Therapy > Medication > Terbinafine

Terbinafine

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brand name = Lamisil
can be taken without food
metabolized in the liver independent of P450
mechanism:  interferes with enzyme squalene epoxidase (= necessary for the first step in the conversion of squalene to ergosterol; the accumulation of squalene is fungicidal)
minor side effects = taste disturbance
effective topically, but not orally against t. versicolor
less active against Candida spp. in vitro;  however clinical studies show otherwise

 

 

Lamisil for tinea capitis:  (x 6 weeks)

<20kg:        62.5mg/ day

(20 to 40kg):        125mg (= 1/2 tab)

(>40kg):       250mg (= 1 tab) qd