Terbinafine HCL 250mg

Generic For: Lamisil

Terbinafine HCL 250mg (brand name Lamisil) is a prescription oral antifungal tablet used to treat fungal infections of the toenails and fingernails, known as onychomycosis. After a licensed provider reviews your information and confirms a valid prescription, your medication ships directly from a licensed U.S. pharmacy.

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Terbinafine HCL (Lamisil) is an oral antifungal for toenail fungus and fingernail fungus (onychomycosis)

Terbinafine HCL 250mg Quick Facts

Drug classAllylamine antifungal
TreatsToenail fungus, fingernail fungus (onychomycosis)
FormTablet
Typical dosingTake 1 tablet by mouth daily for 2-12 weeks.
Prescription requiredYes — prescription only

What Is Terbinafine HCL 250mg?

Terbinafine HCL is an oral antifungal medication in the allylamine class, sold under the brand name Lamisil. It works by blocking an enzyme fungi need to build their cell membranes, which stops fungal growth. Terbinafine HCL 250mg tablets are FDA-approved to treat onychomycosis — fungal infections of the toenails or fingernails caused by dermatophytes. Because nails grow slowly, full results are typically seen months after the treatment course is completed.

What Does Terbinafine HCL 250mg Treat?

Toenail fungus (onychomycosis of the toenail)
Fingernail fungus (onychomycosis of the fingernail)
Dermatophyte nail infections confirmed by testing
Sometimes prescribed off-label for other dermatophyte infections at provider discretion

Terbinafine HCL 250mg Dosage

Fingernail onychomycosis: 250 mg by mouth once daily for 6 weeks.
Toenail onychomycosis: 250 mg by mouth once daily for 12 weeks.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Terbinafine HCL 250mg Side Effects

Common side effects

  • Headache
  • Diarrhea
  • Upset stomach or indigestion
  • Rash
  • Taste disturbance or taste loss
  • Nausea
  • Abdominal pain
  • Itching

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Signs of liver injury (dark urine, jaundice, persistent nausea, fatigue)
  • Severe skin reactions (Stevens-Johnson syndrome, blistering, peeling)
  • Persistent taste or smell loss
  • Depression or mood changes
  • Signs of low white blood cell count (fever, sore throat, infections)
  • Allergic reaction (swelling of face or throat, difficulty breathing)

Warnings & Interactions

Not recommended for patients with chronic or active liver disease
Liver function tests are advised before starting treatment
Stop and seek care if symptoms of liver injury or severe skin reaction occur
May cause taste or smell disturbance that can be prolonged or permanent
Can interact with drugs metabolized by CYP2D6 (e.g., certain antidepressants, beta-blockers)
Caffeine levels may increase; cyclosporine levels may decrease
Tell your provider about all medications and any history of lupus or depression

Tell your prescriber about all medications, supplements, and health conditions before starting terbinafine hcl 250mg.

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Frequently Asked Questions

What is terbinafine HCL used for?

Terbinafine HCL 250mg tablets are FDA-approved to treat onychomycosis, a fungal infection of the toenails or fingernails caused by dermatophytes. It is taken once daily for 6 weeks for fingernails or 12 weeks for toenails.

Do I need a prescription for terbinafine HCL 250mg?

Yes. Terbinafine HCL tablets are a prescription-only medication in the United States. A licensed healthcare provider must evaluate you and confirm the medication is appropriate before it can be dispensed.

How does ordering and shipping work?

After you place your order, a licensed provider reviews your health information and prescription. Once approved, your medication is dispensed and shipped from a licensed U.S. pharmacy in discreet packaging.

How long does terbinafine take to work?

The treatment course is 6 weeks for fingernail infections and 12 weeks for toenail infections. Because nails grow slowly, it may take several months after finishing treatment to see a fully clear, healthy nail.

Is terbinafine HCL the same as Lamisil?

Yes. Terbinafine HCL is the active ingredient in the brand-name medication Lamisil. The generic tablet contains the same active ingredient at the same strength and is held to the same FDA standards.

What should I avoid while taking terbinafine?

Avoid alcohol and discuss all medications with your provider, since terbinafine can interact with certain antidepressants, beta-blockers, and other drugs. Contact your provider promptly if you notice dark urine, yellowing skin, rash, or changes in taste.

Can I take terbinafine if I have liver problems?

Terbinafine is not recommended for people with chronic or active liver disease, and your provider may order liver tests before you start. Tell your provider about any history of liver conditions before taking this medication.