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Compare Terbinafine vs. Oravig

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

Key takeaways

Terbinafine (Lamisil) and Oravig (miconazole) are both antifungal medications, but they treat different types of fungal infections and are used in different ways. Terbinafine tablet is taken orally and is primarily used to treat fungal infections of the fingernails and toenails. It is a first-choice treatment and is taken once daily for 6 to 12 weeks. Common side effects include headache, rash, diarrhea, and upset stomach. On the other hand, Oravig is used to treat oral thrush and comes as a buccal tablet that dissolves in your mouth over 6 hours. It is taken once daily for 14 days. Common side effects of Oravig include mouth discomfort, diarrhea, headache, and nausea. While terbinafine has a lower-cost generic available, Oravig does not. Additionally, terbinafine can cause serious side effects like liver damage and changes in taste or smell, whereas Oravig can cause allergic reactions and is contraindicated if you have a milk protein allergy.

  • Terbinafine
    Oravig (miconazole)
  • Terbinafine
    Oravig (miconazole)

  • Summary of Terbinafine vs. Oravig

    Summary for Antifungal
    Prescription only

    Terbinafine is a first-choice treatment option for fingernail and toenail fungus. It's available as once-daily tablets, but treatment can take many weeks. Common side effects of terbinafine include headache, rash, diarrhea, and upset stomach. Terbinafine can have interactions with other medications, including certain antidepressants, beta-blockers, and some medications that treat an irregular heart rhythm.

    Summary for Antifungal
    Prescription only

    Oravig (miconazole) treats fungal infections in the mouth and throat (oral thrush). This medication comes as a tablet that dissolves against your gum in your mouth, so it might be more difficult to use than other medications. The most common side effects of Oravig (miconazole) include upset stomach (e.g., diarrhea, nausea) and headache.

  • Indications of Terbinafine vs. Oravig

    Indications for
    •Fungal infection of toenail or fingernail
    Indications for
    •Oral thrush of the mouth and throat

  • Pros and Cons of Terbinafine vs. Oravig

    Pros and Const for Antifungal
    Pros
    •Works better to treat nail fungus than other treatment options
    •First-choice over other antifungal medications that are taken by mouth (e.g., versus itraconazole (Sporanox))
    •Only taken once a day, with or without food
    •Lower-cost generic available
    Cons
    •Can take several weeks to work
    •Can cause loss of taste or smell (sometimes permanently)
    •Not recommended if you have long-term or current liver problems
    •Not studied in children
    Pros and Const for Antifungal
    Pros
    •First and only tablet for oral thrush that dissolves against the gum in the mouth
    •Only need to take once daily
    •No serious side effects
    Cons
    •Can be tricky to use compared to other medications
    •Can take 6 or more hours to fully dissolve
    •No lower-cost generic available

  • Common Side Effects of Terbinafine vs. Oravig

    Common Side Effects for
    •Headache (13%)
    •Rash (6%)
    •Diarrhea (6%)
    •Upset stomach (4%)
    Common Side Effects for
    •Mouth discomfort (e.g., pain, swelling; up to 12%)
    •Diarrhea (9%)
    •Headache (8%)
    •Nausea (7%)
    •Vomiting (4%)

  • Warnings of Terbinafine vs. Oravig

    Common Side Effects for
    •Liver damage
    •Changes to taste and smell
    •Depression
    •Low white blood cell levels
    •Serious skin reactions
    •Lupus flare up
    •Clotting and bleeding problems
    Common Side Effects for
    •Allergic reaction

  • Prices with our coupons for Terbinafine vs. Oravig

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