{"id":53716,"date":"2023-09-20T09:49:59","date_gmt":"2023-09-20T09:49:59","guid":{"rendered":"https:\/\/medsname.com\/ifin\/"},"modified":"2026-04-30T10:25:09","modified_gmt":"2026-04-30T10:25:09","slug":"ifin","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/ifin\/","title":{"rendered":"Ifin"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 20px;margin:18px 0;border-radius:6px;\">\n<h3 style=\"margin-top:0;\">\ud83d\udca1 R\u0103spuns rapid<\/h3>\n<p style=\"margin-bottom:0;\">Ifin este un comprimat oral de terbinafin\u0103 250 mg \u2014 un antifungic din clasa alilaminelor \u0219i <strong>tratamentul oral de prim\u0103 inten\u021bie pentru onihomicoz\u0103 dermatofitic\u0103 (ciuperca unghiei de la picior\/de la m\u00e2n\u0103) \u0219i tinea capitis<\/strong>. 250 mg o dat\u0103 pe zi timp de 6 s\u0103pt\u0103m\u00e2ni (unghii de la m\u00e2ini) sau 12 s\u0103pt\u0103m\u00e2ni (unghii de la picioare). Se concentreaz\u0103 \u00een piele \u0219i unghii \u2014 persist\u0103 \u00een patul unghial s\u0103pt\u0103m\u00e2ni dup\u0103 ultima doz\u0103. Cele mai bune rate de vindecare dintre toate antifungicele orale pentru infec\u021bii dermatofitice (~76%). Este necesar monitorizarea enzimelor hepatice; hepatotoxicitate rar\u0103 dar grav\u0103. Nu este eficient \u00eempotriva Candida sau a drojdiilor non-dermatofitice \u2014 confirma\u021bi prezen\u021ba dermatofitului \u00eenainte de \u00eenceperea tratamentului.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f5f5;border:1px solid #e1e1e1;padding:18px 22px;margin:24px 0;border-radius:8px;display:flex;flex-wrap:wrap;justify-content:space-around;gap:16px;align-items:center;font-size:0.95em;\">\n<div style=\"text-align:center;flex:1;min-width:140px;\">\ud83c\udfed<br \/><strong>WHO-GMP<\/strong><br \/>produc\u0103tor autorizat<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<div style=\"text-align:center;flex:1;min-width:140px;\">\ud83d\udce6<br \/><strong>Ambalaj discret<\/strong><br \/>plic simplu<\/div>\n<div style=\"text-align:center;flex:1;min-width:140px;\">\ud83c\udf0d<br \/><strong>Livrare \u00een toat\u0103 lumea<\/strong><br \/>\u00een majoritatea \u021b\u0103rilor<\/div>\n<div style=\"text-align:center;flex:1;min-width:140px;\">\u2b50<br \/><strong>peste 1.400 de clien\u021bi<\/strong><br \/><a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">cite\u0219te recenziile<\/a><\/div>\n<\/div>\n<h2>\ud83d\udd12 De ce s\u0103 comanzi Ifin de la MedsBase<\/h2>\n<ul>\n<li><strong>produc\u0103tor certificat WHO-GMP<\/strong> \u2014 provenit de la o unitate reglementat\u0103, ambalaj final cu num\u0103r de lot \u0219i dat\u0103 de expirare.<\/li>\n<li><strong>Ambalaj discret<\/strong> \u2014 plic simplu, f\u0103r\u0103 denumirea medicamentului pe exterior.<\/li>\n<li><strong>Livrare \u00een toat\u0103 lumea<\/strong> \u00een majoritatea \u021b\u0103rilor cu <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance<\/a>.<\/li>\n<li><strong>Puncte de loialitate<\/strong> \u2014 1 punct pentru fiecare 1$ cheltuit (excluz\u00e2nd peptidele\/transportul); 100 puncte = 5$ reducere la urm\u0103toarea comand\u0103.<\/li>\n<\/ul>\n<h2 id=\"uses\">Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<p>Ifin (terbinafin\u0103 250 mg, Mankind Pharma) este terapia oral\u0103 standard pentru infec\u021biile fungice dermatofitice ale pielii \u0219i unghiilor. Are ac\u021biune fungicid\u0103 \u00eempotriva dermatofitelor (Trichophyton, Epidermophyton, Microsporum), fungistatic\u0103 \u00eempotriva majorit\u0103\u021bii speciilor de Candida (deci nu este utilizat pentru infec\u021biile cu drojdii) \u0219i activ\u0103 \u00eempotriva unor mucegaiuri.<\/p>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:0.95em;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Indica\u021bie<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Regim tipic<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Onihomicoz\u0103 \u2014 unghii de la m\u00e2ini<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">250 mg o dat\u0103 pe zi timp de 6 s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Onihomicoz\u0103 \u2014 unghii de la picioare<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">250 mg o dat\u0103 pe zi timp de 12 s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Tinea capitis (tinea scalpului) \u2014 adul\u021bi<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">250 mg o dat\u0103 pe zi timp de 4 s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Tinea capitis \u2014 copii &gt; 4 ani<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Doz\u0103 \u00een func\u021bie de greutate: 62,5 mg (10\u201320 kg) \/ 125 mg (20\u201340 kg) \/ 250 mg (&gt; 40 kg) o dat\u0103 pe zi timp de 4 s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Tinea pedis \/ cruris \/ corporis (extens\u0103 sau rezistent\u0103 la tratament topic)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">250 mg o dat\u0103 pe zi \u00d7 2\u20136 s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Tinea manuum<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">250 mg o dat\u0103 pe zi \u00d7 2\u20134 s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"how-to-take\">Cum se administreaz\u0103<\/h2>\n<ul>\n<li>Lua\u021bi cu sau f\u0103r\u0103 m\u00e2ncare \u2014 absorb\u021bia nu este afectat\u0103 semnificativ.<\/li>\n<li>Lua\u021bi la aceea\u0219i or\u0103 \u00een fiecare zi pentru a men\u021bine niveluri constante \u00een plasm\u0103.<\/li>\n<li>Nu \u00eentrerupe\u021bi tratamentul prematur \u2014 chiar \u0219i c\u00e2nd unghiul arat\u0103 normal, dermatofitele pot persista ad\u00e2nc \u00een matricea unghial\u0103.<\/li>\n<li>Unghiul mort, afectat de ciuperc\u0103, va continua s\u0103 creasc\u0103 timp de 9\u201312 luni dup\u0103 un tratament de 12 s\u0103pt\u0103m\u00e2ni reu\u0219it. Acest lucru este normal.<\/li>\n<\/ul>\n<h2 id=\"mechanism\">Cum func\u021bioneaz\u0103<\/h2>\n<p>Terbinafina inhib\u0103 squalena epoxidaza \u2014 o enzim\u0103 situat\u0103 mai devreme \u00een calea de biosintez\u0103 a ergosterolului dec\u00e2t \u021binta CYP51 a azolilor. Acest lucru determin\u0103 acumularea de squalen \u00een interiorul celulei fungice (efect toxic) \u0218I epuizarea ergosterolului (disruptie membranar\u0103) \u2014 mecanismul dual explic\u0103 de ce terbinafina este fungicid\u0103 \u00eempotriva dermatofitelor. Foarte lipofil\u0103 \u2014 se concentreaz\u0103 \u00een stratul corneu, foliculii de p\u0103r, sebum \u0219i unghii la concentra\u021bii de multe ori mai mari dec\u00e2t \u00een plasm\u0103. Persist\u0103 \u00een unghie timp de s\u0103pt\u0103m\u00e2ni dup\u0103 administrare.<\/p>\n<h2 id=\"side-effects\">Efecte secundare \u0219i monitorizare<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:0.95em;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Frecven\u021b\u0103<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Efecte<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Foarte frecvente (\u226510%)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Dureri de cap, simptome gastrointestinale (grea\u021b\u0103, dureri abdominale, diaree), erup\u021bii cutanate u\u0219oare<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Frecvente<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\"><strong>Tulbur\u0103ri de gust \/ pierderea gustului<\/strong> (~3% \u2014 de obicei reversibile \u00een c\u00e2teva s\u0103pt\u0103m\u00e2ni p\u00e2n\u0103 la luni, dar pot persista), artralgie, mialgie<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Pu\u021bin frecvente<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Cre\u0219terea enzimelor hepatice, depresie, neuropatie periferic\u0103<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Rare, dar grave<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Hepatotoxicitate sever\u0103 (idiosincratic\u0103, poate fi fatal\u0103 \u2014 \u00eentrerupe\u021bi dac\u0103 AST\/ALT &gt; 3\u00d7 ULN sau orice simptome), reac\u021bii cutanate severe (SJS, TEN, AGEP), lupus indus de medicamente, agranulocitoz\u0103, neutropenie<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:20px 0;border-radius:6px;\"><strong>Monitorizarea func\u021biei hepatice<\/strong><\/p>\n<div>Verifica\u021bi valorile ini\u021biale ale testelor hepatice (LFTs) \u00eenainte de a \u00eencepe tratamentul. Repeta\u021bi la 4\u20136 s\u0103pt\u0103m\u00e2ni dac\u0103 tratamentul dep\u0103\u0219e\u0219te 6 s\u0103pt\u0103m\u00e2ni. \u00centrerupe\u021bi terbinafina imediat dac\u0103 AST\/ALT &gt; 3\u00d7 ULN sau dac\u0103 apar simptome (icter, urin\u0103 \u00eenchis\u0103, grea\u021b\u0103 persistent\u0103, durere \u00een cadranul superior drept, oboseal\u0103 sever\u0103). Majoritatea cazurilor de hepatotoxicitate sever\u0103 apar \u00een primele 4\u20136 s\u0103pt\u0103m\u00e2ni de tratament.<\/div>\n<\/div>\n<h2 id=\"interactions\">Interac\u021biuni medicamentoase<\/h2>\n<p>Terbinafina are mai pu\u021bine interac\u021biuni dec\u00e2t azolii, dar este un inhibitor moderat al CYP2D6:<\/p>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:0.95em;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Clasa de medicamente<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Efect<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ccc;\">Ac\u021biune<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Antidepresive triciclice (amitriptilin\u0103, nortriptilin\u0103)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Cre\u0219terea nivelurilor \u2014 toxicitate anticolinergic\u0103\/cardiac\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Reduce\u021bi doza; monitoriza\u021bi<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">SSRI\/SNRI (paroxetin\u0103, fluoxetin\u0103, venlafaxin\u0103, duloxetin\u0103)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Nivelurile cresc<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Monitoriza\u021bi pentru sindrom serotoninergic\/efecte adverse<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Beta-blocante (metoprolol, propranolol, carvedilol)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Cre\u0219terea nivelurilor \u2014 bradicardie, hipotensiune<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Monitorizare puls \/ TA<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Antiari\u021bmice (flecainid\u0103, propafenon\u0103)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Cre\u0219tere niveluri \u2014 proari\u021bie<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Evita\u021bi combina\u021bia dac\u0103 este posibil<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Codein\u0103, tramadol<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Efect analgezic redus (CYP2D6 activeaz\u0103 acestea)<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Trece\u021bi la morfin\u0103 sau analgezie neopioid\u0103<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Rifampicin\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Clirenta terbinafinei crescut\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Cre\u0219te\u021bi doza de terbinafin\u0103 cu 50% sau prelungi\u021bi durata<\/td>\n<\/tr>\n<tr style=\"background:#fff;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Cimetidina<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Reduce clirenta terbinafinei<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">De obicei, nu este necesar\u0103 ajustarea dozei<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ccc;\">Cafein\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Cre\u0219tere niveluri \u2014 agita\u021bie<\/td>\n<td style=\"padding:8px;border:1px solid #ccc;\">Reduce\u021bi consumul de cafein\u0103<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"contraindications\">Cine nu ar trebui s\u0103 ia terbinafin\u0103 oral\u0103<\/h2>\n<ul>\n<li>Boal\u0103 hepatic\u0103 activ\u0103 sau cronic\u0103 \u2014 \u00een special ciroz\u0103, hepatit\u0103 activ\u0103.<\/li>\n<li>Insuficien\u021b\u0103 renal\u0103 sever\u0103 (CrCl &lt; 50 mL\/min \u2014 date limitate).<\/li>\n<li>Hipersensibilitate la terbinafin\u0103.<\/li>\n<li>Precau\u021bie la pacien\u021bii cu boli autoimune \u2014 terbinafina poate precipita lupus cutanat.<\/li>\n<li>Precau\u021bie \u00een timpul sarcinii \u0219i al\u0103pt\u0103rii (date limitate; am\u00e2na\u021bi tratamentul onicomicozei dup\u0103 aceste perioade).<\/li>\n<\/ul>\n<h2 id=\"pregnancy\">Sarcina &amp; al\u0103ptare<\/h2>\n<p>Date limitate privind sarcina la om. Studiile pe animale nu arat\u0103 teratogenitate. Onicomicioza nu pune via\u021ba \u00een pericol \u2014 am\u00e2na\u021bi tratamentul dup\u0103 sarcin\u0103 \u0219i al\u0103ptare. Terbinafina este excretat\u0103 \u00een laptele matern; nu este recomandat\u0103 \u00een timpul al\u0103pt\u0103rii, cu excep\u021bia cazurilor \u00een care beneficiul dep\u0103\u0219e\u0219te clar riscul.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>C\u00e2t timp va dura p\u00e2n\u0103 c\u00e2nd unghia de la picior va ar\u0103ta normal?<\/h3>\n<p>Medicamentul elimin\u0103 ciuperca \u00een cursul tratamentului de 12 s\u0103pt\u0103m\u00e2ni, dar unghia moart\u0103 \u0219i decolorat\u0103 continu\u0103 s\u0103 creasc\u0103 din matrice. Unghiile de la picior necesit\u0103 9\u201312 luni pentru a ar\u0103ta complet normale; cele de la m\u00e2ini 4\u20136 luni. Fotografia\u021bi la luna 0, 3, 6, 12 pentru a urm\u0103ri obiectiv progresul.<\/p>\n<h3>De ce trebuie s\u0103 confirm\u0103m mai \u00eent\u00e2i c\u0103 este vorba despre o dermatofit\u0103?<\/h3>\n<p>Terbinafina este foarte activ\u0103 \u00eempotriva dermatofitelor (Trichophyton, Epidermophyton), dar are o activitate slab\u0103 \u00eempotriva Candida \u0219i a majorit\u0103\u021bii mucegaiurilor non-dermatofite. ~50% din decolor\u0103rile unghiilor sunt cauzate de altceva dec\u00e2t dermatofite (psoriazis, lichen planus, traum\u0103, melanom). Analiza microscopic\u0103 \u0219i cultur\u0103 (sau PCR) a unui fragment de unghie \u00eenainte de \u00eenceperea tratamentului poate evita 12 s\u0103pt\u0103m\u00e2ni de terapie inutil\u0103.<\/p>\n<h3>De ce simt gust metalic \/ nu pot sim\u021bi gustul m\u00e2nc\u0103rii?<\/h3>\n<p>Tulbur\u0103rile de gust afecteaz\u0103 ~3% din pacien\u021bii care iau terbinafin\u0103 oral\u0103. Mecanismul nu este pe deplin \u00een\u021beles. De obicei, sunt reversibile \u00een c\u00e2teva s\u0103pt\u0103m\u00e2ni sau luni dup\u0103 \u00eentrerupere, dar ~10% din cazuri pot fi persistente sau permanente. Dac\u0103 tulburarea de gust apare \u00een timpul terapiei, evalua\u021bi impactul fa\u021b\u0103 de rata de vindecare \u2014 uneori merit\u0103 s\u0103 finaliza\u021bi tratamentul, alteori este preferabil s\u0103 trece\u021bi la itraconazol.<\/p>\n<h3>Terbinafin\u0103 vs itraconazol \u2014 care este mai potrivit pentru unghia de la picior?<\/h3>\n<p>Terbinafina este de prim\u0103 inten\u021bie pentru onicomicioza dermatofitic\u0103: rat\u0103 de vindecare mai mare (~76% vs ~63%), mai pu\u021bine interac\u021biuni medicamentoase, f\u0103r\u0103 restric\u021bii legate de aciditate gastric\u0103. Itraconazolul \u00een puls este preferat pentru onicomicioza cauzat\u0103 de mucegaiuri non-dermatofite sau Candida mixt\u0103, sau c\u00e2nd terbinafina este contraindicat\u0103.<\/p>\n<h3>Pot consuma alcool \u00een timp ce iau terbinafin\u0103?<\/h3>\n<p>At\u00e2t alcoolul, c\u00e2t \u0219i terbinafina sunt metabolizate de ficat. Consumul excesiv de alcool cre\u0219te riscul de hepatotoxicitate. Consumul moderat este \u00een general acceptat; evita\u021bi excesele \u0219i renun\u021ba\u021bi complet la alcool dac\u0103 ave\u021bi probleme hepatice preexistente. Un tratament de 12 s\u0103pt\u0103m\u00e2ni este o perioad\u0103 rezonabil\u0103 pentru a reduce consumul de alcool.<\/p>\n<h3>Ce fac cu copilul meu care are tinei pe scalp?<\/h3>\n<p>Terbinafina este autorizat\u0103 pentru tinea capitis la copii &gt; 4 ani (dozaj \u00een func\u021bie de greutate). Pentru Trichophyton tonsurans (cauza comun\u0103 \u00een Marea Britanie\/SUA), este tratamentul de prim\u0103 inten\u021bie \u2014 curs de 4 s\u0103pt\u0103m\u00e2ni, cu rat\u0103 de vindecare mai mare dec\u00e2t griseofulvina \u0219i durat\u0103 mai scurt\u0103. Pentru Microsporum canis, griseofulvina este preferat\u0103.<\/p>\n<h3>Am avut anterior alopecie areata \u2014 terbinafina poate \u00eenr\u0103ut\u0103\u021bi starea?<\/h3>\n<p>Terbinafina este rar asociat\u0103 cu pierderea de p\u0103r de nou\u0103 apari\u021bie (efluvium telogen). Alopecia areata preexistent\u0103 nu este o contraindica\u021bie. Dac\u0103 apare o pierdere semnificativ\u0103 de p\u0103r, consulta\u021bi un dermatolog.<\/p>\n<h3>De ce m\u0103 dor mu\u0219chii c\u00e2nd iau terbinafin\u0103?<\/h3>\n<p>Mialgia \u0219i artralgia sunt efecte secundare recunoscute (~5%). De obicei sunt u\u0219oare \u0219i se rezolv\u0103 cu continuarea tratamentului. Dac\u0103 apar dureri musculare severe, urin\u0103 \u00eenchis\u0103 sau sl\u0103biciune \u2014 \u00eentrerupe\u021bi medicamentul \u0219i consulta\u021bi un medic (rabdomioliz\u0103 sau miopatie indus\u0103 de medicament, rare).<\/p>\n<h3>Pot face exerci\u021bii fizice c\u00e2nd iau terbinafin\u0103?<\/h3>\n<p>Da \u2014 exerci\u021biile fizice normale sunt \u00een regul\u0103. Mialgia u\u0219oar\u0103 pe care o experimenteaz\u0103 unii pacien\u021bi nu este legat\u0103 de exerci\u021biu. Dac\u0103 apar dureri neobi\u0219nuite \u00een picioare sau urin\u0103 \u00eenchis\u0103 dup\u0103 exerci\u021biu, \u00eentrerupe\u021bi medicamentul \u0219i verifica\u021bi nivelul de CK.<\/p>\n<h3>Ifin este acela\u0219i lucru cu Lamisil?<\/h3>\n<p>Da \u2014 Lamisil este marca original\u0103 Novartis a terbinafinei. Ifin con\u021bine acela\u0219i principiu activ, fabricat de Mankind Pharma \u00een conformitate cu standardele WHO-GMP. Bioechivalent.<\/p>\n<h2 id=\"storage\">Depozitare<\/h2>\n<p>P\u0103stra\u021bi comprimatele la 15\u201330 \u00b0C, departe de umiditate \u0219i lumin\u0103. P\u0103stra\u021bi \u00een blisterul original. Nu utiliza\u021bi dup\u0103 data de expirare. P\u0103stra\u021bi departe de reach-ul copiilor.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Alte medicamente antifungice care te-ar putea interesa<\/h2>\n<p>Dac\u0103 Ifin nu este disponibil, iat\u0103 alternative \u2014 aceea\u0219i molecul\u0103 de la un alt produc\u0103tor, plus op\u021biuni pentru indica\u021bii \u00een care terbinafina nu este de prim\u0103 inten\u021bie.<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zimig\/\"><strong>Zimig (terbinafin\u0103 250 mg)<\/strong><\/a> \u2014 Linia \u00eent\u00e2i pentru onicomicioza dermatofitic\u0103; ~76% rat\u0103 de vindecare.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/sporanox-capsule\/\"><strong>Sporanox (itraconazol 100 mg)<\/strong><\/a> \u2014 Terapie puls pentru onicomicioza cu mucegaiuri non-dermatofite sau mixt\u0103 cu Candida.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/grisovin-fp\/\"><strong>Grisovin FP (griseofulvin\u0103)<\/strong><\/a> \u2014 Tinea capitis cauzat\u0103 de Microsporum (pediatric).<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/loceryl-nail-liq\/\"><strong>Loceryl (amorolfin\u0103 5%)<\/strong><\/a> \u2014 Lac topic pentru ciuperca u\u0219oar\u0103 a marginii distale a unghiului.<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zocon\/\"><strong>Zocon (fluconazol 150 mg)<\/strong><\/a> \u2014 Terapie oral\u0103 standard pentru Candida (mugur vaginal, oral, esofagian).<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 18px;margin:24px 0;font-size:0.95em;\"><strong>Not\u0103 medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 con\u021bine informa\u021bii despre produse pentru adul\u021bi care comand\u0103 medicamente antifungice pentru uz personal. Nu \u00eenlocuie\u0219te sfatul medical individual. Discut\u0103 cu un clinician calificat despre antifungicul potrivit, doza \u0219i durata tratamentului \u2014 mai ales dac\u0103 ai probleme hepatice, e\u0219ti gravid\u0103 sau al\u0103ptezi, iei warfarin, iei un statin, iei imunosupresoare sau ai o infec\u021bie fungic\u0103 la unghii care ar putea fi o alt\u0103 afec\u021biune (psoriazis, lichen planus, traumatism).<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Trateaz\u0103 diverse infec\u021bii fungice<br \/>\n\u2705 Alinare rapid\u0103 a simptomelor<br \/>\n\u2705 Previne r\u0103sp\u00e2ndirea infec\u021biei<br \/>\n\u2705 Tratament antifungic puternic<br \/>\n\u2705 Reduce riscul de recidiv\u0103<\/h5>\n<p><span style=\"color: #999999;\">Ifin con\u021bine Terbinafine Hydrochloride<\/span><\/p>","protected":false},"featured_media":53717,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3501,3141,3504,3342],"product_tag":[3628,3629,3630],"class_list":{"0":"post-53716","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-fungal","7":"product_cat-category-overview","8":"product_cat-fungal-infection-treatment","9":"product_cat-general-health","10":"product_tag-ifin","11":"product_tag-terbinafine","12":"product_tag-terbinafine-hydrochloride","14":"first","15":"outofstock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/53716","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=53716"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/53717"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=53716"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=53716"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=53716"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=53716"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}