Do you have rough, scaly patches on your skin, especially on your face, scalp, or hands, which are often exposed to the sun? Sometimes we don't pay much attention to these, but it is very important to treat them. Because these can sometimes be a sign of skin cancer. A special ointment that doctors prescribe for such a condition is called Tirbanibulin. Today, we will talk about this medicine in simple terms.
What is Tirbanibulin?
Simply put, terbinafine is a topical cream that treats rough, scaly spots on your skin, especially those caused by prolonged exposure to the sun. People who are exposed to the sun regularly, such as farmers, road workers, and outdoor sports, can develop these skin problems.
This condition is medically known as Actinic Keratosis . This is when skin cells are damaged by harmful rays from the sun and start to grow abnormally. Terbinafine cream works by stopping the division of those abnormally growing skin cells and destroying them. This medicine helps the skin to return to normal.
This medication is most commonly available under the brand name Klisyri. However, your doctor may also prescribe it for other purposes. So if you have any questions, ask your doctor.
Things you need to tell your doctor before using this medicine
Before prescribing this medicine to you, your doctor will ask you some questions. But you should also make sure to inform your doctor about these things. Because it is very important for your safety.
| Matter to be informed | Why is that important? |
|---|---|
| Any other skin conditions or skin sensitivities you have | If you have other skin conditions such as eczema or psoriasis, this medicine may aggravate those conditions. Therefore, it is essential to inform your doctor in advance. |
| If you have skin infections | If there is a wound, abscess, or other infection in the area where the medicine is to be applied, it should be treated first. So tell your doctor about it. |
| Allergies to terbinafine or other substances | If you have any allergies to this medicine, other medicines, foods, dyes, or preservatives, be sure to tell us. |
| If you are pregnant or trying to get pregnant | Some medications can affect the baby during pregnancy, so it's very important to talk to your doctor about this. |
| If you are a breastfeeding mother | There is still no complete data on whether this medicine passes to the baby through breast milk. Therefore, if you are a breastfeeding mother, inform your doctor and seek advice. |
How exactly do you use this medicine?
To get the most out of this medicine, it is very important to use it correctly.
- For topical use only: This is for topical use only. Never take by mouth.
- Wash your hands: Wash your hands thoroughly with soap before and after applying the medicine.
- Do not let it get into your eyes: This medicine is very harmful to your eyes. Therefore, be very careful when applying it around your eyes. If you accidentally get it in your eyes, immediately open your eyes and rinse them with clean water (cool tap water) for a few minutes. Then see a doctor immediately.
- Use as directed: Use as directed by your doctor, at the same time each day. This is usually prescribed for 5 consecutive days. Do not use more than the doctor tells you to.
- Complete the treatment: After two or three days, you may feel your symptoms improve. But do not stop taking the medicine until your doctor tells you to. It is important to complete the prescribed number of days.
- Most important tip: Do not wash, rinse , or pat the area for 8 hours after applying the medicine. After 8 hours, you can gently wash the area using a mild soap.
- If given to children: This medicine may require special care if given to children. Ask your doctor about this.
What to do if you overdose on medication?
If you suspect that someone has taken this medicine or has applied too much to the skin, do not panic and immediately call the National Poisons Information Centre at the Colombo National Hospital . Or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
This medicine has been prescribed for you only. Do not give it to someone else who has the same symptoms as you. It may be dangerous.
What if I miss a dose of medication?
If you forget to take your medicine, take it as soon as you remember. But if it's almost time for your next dose, skip the missed dose and take your next dose as scheduled. Never take a double dose.
Other things to consider when using the medicine
- Other cosmetics: This medication usually does not interact with other medications. However, the most important thing is to not apply any other cream, lotion, ointment, or moisturizer to the area where you are applying the medication without first checking with your doctor.
- Re-examination: Be sure to go back on the day your doctor tells you to. It's very important to see the progress of your treatment.
- Spread to others: This is a very important point that many people don't know. If you apply the medicine to someone else's skin, the medicine can get on their skin. For example, if you apply the medicine and pick up your baby without covering the area with clothing, or if you play with a pet (dog, cat), the medicine can get on their skin. This can cause serious side effects for them.
- What to do? The best thing to do is to cover the area with clothing. If you accidentally get the medicine on someone else or a pet, wash the area thoroughly with soap and water immediately.
What are the possible side effects of this medicine?
Like any medicine, terbinafine can cause some side effects, although not everybody gets them. Some of them can be serious, so it's important to be aware of them.
| Side effects and their severity | |
|---|---|
| Side effects that you should report to your doctor immediately | |
| Allergic reactions | Skin rash, severe itching, swelling of the face, lips, tongue or throat, difficulty breathing. |
| Severe injection site reactions | Unbearable inflammation, excessive itching, crusting of the skin, severe peeling of the skin, blistering. |
| Side effects that are usually not serious, but should be reported to the doctor if they persist | |
| Minor skin reactions | Slight redness, slight itching or burning, and dry skin at the application site (this can often occur as part of the treatment). |
This list may not include all possible side effects. If you experience anything unusual or bothersome in addition to these, talk to your doctor about it.
How do you store and dispose of the medicine?
- Storage: Keep the medicine tube out of the reach of children and pets . Store at room temperature (between 20 and 25 degrees Celsius). Do not store in the fridge or freezer.
- Disposal: Expired or unused medicine tubes should be disposed of.
- The best way to do this is to hand them over to "medication take-back programs" at government hospitals or some pharmacies.
- If that is not possible, take the ointment out of the tube, mix it with something like used coffee grounds, soil, or cat litter, put it in a tightly sealed bag, and throw it in the trash. Never flush the medicine down the toilet.
Take-Home Message
- Tirbanibulin is a special cream that is used to treat a condition called actinic keratosis, which occurs on sun-damaged skin.
- This should be used exactly as prescribed by the doctor, for the full number of days.
- Do not wash or rub the area for 8 hours after applying the medicine.
- Do not let this medicine get into your eyes. Also, keep it away from children and pets.
- If you experience severe burning, swelling, or an allergic reaction where the medicine was applied, call your doctor immediately.
- Feel free to talk to your doctor about any questions or concerns you may have.
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