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Terbinafine Hydrochloride 50 mg/mL Nail Solution

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

Terbinafine Hydrochloride 50 mg/mL Nail Solution is a liquid formulation specifically designed for topical application to the nails. It provides targeted treatment for nail conditions such as fungal infections, brittleness, and discoloration. This solution delivers medication directly to the nails, promoting healthy nail growth and improving overall nail appearance.

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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
66fd7b0bdc31c32733aec9f2
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 Hydrochloride 50 mg/mL Nail Solution is a compounded topical formulation designed specifically for the treatment of nail conditions such as fungal infections (onychomycosis), brittleness, and discoloration. By delivering the antifungal agent directly to the affected nails, this solution aims to promote healthy nail growth and improve overall nail appearance.

Terbinafine is an allylamine antifungal that works by inhibiting the enzyme squalene epoxidase in fungal cells. This inhibition disrupts the synthesis of ergosterol, an essential component of fungal cell membranes, leading to cell death. By applying terbinafine directly to the nails, higher local concentrations of the medication can be achieved, potentially enhancing its effectiveness against stubborn fungal pathogens.

This topical nail solution offers an alternative to oral antifungal medications, which may be associated with systemic side effects and drug interactions. For patients who are unable to take oral terbinafine or prefer a localized treatment approach, this compounded formulation provides targeted therapy with minimal systemic absorption.

The 50 mg/mL concentration ensures that an adequate amount of medication penetrates the nail plate to reach the nail bed where the fungal infection resides. Consistent application as directed by a healthcare provider is crucial, as nail infections typically require prolonged treatment due to the slow growth rate of nails.

Patients should apply the solution to clean, dry nails, usually once or twice daily as prescribed. It's important to cover the entire nail surface and, if advised, the surrounding skin. Regular use over several months may be necessary to achieve noticeable improvement, and continued application is often recommended until healthy nail growth is observed.

Prescribers may consider this formulation for patients with mild to moderate onychomycosis or as an adjunctive treatment in conjunction with systemic therapy for more severe cases. Monitoring patient progress and adherence to the treatment regimen is essential for optimal outcomes. Potential side effects are generally localized and may include irritation, redness, or itching at the application site.

Prior to initiating therapy, it's important to assess patients for any known allergies to terbinafine or other ingredients in the solution. Caution is advised when prescribing to individuals with sensitive skin or pre-existing skin conditions. Educating patients on proper nail hygiene and preventive measures can help reduce the risk of reinfection.

Terbinafine Hydrochloride 50 mg/mL Nail Solution compounded by Bayview Pharmacy represents a personalized treatment option that addresses the specific needs of patients dealing with nail ailments. By facilitating direct delivery of medication to the site of infection, this formulation supports the restoration of healthy nails and enhances patient satisfaction.

If you have any questions, please reach out to us.

Drug Interactions

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Terbinafine Hydrochloride 50 mg/mL Nail Solution is a topical antifungal medication specifically formulated for application to the nails. It is primarily used to treat fungal infections of the nails, such as onychomycosis, which can cause symptoms like discoloration, thickening, and brittleness of the nails. By delivering the active antifungal agent directly to the site of infection, this formulation helps to eradicate the fungal pathogens, promoting healthy nail growth and improving the overall appearance of the nails.

When considering the use of Terbinafine Hydrochloride Nail Solution, it is important to be aware of potential drug interactions, even though the risk is generally lower with topical formulations compared to systemic medications. However, systemic absorption can still occur, especially if the solution is applied to large areas or broken skin. Patients and prescribers should be cautious of interactions with other medications that the patient may be taking concurrently.

Terbinafine is known to inhibit the enzyme CYP2D6, which can affect the metabolism of various drugs. Patients taking medications that are metabolized by CYP2D6, such as certain antidepressants (e.g., tricyclic antidepressants, selective serotonin reuptake inhibitors), beta-blockers, antiarrhythmics, and some antipsychotics, should be monitored for potential interactions. The inhibition of CYP2D6 by terbinafine could lead to increased plasma concentrations of these drugs, potentially resulting in enhanced effects or adverse reactions.

Additionally, patients using other topical treatments on the nails or surrounding skin should consult with their healthcare provider to ensure compatibility and avoid any potential interactions that could affect the efficacy of the terbinafine solution or the other topical agents. It is also advisable to inform the healthcare provider of any herbal supplements or over-the-counter medications being used, as these could also interact with terbinafine.

For patients with liver or kidney impairment, caution is advised, as systemic absorption of terbinafine, although minimal, could potentially exacerbate these conditions. Regular monitoring of liver function tests may be recommended for patients with pre-existing liver conditions or those taking other hepatotoxic drugs.

If you have any questions or concerns about the use of Terbinafine Hydrochloride 50 mg/mL Nail Solution, or if you need further information on potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries you may have regarding this formulation or its use in treating nail conditions.

How Does it Work

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Terbinafine Hydrochloride 50 mg/mL Nail Solution is a specialized liquid formulation designed for direct application to the nails, offering a targeted approach to treating various nail conditions, particularly fungal infections. This formulation works by delivering the active antifungal agent, terbinafine hydrochloride, directly to the site of infection, ensuring that the medication penetrates the nail plate and reaches the underlying nail bed where fungal organisms reside. Terbinafine is an allylamine antifungal that works by inhibiting the enzyme squalene epoxidase, which is crucial in the biosynthesis of ergosterol, an essential component of fungal cell membranes. By disrupting this process, terbinafine effectively weakens and destroys the fungal cells, leading to the resolution of the infection.

In addition to its antifungal properties, this nail solution can also address other nail conditions such as brittleness and discoloration. By promoting a healthier nail environment, the formulation supports the natural growth and regeneration of nails, helping to restore their appearance and strength. The liquid form of this medication allows for easy application and optimal absorption, ensuring that the active ingredients are efficiently delivered to the affected areas. This targeted delivery system not only enhances the efficacy of the treatment but also minimizes systemic exposure, reducing the risk of potential side effects associated with oral antifungal therapies.

It is important to follow the prescribed application instructions carefully to achieve the best results. Typically, the solution should be applied to clean, dry nails, and it may be necessary to continue treatment for several weeks or months, depending on the severity of the condition and the rate of nail growth. Patients should be advised to maintain good nail hygiene and avoid factors that may exacerbate their condition, such as excessive moisture or trauma to the nails.

For prescribers, this formulation provides a valuable option for patients who may not tolerate oral antifungal medications or who prefer a topical treatment approach. It is essential to assess the patient's overall health, the extent of the nail condition, and any potential contraindications before recommending this treatment. Monitoring the patient's progress and adjusting the treatment plan as necessary can help ensure optimal outcomes.

If you have any questions or need further information about Terbinafine Hydrochloride 50 mg/mL Nail Solution, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation or its use.

Frequently Asked Questions

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What is Terbinafine Hydrochloride 50 mg/mL Nail Solution used for?

This nail solution is used for the treatment of nail conditions such as fungal infections, brittleness, or discoloration. It delivers medication directly to the nails to promote healthy nail growth and improve overall nail appearance.

How should I apply Terbinafine Hydrochloride Nail Solution?

Apply the solution directly to the affected nails as directed by your healthcare provider. Ensure the nails are clean and dry before application. Follow the specific instructions provided with the medication for best results.

How often should I use this nail solution?

The frequency of application will depend on your specific condition and the advice of your healthcare provider. Typically, it is applied once or twice daily, but follow your provider's instructions.

Can I use this solution on my skin?

No, this formulation is specifically designed for topical application to the nails. It should not be used on the skin unless directed by a healthcare professional.

How long does it take to see results?

Results can vary depending on the severity of the nail condition and individual response to treatment. It may take several weeks to months to see significant improvement. Consistent use as directed is important for optimal results.

Are there any side effects associated with this nail solution?

Some users may experience mild irritation or redness at the application site. If you experience severe side effects or an allergic reaction, discontinue use and consult your healthcare provider.

Can I use nail polish while using this treatment?

It is generally recommended to avoid using nail polish or other nail products during treatment, as they may interfere with the effectiveness of the medication. Consult your healthcare provider for specific advice.

Is this nail solution suitable for children?

The use of this nail solution in children should be determined by a healthcare provider. It is important to follow professional guidance when considering treatment for children.

Can I use this solution if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using this nail solution to ensure it is safe for you and your baby.

How should I store Terbinafine Hydrochloride Nail Solution?

Store the solution at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets. Ensure the cap is tightly closed when not in use.

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 Hydrochloride 50 mg/mL Nail Solution
Nail Solution
15 mL
controlled

Apply topically to affected area(s)

Once daily