Terbizil

Terbizil is an antimycotic agent with a large spectrum of medicinal activity. Included in the allylamines category. Its active ingredient is the substance terbinafine.

At low concentrations of terbinafine, it has a fungicidal effect, susceptibility to which is noted dermatophytes (fluffy microsporum, red trichophyton, flaky epidermofiton, etc.), mold fungi, and in addition fungi from the dimorphic family (such as Pityrosporum orbiculare).

For yeast, the drug has both fungistatic and fungicidal effects.

Indications Terbizila

It is used in cases of lesions of the nails and epidermis with a mycotic character, diseases of the hair and scalp on the head of fungal origin (among those microsporia, epidermal candidiasis, onychomycosis, ruprofitia, epidermophytosis with trichophytosis and mucosal candidiasis), as well as in case of ulceration forms for local processing).

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Release form

The release of drugs is implemented in the form of a 1% cream, and in addition to tablets.

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Pharmacodynamics

Fungicidal activity develops by inhibiting the synthesis of cell sterol, which inhibits the production of ergosterol, which leads to the death of the bacterium.

At the same time, Terbizil helps to slow down the activity of the enzyme squalene epoxidase. It is located inside the cell wall, and the breakdown of its function causes the accumulation of squalene inside the cell and the death of the pathogenic fungus.

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Dosing and administration

The duration of treatment is mainly selected taking into account the degree of intensity of the pathology and its nature.

The use of pills.

For children over 3 years of age, a dose of 125 mg is administered once a day.

Adults use the drug in a dose of 0.25 g (it is recommended to use it for 1 use).

In the case of onychomycosis, the therapeutic cycle usually lasts 1.5-3 months (determined by the rate at which the healthy nail grows).

In addition, there are other factors by which the duration of therapy is selected: the presence of concomitant diseases and age.

The drug may be prescribed for ringworm, affecting the foot (interdigital or plantar, as well as in the form of "socks"). This course lasts for 0.5-1.5 months. In the case of ringworm, affecting other areas of the epidermis, the treatment is 0.5-1 month. With head-affecting mycotic diseases, 1 month.

Apply cream.

Processing cream must be done 1-2 times a day. It is required to dry and clean the affected areas before using Terbizil. You need to distribute the medicine in a thin layer, processing not only the infected area, but also the adjacent parts of the healthy epidermis.

In the case of infections of fungal origin, in which diaper rash is noted, the treated site should be closed with a bandage.

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Use Terbizila during pregnancy

It is forbidden to use the drug during pregnancy or breastfeeding.

Contraindications

It is contraindicated to use the drug in case of severe intolerance associated with terbinafine.

With great care, the drug is used in the case of diseases associated with the kidneys and liver, against which there are marked disorders of their work and insufficiency.

Terbizil should also be used with extreme caution if the patient has pathologies affecting the hematopoietic system, cancer, endocrine and vascular diseases.

Side effects Terbizila

Sometimes such side effects may develop:

• disorders of the digestive system: nausea, loss of appetite, epigastric pain, and diarrhea;
• epidermal manifestations of allergy: rash or urticaria;
• may cause pain, affecting the muscles or joints;
• Disorders of the National Assembly: dizziness or headaches;
• rarely there are gustatory disorders (can reach its complete loss), congestive symptoms in the hepato-pancreo-duodenal zone (for example, cholestatic jaundice), PEE and bullous dermatitis, sometimes reaching the development of PET;
• possible suppression of the activity of the blood-forming organs: neutro, thrombocyto or lymphopenia, as well as agranulocytosis;
• In the area of the application of drugs can occur burning, redness or itching.

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Overdose

Intoxications develop only once, among the symptoms: nausea, dizziness, sharp stomach pains, ear noise and headaches.

It is required to remove the medication from the body: perform gastric lavage and prescribe activated carbon or other sorbents to the affected person.

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Interactions with other drugs

Terbizil affects the clearance of drugs whose metabolism proceeds with the help of hemoprotein P450 (cycloserine, tolbutamide, and oral contraception are among those). At the same time, terbinafine is able to slow down and speed up the metabolic processes of these medicines.

The metabolism of the drug itself can be accelerated when used with drugs that potentiate the effect of liver cell microsomal enzymes (among them rifampicin).

Drugs that inhibit the activity of the hemoprotein P450 enzyme inhibit the excretion of terbinafine, which is why it is necessary to correct the portion of the latter.

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Storage conditions

Terbizil must be kept in a place closed from the penetration of small children. Temperature readings - no higher than 30 ° C.

Shelf life

Terbizil can be applied for a 5-year period from the time the therapeutic substance is produced.

Application for children

There are no data confirmed by tests regarding the safety of using drugs in pediatrics, therefore, up to 2 years of age, the medication can be administered only if there are vital indications.

Analogs

Analogs of drugs are medicines Atifan, Terbinafine, Exifin with Binafin, and in addition Lamifast, Miconorm with Lamisil, Terbinorm and Lamikon. Also on the list are Lamifen, Terbinox and Mycofin with Fungerbin.

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Reviews

Terbizil is a very famous and high-quality medicine. With full compliance with the medical recommendations of the drug shows high efficiency.

Regarding pills and cream, there are also negative reviews, although they are mainly associated with improper use or use for the treatment of disorders that are not indicated in the indications.

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