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
Clotrimazole (Lotrimin)
Terbinafine
Clotrimazole (Lotrimin)
Summary of Terbinafine vs. Clotrimazole
Summary for Antifungal
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.
Summary for Antifungal
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.