Terbinafine Tablet (Lamisil): Uses, Dosage & Side Effects in Pakistan

Lamisil (Terbinafine Tablet) Uses, Dosage, Side Effects & Price in Pakistan

1. Quick Info (Mukhtasir Maloomat)

2. What is Lamisil? (Lamisil kya hai)

Lamisil (Terbinafine 250mg) is a systemic antifungal medicine in Pakistan prescribed by doctors for nail fungus (onychomycosis), ringworm, and other fungal infections. It belongs to the Allylamine class.

This medicine blocks the squalene epoxidase enzyme, which stops fungal ergosterol synthesis — causing fungal cells to die (fungicidal action). Do not take without a doctor's advice.

3. Uses (Fayde / Kis kaam aati hai)

• Onychomycosis
• Tinea capitis
• Tinea corporis
• Tinea pedis (athlete's foot — severe systemic cases requiring oral treatment)

4. Who Should Take (Kis ko leni chahiye)

• Adults with confirmed fungal nail infection (onychomycosis) diagnosed by a doctor
• Patients with tinea capitis or extensive ringworm not responding to topical treatment
• Adults with severe tinea pedis requiring systemic therapy
• Patients as directed by a dermatologist or physician

5. When NOT to Take (Kab nahi leni chahiye)

• If you are allergic to Terbinafine or any of its ingredients
• If you have active liver disease or significantly impaired liver function
• In pregnancy or breastfeeding — be sure to consult your doctor
• If you already have any liver disease

6. Dosage (Kitni leni hai)

• 250mg once daily as prescribed by your doctor

• Fingernail onychomycosis: 250mg once daily for 6 weeks
• Toenail onychomycosis: 250mg once daily for 12 weeks
• Scalp/body ringworm: as per doctor's direction (usually 2-4 weeks)

• Do not exceed the recommended limit — follow the doctor's prescribed dose

• If you miss a dose, take it as soon as you remember. If the next dose is close, skip the missed dose. Never take a double dose.

7. How to Take (Kaise leni hai)

• Once daily — taking at the same time is preferable

• At the same time each day — routine banayein

• Morning or evening — follow whichever time the doctor has advised

• With or without food — if stomach upset occurs, take after food

8. Best Time (Kab leni chahiye)

• Morning or evening — follow the doctor's instructions

• Same time daily to maintain a routine — complete the full course

9. Empty Stomach or After Food (Khali pait ya khane ke baad)

Terbinafine can be taken with or without food. If the stomach is sensitive or nausea occurs, taking it after food is preferable.

10. Warnings (Ihtiyat)

• Don't use Lamisil if you are allergic to Terbinafine or any ingredient
• Do not use in liver disease — risk of hepatotoxicity
• There is a risk of taste disturbance that can persist even after stopping the medication

• Monitor liver function tests (LFTs) with prolonged use
• If jaundice (yellow eyes/skin), dark urine, or severe abdominal pain occur — stop immediately and see a doctor

11. Precautions (Ahm ehtiyaat)

• Store in a cool, dry place
• Keep away from direct sunlight
• Keep out of the reach of children

• In pregnancy, only take after consulting your doctor
• Do not use while breastfeeding — Terbinafine passes into breast milk
• Dose adjustment may be needed in kidney impairment — ask your doctor

12. Side Effects (Nuksanat)

• Nausea (matli), diarrhea (dast), abdominal pain, taste disturbance/dysgeusia, rash, headache (sir dard)

• Hepatotoxicity (liver damage — jaundice, dark urine, severe abdominal pain par see a doctor immediately)
• Stevens-Johnson syndrome / toxic epidermal necrolysis
• Blood dyscrasias (unusual bruising or bleeding — rare)
• Persistent ageusia / taste loss

13. Drug Interactions (Dawaon ke sath reaction)

• Rifampicin lowers Terbinafine levels — reduced efficacy
• Cimetidine raises Terbinafine levels — higher risk of side effects
• CYP2D6 substrates: Terbinafine inhibits the CYP2D6 enzyme — blood levels of tricyclic antidepressants and beta-blockers may rise
• Inform your doctor of all medicines you are taking

14. When to See Doctor (Kab doctor ke paas jayein)

• Jaundice
• Dark urine or pale stools
• Severe skin blistering, peeling, or rash (Stevens-Johnson warning)
• Unusual bruising or bleeding
• Taste disturbance that continues even after stopping the medicine
• Severe abdominal pain or persistent nausea/vomiting

15. Alternatives (Sasti Dusri Dawaein)

16. Price in Pakistan (Price kitni hai)

17. FAQs (Aksar poochay jane walay sawalat)

Q: Terbinafine kis kaam aati hai?

A: Terbinafine (Lamisil) is an antifungal medicine prescribed by doctors for nail fungus (onychomycosis), scalp ringworm, and fungal infections on the body. Do not take without a doctor's advice.

Q: Terbinafine ke side effects kya hain?

A: Common side effects include nausea, diarrhoea, abdominal pain, and taste disturbance. Serious effects include liver damage and severe skin reactions — see a doctor immediately for these.

Q: Terbinafine kaise leni hai?

A: 250mg once daily, with or without food. Complete the full course as per the doctor's prescription.

Q: Terbinafine price in Pakistan kya hai?

A: Lamisil 250mg is available in Pakistan for approximately Rs. 700 to 900 per 14-tablet strip. The final price depends on the pharmacy and city.

Q: Terbinafine naakhon ke liye safe hai?

A: When taken as directed by the doctor it is generally safe. Do not use in liver disease. Taste disturbance can occur — inform your doctor.

18. Medical Review (Medical jaiza)

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2026-06-17

19. Disclaimer (Zaroori tanbeeh)

The information on this page is for awareness only. It is not medical advice. Always consult your doctor or pharmacist before taking any medicine. PakVita is not responsible for any harm.