Lamisil Spray for the treatment of foot fungus, spray 1% 15ml

Lamisil spray - instructions for use

The drug in spray form can only be used for external use. A decrease in the intensity of symptoms is expected within a few days. It is important to consider the need for regular and systematic treatment with the drug, since violations of the therapy regimen can cause a relapse of the infection. If there is no effect after a week of applying the medicine, you should consult a doctor. The duration of treatment and frequency of use of the spray depend on the type of disease:

• for the treatment of mycoses of the skin (as well as other skin infections) – 1 treatment/day, duration of therapy – 7 days;
• for skin candidiasis – 1-2 times/day, 7-14 days;
• when treating lichen versicolor – 1-2 times/day, duration of treatment is at least 2 weeks.

When using a sprayer, proper treatment of the affected areas of the skin is of great importance:

1. The area affected by the fungus is thoroughly washed and dried.
2. The spray is sprayed onto the treated area (after vigorously shaking the bottle), carefully monitoring the quality of skin hydration.
3. The medicine should also be applied to adjacent (even intact) areas of the skin.
4. To avoid diaper rash, experts recommend placing a gauze pad over the treated areas.

Pharmacological properties of the drug Lamisil

Terbinafine (E)-N-(6,6-dimethyl-2-hepten-4-inyl)-N-methyl-1-naphthalenemethanamine is a broad-spectrum antifungal agent of the allylamine group. Terbinafine in low concentrations has a fungicidal effect against dermatophytes, molds and some dimorphic fungi. Activity against yeast fungi, depending on their type, can be fungicidal or fungistatic. The drug has a long-lasting effect, which makes it possible to achieve an effect with short-term use. Terbinafine specifically inhibits the early stage of sterol biosynthesis in the cell membrane of the fungus. This leads to ergosterol deficiency and intracellular accumulation of squalene, which causes the death of the fungal cell. Terbinafine works by inhibiting the enzyme squalene epoxidase in the cell membrane of the fungus. This enzyme does not belong to the cytochrome P450 system. Terbinafine does not affect the metabolism of hormones or other drugs. When applied externally, ≤5% of the applied dose is absorbed, so absorption of terbinafine into the systemic circulation is negligible. After 7 days of treatment with Lamisil cream, terbinafine concentrations exceeding those required for a fungicidal effect are detected in the stratum corneum of the epidermis for at least 7 days after cessation of therapy.

special instructions

Lamisil spray contains ethanol, so the medicine should be used with caution in patients with open skin lesions. Alcohol may cause irritation. If you accidentally inhale the drug and experience adverse symptoms, you should immediately consult a doctor. If the medicine gets on the mucous membranes of the eyes, they must be thoroughly rinsed with running water. Should not be used to treat facial ailments. Propylene glycol, which is part of the drug, can cause irritation and itching of the skin. Lamisil does not affect human reproductive function.

Composition, release form

The active element of the drug is terbinafine hydrochloride. In addition, it includes the following components:

• purified water;
• macrogol cetostearyl ether;
• nitrogen;
• ethanol;
• propylene glycol.
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The spray is a clear liquid. It can be colorless or with a yellowish tint.

The product is sold in 15- or 30-ml bottles with a plastic cap. A sprayer is provided. The bottles are placed in cardboard packs and instructions are included.

Lamisil during pregnancy

Terbinafine spray has undergone clinical trials on animals, which have led to conclusions about the possibility of its use during pregnancy and lactation. Since the experience of treating pregnant women with Lamisil is limited, during this period the drug can be used only if the expected benefit to the mother outweighs the possible risk to the baby. Given the ability of the drug to pass into breast milk, it is prohibited to use it during lactation (you can stop feeding for a while and start therapy with Lamisil).

Drug interactions

With simultaneous use of drugs that cause induction of liver enzymes (microsomal), the clearance of terbinafine increases. Drugs that inhibit these same enzymes reduce the clearance of the active substance. There are no other data on the interaction of Lamisil exclusively in the form of a solution for external spray use.

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Cost of the drug and its analogues

The average price for Lamisil spray is 550-650 rubles. It is sold in pharmacies without a doctor's prescription. There are also cheaper analogues in the form:

• Thermikon;
• Fungoterbin;
• Terbinafine;
• Lamitel;
• Turbix.

These medications differ in the manufacturer, the components they contain, and the concentration of the main active ingredient.

Analogues of Lamisil spray

Side effects

Allergic signs may appear at the site of application of the spray, such as itching, peeling or burning of the skin. In some cases, pigmentation disturbances or the formation of an unpleasant crust on the skin may occur. The intensity of symptoms is often low, but it is important to distinguish such signs from a hypersensitivity reaction. If the latter is detected, it is necessary to immediately stop using the drug. In rare cases, an exacerbation of a latent fungal infection may occur.

Various side effects may occur when using topical antifungal products:

What is lichen?

Ringworm is a fungal infection that is most often transmitted from someone who is already infected. The following types of disease are distinguished:

• pityriasis;
• encircling;
• lichen planus;
• shearer;
• pink.

The most common pathogens are fungi and viruses.

Important! It is necessary to promptly determine the cause of infection. Only a highly qualified specialist can do this, so it is forbidden to make a diagnosis on your own.

The etiology of the disease and the mechanism of infection are not fully understood, but there are factors that increase the risk of infection:

1. Quite a sharp and strong decrease in immunity.
2. Hereditary predisposition of the patient.
3. Frequent emotional breakdowns and stressful situations.
4. Heavy physical activity.

Infection with lichen most often occurs through contact with an infected person or cattle. Infection is also possible through contact with household items that were used by a sick person. It is important to follow all the rules of personal hygiene to reduce the risk of contracting lichen.

Overdose

Considering the low level of absorption of the active substance into the blood when applied topically, the likelihood of an overdose is negligible; there are no reports of such cases. Even if you accidentally swallow the entire contents of the vial (30 ml), the dose of terbinafine will be equivalent to taking one tablet of Lamisil (250 mg). It is worth considering the high level of ethyl alcohol in the spray bottle (28.87%).

If a large amount or concentration of the drug enters the esophagus, the side effects may be similar to an overdose of tablets (then you need to carry out symptomatic therapy and take enterosorbents):

• headache;
• nausea;
• dizziness;
• pain in the abdominal area (epigastric region).

Contraindications

Excessively hypersensitivity to terbinafine or any other component of the spray is considered a contraindication to its use. In addition, Lamisil should not be used to treat a nursing mother or children under 12 years of age. Although absorption of the drug into the blood is low, it is prescribed with caution to patients with liver disease or renal failure, or chronic alcoholism. A history of metabolic diseases, tumors and vascular diseases is the basis for cautious prescribing of the drug.

When is it not recommended to use?

Antilichen drugs of the Lamisil series have the following contraindications:

• allergic reactions or intolerance to components;
• pregnancy, lactation period;
• age group up to 2 years - for tablets, up to 12 years - for creams and sprays.

If the patient has kidney problems, it is recommended to use half the dose. It is possible to use Lamisil with other medications, since the active component does not interact with other elements. The exception is antidepressants and beta-blockers, which can enhance the effect of Lamisil.

Analogs

Analogues of the drug Lamisil are medicines in which the active ingredient is terbinafine. Since the spray is a very convenient form for treating areas in hard-to-reach wet areas, if a negative reaction to Lamisil occurs, you need to look for another medicine with the same release form. The main synonyms of the drug that are used for external use are the following medications:

• Thermikon;
• Terbinafine;
• Terbifin;
• Terbizil;
• Lamicon;
• Terbix;
• Exifin;
• Atifin;
• Fungoterbin;
• Binafin.

Indications for use

Lamisil is used for various fungal infections if they are caused by pathogens sensitive to the drug: epidermophytons, trichophytons, microsporums.

Indications for the use of the drug include the following pathologies:

• athlete's foot;
• fungal infection of skin folds;
• dermatophytosis of the groin area;
• ringworm;
• pityriasis versicolor.

The appropriateness of using the medication in each specific case is determined by the doctor. He must make a diagnosis and identify what pathogen causes the pathology. This is necessary to determine the sensitivity of the pathogen to the drug.

Lamisil spray price

The drug Lamisil in the form of a spray is available in two volumes - 15 and 30 ml. For small lesions, a smaller bottle is sufficient, but a larger volume is designed for large areas of skin that are infected or prone to relapse. Since the medication is available in pharmacies without a prescription, it can be purchased online without leaving your home. The table shows the cost of Lamisil in Moscow and the region:

Directions for use and doses

In adults, Lamisil can be used 1 or 2 times a day, depending on the indications. Before using the drug, it is necessary to thoroughly clean and dry the affected areas. The drug is sprayed onto the affected areas in an amount sufficient to thoroughly moisturize them, and, in addition, applied to adjacent areas of both affected and intact skin.

Frequency of use of the drug and duration of treatment: for dermatomycosis of the trunk, legs - 1 time / day for 1 week; for dermatomycosis of the feet - 1 time/day for 1 week; for tinea versicolor - 2 times a day for 1 week; for inguinal epidermophytosis, diaper rash - 1 time/day for 1 week.

Experience with the use of Lamisil in children aged 2 years and older is limited, and therefore the use of the drug in children is not recommended.

Reviews

Elena, 48 years old

Foot fungus is a real punishment. When I discovered it, the infection process had already begun actively. Every day it got worse and worse, until finally I bought Lamisil spray. Literally a week later, the skin began to heal before our eyes. I didn’t even expect this constant itching to go away. I recommend this drug to all my friends.

Evgeniy, 55 years old

No matter what anyone says, one use of Lamisil does not help. I bought the spray only because of the advertisement, and, to be honest, I expected more. It's not cheap, so it was a pity to waste money. The effect appeared after two weeks of daily application, but the skin restoration process was still very slow.

Natalia, 27 years old

This disease “killed” almost all my shoes. I apparently caught the fungus in the pool, and since it was summer, my diseased skin came into contact with different shoes every day. For the first week I thought it was just irritation. But when the smell appeared, I had to quickly run to the doctor. I was prescribed Lamisil spray, the disease completely went away in 10 days.