Fungofin cream 1% x15 g Nobel Pharma

Fungofin cream 1% Turkish pharmaceutical company Nobel Pharma is a synthetic product with antifungal activity, which is used to treat fungal infections of the skin. Fungofin 1% cream is indicated for the treatment of: skin infections (intertrigo) caused by yeasts of the genus Candida (Candida albicans); Pityriasis versicolor (multicolored lichen) caused by Pytirosporum orbiculare (Malassezia furfur), superficial fungal infections caused by Trichophyton strains (T. rubrum and T. mentagrophytes, T. verrucosum, T. violaceum), Microsporum canis and Tinea pedis (athlete's foot), Tinea cruris (fungal infection of the groin) or Tinea corporis (on the body - ringworm) caused by Epidermophyton floccosum.
Composition: The active substance is: terbinafine hydrochloride. 1 g of cream contains 10 mg of terbinafine hydrochloride. Excipients: sodium hydroxide, benzyl alcohol, sorbitan stearate, cetyl palmitate, cetyl alcohol, stearyl alcohol, polysorbate 60, isopropyl myristate, purified water.
Important information about some of the ingredients of Fungofin 1% cream Cetyl alcohol and stearyl alcohol may cause local skin reactions (e.g. contact dermatitis).
It is important to use Fungofin 1% cream correctly. Follow the instructions carefully. If you are not sure about anything, ask your doctor or pharmacist. Method of application:

Pierce the protective membrane (if the tube is sealed) using the pointed part of the top of the cap;
Clean and dry the infected area and the skin around it, then wash your hands;
Unscrew the cap and squeeze a small amount of the cream onto your finger, then screw the cap back on the tube;
Apply a sufficient amount of cream to cover the affected area and the surrounding skin;
Rub gently;
Wash your hands after touching infected skin to avoid spreading the infection to yourself or others.

If you are treating infections in an area where two skin surfaces touch (under the breast, between the fingers, between the buttocks, in the groin area), the affected skin can be covered with a gauze compress, especially at night. In this case, use a new, clean gauze each time you apply the cream. Fungofin 1% cream is applied once or twice a day. The duration of treatment varies according to the indications or severity of the infection.
Duration of treatment:

Athlete's foot, superficial skin mycoses: 1 - 2 weeks (1 - 2 times daily);
Tinea pedis: 1 week (2 times daily), 2 weeks (1 time daily);
Cutaneous candidiasis: 1-2 weeks (1 – 2 times daily);
Lichen planus: 2 weeks (1 – 2 times daily).

When using Fungofin 1% cream, the skin condition improves within a few days. Irregular use or early discontinuation of treatment may increase the risk of recurrence of the infection. If there is no improvement after 2 weeks of starting treatment, consult your doctor or pharmacist.
How to help the treatment? It is necessary to keep the affected area clean by washing it regularly. Dry carefully, without rubbing, by blotting gently. Try not to scratch the affected area, although it may itch, so as not to cause further complications and delay the healing process or spread the infection. Since these infections can be transmitted to other people, use an individual towel and clothes, washing them frequently to prevent re-infection. Use in children: Clinical experience in children is limited. Use in elderly patients: No dose adjustment is required in elderly people. If you have used more than the required dose: There is no evidence of overdose with the product. If accidentally taken orally, please contact your doctor immediately.
If you forget to use: If you forget to apply the cream, use it as soon as you remember and then continue as usual. If you remember during the next application, apply the normal amount and continue as usual. Try to use the cream as directed. It is important not to miss applications to reduce the risk of the infection coming back. If you have any further questions on the use of this product, please ask your doctor or pharmacist.
Do not use Fungofin 1% cream: if you are allergic (hypersensitive) to terbinafine hydrochloride or any of the other ingredients of Fungofin 1% cream. An allergic reaction can be recognized by the presence of: rash, itching, redness of the skin or difficulty breathing.
Take special care with Fungofin 1% cream: Fungofin 1% cream is for skin use only and should not be administered orally, nasally, in the eyes or vaginally. If irritation or hypersensitivity occurs, the use of Fungofin 1% cream should be discontinued and appropriate treatment should be initiated. Infected areas should not be covered with tight clothing. Patients with foot infections should wear comfortable and ventilated shoes. Shoes and socks should be changed at least once a day. To avoid contamination from the infected area, hands should be washed after each use.
Using other medicines: Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. There is no evidence of drug interactions with topical use of Fungofin 1% cream.
Pregnancy and breast-feeding: Ask your doctor or pharmacist for advice before taking any medicine. The medicine should not be used during pregnancy unless directed by a doctor. Fungofin 1% cream should not be used during breast-feeding as the active substance passes into breast milk. The baby should not be allowed to come into contact with treated areas of skin, including the breasts.
Driving and using machines: There is no evidence that Fungofin 1% cream affects the ability to drive and use machines.
Like all medicines, Fungofin 1% cream can cause side effects, although not everybody gets them. Side effects are ranked according to how often they occur. The following frequency categories are used for this purpose: 

Common: Side effects that may affect less than 1 in 10 people;
Uncommon: Side effects that may occur in less than 1 person in 100 patients. Rare: Side effects that may occur in less than 1 person in 1,000 patients;
Very rare: Side effects that may occur in less than 1 person in 10,000 patients. Isolated cases: Side effects that may occur in an even smaller number of patients.

Very rare: Burning of the skin, itching, redness and/or slight swelling, which are associated with the topical application of the cream. These side effects are usually well tolerated. They must be distinguished from hypersensitivity reactions, which lead to swelling and pain, rashes and itching. If you notice the appearance of any of these symptoms, stop using the cream and consult your doctor or pharmacist immediately. If any of the side effects become serious or you notice other side effects not described in this leaflet, please inform your doctor or pharmacist.
Keep out of the reach of children. Store in the original packaging below 25 degrees Celsius. Protect from light and moisture. Do not use after the expiry date stated on the carton. The expiry date refers to the last day of that month. Shelf life after first opening: 1 month.