×
Components:
Terbinafine Hydrochloride
Method of action:
Antifungal Broad Spectrum
Available in countries
See all
close
Medically reviewed by Militian Inessa Mesropovna, PharmD. Last updated on 2020.01.22

Name of the medicinal product

Lamican

Qualitative and quantitative composition

Terbinafine Hydrochloride

Pharmaceutical form

Pills

Therapeutic indications

The information provided in Therapeutic indications of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Therapeutic indications in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

The treatment of tinea pedis (athlete's foot) and tinea cruris (dhobie itch/jock itch)

Fungal infections of the skin caused by dermatophytes such as species of Trichophyton (e.g. T. rubrum, T. mentagrophytes, T. verrucosum, T. violaceum), Microsporum canis and Epidermophyton floccosum.

Infections of the skin caused by Candida (e.g. Candida albicans).

Pityriasis (tinea) versicolor caused by Pityrosporum orbiculare (Malassezia furfur).

Dosage (Posology) and method of administration

The information provided in Dosage (Posology) and method of administration of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Dosage (Posology) and method of administration in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

Posology

Adults and adolescents (>12 years of age)

Duration and frequency of treatment:

Lamican can be applied once or twice daily.

The likely duration of each treatment is as follows:

Tinea pedis: 1 week.

Tinea cruris and Tinea corporis: 1 to 2 weeks.

Cutaneous candida: 2 weeks.

Pityriasis versicolor: 2 weeks.

Relief of symptoms is usually obtained within a few days.

Irregular use or an inadequate treatment period increases the risk of the symptoms returning. If no improvement is obtained after 2 weeks, the diagnosis should be re-evaluated.

Elderly

There has been nothing to indicate that elderly patients require a different dosage or have a side effects profile different from younger patients.

Paediatric population

Lamican 1 % Cream is not recommended for children below 12 years of age due to insufficient data on safety. The experience in children is limited.

Method of administration

For cutaneous use.

The skin should be clean and dry. The cream should be applied in a thin layer on and around the affected skin and rubbed in gently. In cases of reddened and weeping infection (under the breasts, between the fingers, buttocks or in the groin) the skin may be covered with a sterile compress after application of the cream, especially at night.

Contraindications

The information provided in Contraindications of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Contraindications in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

Special warnings and precautions for use

The information provided in Special warnings and precautions for use of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Special warnings and precautions for use in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

Lamican 1 % Cream cream is for external use only.

Lamican 1 % Cream cream may be irritating to the eyes. Contact with the eyes should be avoided. In case of accidental contact with the eyes, rinse eyes thoroughly with running water.

Lamican cream should be kept out of the reach of children.

In the event of allergic reaction, the cream should be removed and the treatment interrupted.

Candidiasis: It is not recommended to use acid pH soap. (This provides favourable growth conditions for Candida spp.

Excipients

The cream contains cetyl alcohol and cetostearyl alcohol which may cause local skin reactions (e.g. contact dermatitis).

Effects on ability to drive and use machines

The information provided in Effects on ability to drive and use machines of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Effects on ability to drive and use machines in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

Lamican 1 % Cream cream has no influence on the ability to drive and use machines.

Undesirable effects

The information provided in Undesirable effects of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Undesirable effects in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

Local symptoms such as pruritus, skin exfoliation, application site pain, application site irritation, pigmentation disorder, skin burning sensation, erythema, scab, etc. may occur at the site of application.

These harmless symptoms must be distinguished from hypersensitivity reactions including rash, which are reported in sporadic cases and require discontinuation of therapy.

In case of accidental contact with the eyes Lamican may be irritating to the eyes.

In rare cases the underlying fungal infection may be aggravated.

Adverse reactions are listed below by system organ class and the frequency. Frequencies are defined as: very common (>1/10), common (>1/100 to <1/10), uncommon (>1/1,000 to <1/100), rare (>1/10,000 to <1/1,000), very rare (<1/10,000), not known (cannot be estimated from the available data). Within each frequency grouping, adverse reactions are presented in order of decreasing seriousness.

Immune system disorders

Not known:

Hypersensitivity*

Eye disorders

Rare:

Eye irritation

Skin and subcutaneous tissue disorders

Common:

Skin exfoliation, pruritus

Uncommon:

Skin lesion, scab, skin disorder, pigmentation disorder, erythema, skin burning sensation

Rare:

Dry skin, dermatitis contact, eczema

Not known:

Rash*

General disorders and administration site conditions

Uncommon:

Pain, application site pain, application site irritation

Rare:

Condition aggravated

* Based on post-marketing experience

Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.

Overdose

The information provided in Overdose of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Overdose in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

The low systemic absorption of topical Lamican renders overdosage extremely unlikely.

Symptoms

Accidental ingestion of one 30 g tube of Lamican cream, which contains 300 mg Lamican hydrochloride, is comparable to ingestion of one Lamican 250 mg tablet (adult oral unit dose).

Should a larger amount of Lamican cream be inadvertently ingested, adverse effects similar to those observed with an overdosage of Lamican tablets are to be expected. These include headache, nausea, epigastric pain and dizziness.

Treatment

If accidentally ingested, the recommended treatment of overdosage consists of eliminating the active substance, primarily by the administration of activated charcoal, and giving symptomatic supportive therapy if needed.

Pharmacodynamic properties

The information provided in Pharmacodynamic properties of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Pharmacodynamic properties in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

Pharmacotherapeutic group: Antifungal for topical use (ATC code D01A E15)

Lamican is an allylamine that has a broad spectrum of antimycotic activity. It has an antimycotic effect on fungal infections of the skin caused by dermatophytes such as Trichophyton (e.g. T. rubrum, T. mentagrophytes, T. verrucosum, T. violaceum), Microsporum canis and Epdermophyton floccosum. At low concentrations Lamican has a fungicidal effect against dermatophytes and moulds. Its activity against yeasts is fungicidal (e.g. Pityrosporum orbiculare or Malassezia furfur) or fungistatic, depending on the species.

Lamican interferes specifically with fungal sterol biosynthesis at an early step. This leads to a deficiency in ergosterol and to an intracellular accumulation of squalene, resulting in fungal cell death. Lamican acts by inhibition of squalene epoxidase in the fungal cell membrane.

The enzyme squalene epoxidase is not linked to the cytochrome P-450 system. Lamican does not influence the metabolism of hormones or other drugs.

Pharmacokinetic properties

The information provided in Pharmacokinetic properties of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Pharmacokinetic properties in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

Less than 5% of the dose is absorbed after topical application to humans: systemic exposure is thus very low.

Pharmacotherapeutic group

The information provided in Pharmacotherapeutic group of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Pharmacotherapeutic group in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close
Antifungal for topical use (ATC code D01A E15)

Preclinical safety data

The information provided in Preclinical safety data of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Preclinical safety data in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

In long-term studies (up to 1 year) in rats and dogs no marked toxic effects were seen in either species up to oral doses of about 100 mg/kg a day. At high oral doses, the liver and possibly also the kidneys were identified as potential target organs.

In a two-year oral carcinogenicity study in mice, no neoplastic or other abnormal findings attributable to treatment were made up to doses of 130 (males) and 156 (females) mg/kg a day. In a two-year oral carcinogenicity study in rats at the highest dose level, 69 mg/kg a day, an increased incidence of liver tumours was observed in males. The changes, which may be associated with peroxisome proliferation, have been shown to be species-specific since they were not seen in the carcinogenicity study in mice or in other studies in mice, dogs or monkeys.

During the studies of high dose oral Lamican in monkeys, refractile irregularities were observed in the retina at the higher doses (non-toxic effect level was 50 mg/kg). These irregularities were associated with the presence of a Lamican metabolite in ocular tissue and disappeared after drug discontinuation. They were not associated with histological changes.

A standard battery of in vitro and in vivo genotoxicity tests revealed no evidence of a mutagenic or clastogenic potential for the drug.

No adverse effects on fertility or other reproduction parameters were observed in studies in rats or rabbits.

Incompatibilities

The information provided in Incompatibilities of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Incompatibilities in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

Not applicable.

Special precautions for disposal and other handling

The information provided in Special precautions for disposal and other handling of Lamican is based on data of another medicine with exactly the same composition as the Lamican of the medicine (Terbinafine Hydrochloride). Be careful and be sure to specify the information on the section Special precautions for disposal and other handling in the instructions to the drug Lamican directly from the package or from the pharmacist at the pharmacy.
more... close

Not applicable

Site feedback

How easy to use our site?

Commentary is required, without it we won't know how to become better
The maximum length of review is 1000 symbols

Thanks!

You help us to become better