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Terbinafine vs. Clotrimazole

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Terbinafine oral tablet (Lamisil) and clotrimazole cream (Lotrimin AF) are both antifungal medications, but they have some key differences. Terbinafine oral tablet is primarily prescribed to treat fungal infections of the nails and works by preventing the fungus from forming its protective outer layer. Common side effects include headache, rash, and upset stomach, and it can interact with other medications. Clotrimazole, on the other hand, is an over-the-counter topical cream used to treat skin infections like athlete's foot, jock itch, and ringworm. It works by damaging the protective covering of the fungus. Clotrimazole cream is generally well-tolerated with minor side effects like skin irritation. While terbinafine is taken once daily for several weeks, clotrimazole needs to be applied twice daily for up to a month. Additionally, terbinafine oral tablet can cause serious side effects like liver damage and changes in taste or smell, whereas the side effects of clotrimazole cream are typically mild.

Terbinafine

 

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Clotrimazole

(Lotrimin)

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Summary for Terbinafine

Prescription only

Terbinafine is used to treat fingernail and toenail fungus in adults. It's a type of antifungal that helps get rid of the fungus. Terbinafine is a tablet you take once a day, but treatment can take many weeks to finish. Common side effects include headache, rash, and diarrhea. Terbinafine can interact with other medications, including certain antidepressants and beta blockers.

Indications for Terbinafine

Pros and Cons for Terbinafine

Pros

  • Works better to treat nail fungus than other treatment options
  • First-choice over other antifungals that are taken by mouth
  • Taken once a day, with or without food

Cons

  • Can take several weeks to work
  • Can cause loss of taste or smell (sometimes permanently)
  • Not recommended if you have liver problems

Common Side Effects for Terbinafine

  • Headache (13%)
  • Rash (6%)
  • Diarrhea (6%)
  • Indigestion (4%)

Warnings for Terbinafine

  • Liver damage
  • Changes to taste or smell
  • Symptoms of depression
  • Low white blood cell counts
  • Serious skin reactions
  • Lupus flare up
  • Clotting and bleeding problems

Summary for Clotrimazole

Prescription or over-the-counter

Clotrimazole (Lotrimin) is an antifungal medication used to treat certain skin fungal infections. A healthcare professional might also prescribe it for diaper rash. It's available over the counter (OTC) and by prescription as a cream or topical solution that you apply to your skin. You usually use it two times a day for a few weeks, depending on the infection. The most common side effect is skin irritation.

Indications for Clotrimazole

Pros and Cons for Clotrimazole

Pros

  • Applied directly to the affected area(s)
  • Can treat multiple fungal skin infections
  • Safe for both adults and children

Cons

  • Need to apply twice daily
  • Must use every day for several weeks
  • Can cause mild skin irritation

Common Side Effects for Clotrimazole

  • Skin irritations (e.g., itching, redness)

Warnings for Clotrimazole

  • Use only on your skin

Prices with our coupons for Terbinafine vs. Clotrimazole

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Terbinafine30 tablets / 250mg
$14.00$24.71
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Price Card Drug Icon
Clotrimazole1 tube / 30g of 1%
$13.97$37.86
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