Terbitotal Tablet

Terbitotal Tablet is an oral antifungal medicine that contains terbinafine in each tablet, as labelled. It belongs to the allylamine class and is used to treat certain fungal infections of the skin, hair, and nails, including fungal nail infections and ringworm-type infections when a doctor prescribes an oral treatment. Terbitotal Tablet is a prescription medicine, and the exact tablet strength determines how it is used in your treatment plan.

How it works: Terbinafine works by blocking an enzyme that fungi need to make ergosterol, an important part of their cell membrane. Without that membrane support, the fungus cannot grow properly and gradually dies off, which is why the oral Terbitotal Tablet can help clear infection from within the body.

Terbitotal Tablet is the tablet-strength oral form of terbinafine, which is used when a doctor wants treatment to reach deeper or more stubborn fungal infections than a topical cream can treat. Because this product is a standard oral tablet rather than a lower-dose or topical form, it is generally chosen for infections that need systemic treatment and for patients whose clinician has decided an oral antifungal is appropriate.

• Fungal nail infection
• Ringworm
• Athlete's foot
• Jock itch
• Other doctor-diagnosed skin fungal infections

• Swallow the Terbitotal Tablet whole with a glass of water.
• Take it at the same time each day if your doctor prescribes it daily.
• You may take it with or without food, unless your prescriber gives different instructions.
• Do not crush or chew the tablet unless your pharmacist or doctor tells you it is okay.
• Finish the full course even if symptoms improve before the tablets are gone.
• If you miss a dose, take it when you remember unless it is close to the next dose; do not double up.

Each Terbitotal Tablet contains terbinafine at the strength listed on the pack. How often it is taken depends on the infection being treated and your doctor’s instructions; for many adult fungal infections, oral terbinafine is taken once daily, but the exact schedule must be set by the prescriber. Do not take more tablets in a day than your doctor recommends.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Terbinafine may include:

• Headache
• Nausea
• Diarrhea
• Abdominal discomfort
• Taste changes or loss of taste
• Mild rash
• Higher chance of stomach upset if taken on an empty stomach in sensitive patients

• Use Terbitotal Tablet only if a clinician has confirmed that an oral antifungal is appropriate for your infection.
• Tell your doctor if you have liver disease or a history of abnormal liver tests, because terbinafine can affect the liver.
• Avoid or limit alcohol, since both alcohol and terbinafine can be hard on the liver.
• Report new rash, fever, mouth sores, dark urine, or yellowing right away.
• Tell your doctor about depression, mood changes, or unusual nervousness during treatment.
• Share a full medicine list with your prescriber because terbinafine can interact with several prescription drugs.
• If you are pregnant or breastfeeding, use only if your clinician says the benefit outweighs the risk.

• Amitriptyline and other tricyclic antidepressants
• Selective serotonin reuptake inhibitors and other antidepressants that may be affected by CYP2D6 inhibition
• Codeine, tramadol, or other medicines that rely on CYP2D6 for activation or metabolism
• Rifampin
• Cimetidine

Store Terbitotal Tablet in its original strip or box at room temperature, away from excess heat, moisture, and direct light.