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Formulas

Terbinafine HCl 2% Nail Liquid

FDA-approved generic
Dose form
Nail Solution
Active ingredients
Terbinafine Hydrochloride

Description: Terbinafine HCl 2% Nail Liquid is a specialized topical solution formulated for direct application to the nails. This antifungal medication is designed to treat nail conditions such as onychomycosis, a fungal infection that causes nail thickening, brittleness, and discoloration. By delivering Terbinafine HCl directly to the affected area, this nail liquid supports the eradication of fungal pathogens, promotes healthy nail regeneration, and aids in restoring the natural appearance of the nails.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Terbinafine Hydrochloride
Nail Solution
65d774e7b66d7407e02d4504
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Terbinafine HCl 2% Nail Liquid is a specialized topical formulation designed to treat various nail conditions, including fungal infections, which are often characterized by nail brittleness, discoloration, and thickening. Terbinafine hydrochloride, the active ingredient in this formulation, is an allylamine antifungal that works by inhibiting the enzyme squalene epoxidase, which is a key component in the fungal cell membrane synthesis pathway. By disrupting this pathway, terbinafine impairs the cell membrane formation of the fungus.

The 2% concentration of Terbinafine HCl in the nail liquid formulation ensures sufficient drug penetration through the dense nail plate to reach the site of infection. This is particularly important as the nail environment can be challenging for drug delivery due to the hard keratin structure of the nails. The liquid dosage form is advantageous for nail application as it allows for easy application and the ability to reach the nail bed and the undersurface of the nail plate, which are common sites of infection.

Patients using Terbinafine HCl 2% Nail Liquid should be advised that nail infections typically require prolonged treatment periods due to the slow growth rate of nails. Consistent application as directed by a healthcare provider is crucial for the success of the therapy. It is also important to maintain good nail hygiene during treatment to prevent reinfection. Prescribers should consider the patient's medical history, including any hepatic or renal impairment, which may affect the metabolism and excretion of the medication, and adjust the treatment regimen accordingly.

For optimal results, the affected nails should be kept clean and dry, and the liquid should be applied to the entire nail surface and the skin immediately surrounding the nail. The formulation is designed to be used once daily or as prescribed by a healthcare provider. Patients should be informed that while some improvement may be seen in a few weeks, complete cure and regrowth of healthy nails may take several months, depending on the extent of the infection and the individual's nail growth rate.

As with any medication, there may be potential side effects, and patients should be instructed to report any signs of adverse reactions, such as skin irritation or allergic reactions, to their healthcare provider.

If you have any questions or require further information about Terbinafine HCl 2% Nail Liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support and guidance to both patients and prescribers to ensure the safe and appropriate use of this formulation.

Drug Interactions

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Terbinafine HCl is an antifungal agent commonly used to treat fungal infections of the nails, such as onychomycosis. When formulated as a 2% nail liquid, it is designed for topical application directly to the affected nails. The active ingredient, terbinafine hydrochloride, works by inhibiting the enzyme squalene epoxidase, which is a key component in the fungal cell membrane synthesis pathway. This action leads to a deficiency in ergosterol, an essential component of fungal cell membranes, causing fungal cell death and resolution of the infection. This targeted approach helps to reduce the fungal load, leading to an improvement in nail color, structure, and growth over time.

While the systemic absorption of terbinafine from topical formulations is minimal, it is still important to consider potential drug interactions, especially in patients who may be using other topical or systemic medications. Terbinafine has been known to interact with certain drugs when taken orally, but the likelihood of significant interactions from a topical nail liquid is low. However, caution should be exercised when it is used concurrently with other topical agents. The concomitant use of other topical products on the nails may alter the absorption or efficacy of terbinafine. It is advisable to allow sufficient time between the application of different products to ensure proper absorption and to prevent potential physical interactions such as changes in viscosity or pH that could affect the medication's stability or efficacy.

Patients should be advised to inform their healthcare provider of all medications they are currently using, including over-the-counter drugs, prescription medications, herbal supplements, and other topical treatments. This is particularly important for patients who are using other topical agents with similar or opposing effects, or those who are on systemic medication with a known interaction profile with terbinafine, such as cimetidine, rifampin, or certain antidepressants. Although systemic effects are unlikely with topical application, patients with a history of hepatic dysfunction or those taking hepatotoxic drugs should be monitored closely due to terbinafine's metabolism in the liver when taken orally.

It is also important to note that while the topical application of terbinafine 2% nail liquid is generally safe, its use should be avoided in cases of known hypersensitivity to terbinafine or any of the excipients in the formulation. If irritation or allergic reaction occurs, use of the product should be discontinued, and appropriate medical advice should be sought.

For any questions or concerns regarding the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide the necessary guidance and support to ensure the safe and appropriate use of Terbinafine HCl 2% Nail Liquid.

How Does it Work

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Terbinafine HCl 2% Nail Liquid is a specially designed topical treatment that directly targets the nails, providing relief and resolution from various nail conditions, including fungal infections, brittleness, and discoloration. The active ingredient, Terbinafine Hydrochloride, is an antifungal agent that works by inhibiting the enzyme squalene epoxidase, which is found on the fungal cell membrane. By blocking this enzyme, Terbinafine disrupts the fungal cell membrane's formation and integrity, leading to the death of the fungal cells and, consequently, the treatment of the infection.

When applied to the nail surface, the liquid spreads out and seeps into the nail bed, reaching the site of infection. This targeted approach ensures that the active ingredient is delivered directly to the affected area, maximizing the treatment's efficacy while minimizing systemic absorption and potential side effects.

For patients suffering from onychomycosis, or fungal nail infections, Terbinafine HCl 2% Nail Liquid provides a potent antifungal treatment that can lead to the restoration of clear, healthy nails. It is also beneficial for those dealing with brittle or discolored nails that may be a result of fungal overgrowth or secondary to the infection. Regular application as directed by a healthcare provider can result in improved nail appearance and health over time.

It is important for patients and prescribers to understand that nail infections typically require prolonged treatment due to the slow growth rate of nails. Consistency and adherence to the prescribed treatment regimen are crucial for the success of the therapy. Additionally, while Terbinafine HCl 2% Nail Liquid is a powerful antifungal, it is essential to maintain proper nail hygiene and take preventative measures to avoid reinfection.

If you have any questions about the use of Terbinafine HCl 2% Nail Liquid, its mechanism of action, or its suitability for treating specific nail conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the information and support you need to ensure the safe and appropriate use of this medication.

Frequently Asked Questions

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What is Terbinafine HCl 2% Nail Liquid used for?

Terbinafine HCl 2% Nail Liquid is used for the treatment of fungal nail infections (onychomycosis) and other nail conditions that cause brittleness, discoloration, or affect nail health. Its formulation allows it to act directly on the affected nails to promote healing and improve their appearance.

How should I apply Terbinafine HCl 2% Nail Liquid?

Apply the Terbinafine HCl 2% Nail Liquid to the affected nail(s) typically once or twice a day, following the specific instructions provided by your healthcare provider. Ensure the nail is clean and dry before application. Use the applicator to evenly distribute the liquid over the entire nail surface and under the tip of the nail if possible.

Can I use nail polish or other cosmetic nail products while using this medication?

It is generally recommended to avoid using nail polish or other cosmetic nail products on the treated nails to allow the medication to work effectively. Consult your healthcare provider for specific advice related to your treatment.

How long does it take to see results from using Terbinafine HCl 2% Nail Liquid?

Results can vary based on the extent of the nail infection and individual healing rates. It may take several weeks to notice an improvement in the nail's appearance, and complete nail regrowth may take months. It's important to continue using the medication as directed by your healthcare provider, even if you don't notice immediate results.

Is Terbinafine HCl 2% Nail Liquid safe for all age groups?

While Terbinafine is commonly prescribed to adults, its use in children or specific populations should be determined by a healthcare professional. Always consult with a healthcare provider before using this medication to determine if it's appropriate for your age and health condition.

What should I do if I forget a dose?

If you forget to apply a dose, apply it as soon as you remember. However, if it's almost time for your next scheduled application, skip the missed dose and continue with your regular dosing schedule. Do not apply extra medication to make up for a missed dose.

Can I use Terbinafine HCl 2% Nail Liquid on my toenails and fingernails?

Yes, Terbinafine HCl 2% Nail Liquid can be used on both toenails and fingernails. Follow your healthcare provider's instructions when applying to the affected nails.

What are the possible side effects of Terbinafine HCl 2% Nail Liquid?

Some common side effects may include mild itching, irritation, or redness around the treated nail. Serious side effects are rare when using topical formulations; however, if you experience any severe reactions or signs of an allergic reaction, such as hives, swelling of the face, lips, tongue, or throat, seek immediate medical attention.

Will Terbinafine HCl 2% Nail Liquid cure my nail fungus completely?

For some individuals, additional or prolonged treatment may be necessary.

Should I avoid any activities while using Terbinafine HCl 2% Nail Liquid?

Generally, you do not need to avoid any specific activities while using this medication. However, you should protect the treated nails from excessive moisture (such as being submerged in water for long periods) and avoid wearing tight-fitting, non-breathable shoes to help promote a healing environment for your nails.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Terbinafine HCl 2% Nail Liquid
Nail Solution
15 mL
controlled

Apply topically to affected area(s)

Once daily