Terbinafine Preferred Antifungal with a Focus on Dermatophytes (A Review)
Mayank Panday, Divya Pandey, Prashant Upadhyay and Sukirti Upadhyay.
Journal Title:Acta Scientific Microbiology
17 years ago, Terbinafine was hailed in the global drug market to use as antifungal. In the treatment of superficial dermatophytosis terbinafine is become the first choice of drug, because of its effective mode of action, pharmacologic action and microbiologic profiles. Appropriate use of terbinafine as a topical and systemic drug needs to be used with appropriate guidelines. Terbinafine is primarily indicated and also discussed a contraindication for the treatment of non-dermatophyte infections. Terbinafine act by inhibiting the enzyme squalene epoxidase which is an important component of fungal cell membrane resulting in disintegration of fungal cell was allowing terbinafine to exert its fungicidal action. As per the recent advancement significant clinical relevance seen in activity of terbinafine when used in combination of other antifungal leads to decrease in resistance. This article reviews mode of action, antimycotic spectrum and disposition profile of terbinafine. we have also done a comparative analysis of terbinafine over other antifungals (griseofulvin, itraconazole, fluconazole) in the management of dermatophytes infection