW.BPIRX.COM, OR FDA AT 1-800-FDA-1088 OR WWW.FDA.GOV/MEDWATCH. Prior to administering, evaluate patients for evidence of chronic or active liver disease. (2.1) Fingernail onychomycosis: One 250 mg tablet, once daily for 6 weeks. (2.2) Toenail onychomycosis: One 250 mg tablet, once daily for 12 weeks. (2.2) Tablet, 250 mg (3) History of allergic reaction to oral terbinafine because of the risk of anaphylaxis. (4) Chronic or active liver disease. (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 tablet 完全なドキュメントを読む