Terbikem-250 Tablet is an antifungal medicine that is used to treat fungal infections of toenails and fingernails. Oral granules are used to treat tinea capitis (scalp ringworm). Fungal nail infections (onychomycosis) are common infections of toenails or fingernails that cause the nail to become thick, discoloured, or more likely to break. Tinea capitis is a fungal infection of the scalp that is contagious and causes bald, itchy, and scaly patches of the ring shape.

Terbikem-250 Tablet contains Terbinafine, an antifungal that works by damaging the fungal cell membranes, which are essential for their survival as they prevent the entry of unwanted substances into the cells and stop the leakage of cell contents. Thereby, kills fungi and clears the fungal infection.

Take Terbikem-250 Tablet as prescribed. Your doctor will advise you on how often you need to take Terbikem-250 Tablet based on your medical condition. Some people may experience diarrhoea, stomach pain, headache, and change in taste or loss of taste. Most of these side effects of Terbikem-250 Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor. 

If you are allergic to Terbinafine, avoid taking Terbikem-250 Tablet . If you are pregnant or a nursing mother, it is advised to consult a doctor before using Terbikem-250 Tablet . Avoid or limit sun exposure while using Terbikem-250 Tablet as it may make skin more sensitive to sunlight. Wear protective clothing and use sunscreen while going out to protect your skin from sunburn. If you have depressive symptoms such as feeling worthless or sad, loss of interest or energy in daily activities, mood changes, restlessness, or change in sleep pattern, inform your doctor immediately.

Terbikem-250 Tablet is an antifungal. Tablets are used to treat fungal infections of toenails and fingernails. Oral granules are used to treat tinea capitis (scalp ringworm). Terbikem-250 Tablet destroys fungal cell membranes that are essential for their survival as they prevent the entry of unwanted substances into the cells and stop the leakage of cell contents. Thus, it kills fungi and clears infection. 

Tablets:

• Diarrhoea
• Indigestion
• Stomach pain
• Headache
• Taste disturbance
• Nausea
• Flatulence (gas) 

Oral granules:

• Fever
• Vomiting
• Headache
• Diarrhoea
• Cough
• Nasal congestion

If you are allergic to terbinafine, avoid taking Terbikem-250 Tablet . If you are pregnant or a nursing mother, it is advised to consult a doctor before using Terbikem-250 Tablet . Avoid or limit sun exposure while using Terbikem-250 Tablet as it may make skin more sensitive to sunlight. Wear protective clothing and use sunscreen while going out to protect your skin from sunburn. If you have lupus (an autoimmune disease), weakened immune system, kidney or liver problems, inform your doctor before taking Terbikem-250 Tablet . If you have depressive symptoms such as feeling worthless or sad, loss of interest or energy in daily activities, mood changes, restlessness, or change in sleep pattern, inform your doctor immediately. 

Drug-Drug Interaction: Terbikem-250 Tablet may interact with drugs used to treat stomach ulcers (cimetidine), antibiotics (rifampicin), antifungal (fluconazole), medicine used to treat high blood pressure (metoprolol), antidepressants (duloxetine, desipramine), opioid pain killers (codeine, tramadol), blood thinners (warfarin), heart-related medicines (amiodarone) and immunosuppressant (ciclosporin).

Drug-Food Interaction: Terbikem-250 Tablet may interact with caffeine. Therefore, avoid foods containing chocolate and caffeine such as cocoa beans, tea, coffee, cola, and energy drinks as it may increase the adverse effects of caffeine.

Drug-Disease Interaction: If you have lupus (an autoimmune disease), weakened immune system, kidney or liver problems, inform your doctor before taking Terbikem-250 Tablet .

• CIMETIDINE
• RIFAMPICIN
• FLUCONAZOLE
• METOPROLOL
• DULOXETINE
• DESIPRAMINE
• CODEINE
• TRAMADOL
• WARFARIN
• AMIODARONE
• CICLOSPORIN

Fungal nail infections (onychomycosis):

• Keep your feet and hands clean and dry.

• Cut your toenails and fingernails short and keep them clean.

• Avoid sharing nail clippers with others.

• In wet places such as changing rooms and gym showers, wear footwear to prevent fungal infections.

• Chose a clean and licensed salon and make sure that all the instruments in the salon are sterilized after each use.

• Avoid sun exposure while taking Terbikem-250 Tablet as it may make skin more sensitive to sunlight. Wear protective clothing and use sunscreen while going out to protect your skin from sunburn.

Tinea capitis (scalp ringworm):

• Shampoo your child's scalp regularly, especially after a haircut. 

• Use scalp conditioning products such as pomades with selenium and coconut oil as they might help to prevent scalp ringworm.

• Make sure your children wash their hands regularly even after playing with pets and keep their skin clean and dry.

• Avoid infected animals.

• Keep shared areas clean especially childcare centres and schools.

• Teach children to avoid sharing personal items such as towels, clothing, hairbrushes, etc.

Your doctor may advise blood tests before you take Terbikem-250 Tablet to check for liver problems.

Fungal nail infections (onychomycosis): They are common infections of toenails or fingernails caused by different types of fungi living in the environment. These germs enter the nail through small cracks in the nail or surrounding skin and cause infection. The symptoms include thick, or discoloured (brown, yellow or white) nails and nails more likely to break. Unless it becomes severe, it is not painful usually. Fungal infections are more common in toenails than in fingernails.

Tinea capitis (scalp ringworm): It is a fungal infection of the scalp that involves both hair and skin. It is contagious, and the symptoms include dry, itchy, scaly patches, hair loss and redness. The name ringworm is due to its circular shape. It mostly occurs in children between 3 to 7 years of age.