(e)-N-(6,6-Dimethyl-2-hepten-4-ynyl)-
N-methyl- 1- naphthalenemethanamine hydrochloride; N,6,6-Trimethyl-N-(naphthalen-1-ylmethyl)hept-2-en-4-yn-1-amine
hydrochloride; ((2E)-6,6-Dimethylhept-2-en-4-yn-1-yl)(methyl)(naphthalen-1-ylmethyl)amine;
trans-N-(6,6-Dimethyl-2-hepten-4-ylyl)-N-methyl-1-naphthylmethylamine
hydrochloride;
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Terbinafine
is a broad-spectrum antifungal
agent. It belongs to the family of allylamine structure antifungal
agent such as amorolfine,
naftifine, butenafine which interferes with biosynthesis of ergosterol needed for the
fungal cell membrane. Allylamine antifungal
agents are highly lipophilic and are applied topically to the skin, nails, and fatty
tissues. Chemically terbinafine is
(e)-N-(6,6-dimethyl-2-hepten-4-ynyl)- N-methyl- 1- naphthalenemethanamine. Terbinafine hydrochloride
is a white to off- white fine crystalline powder; slightly soluble in
water, freely soluble in lower alcohol and methylene chloride. Terbinafine is
also used as a trypanocidal agent.
ATC D01AE Class (Other antifungals for topical use)
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D01AE01 Bromochlorosalicylanilide
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D01AE02 Methylrosaniline
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D01AE03 Tribromometacresol
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D01AE04 Undecylenic acid
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D01AE05 Polynoxylin
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D01AE06 2-(4-chlorphenoxy)ethanol
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D01AE07 Chlorphenesin
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D01AE08 Ticlatone
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D01AE09 Sulbentine
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D01AE10 Ethyl hydroxybenzoate
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D01AE11 Haloprogin
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D01AE12 Salicylic acid
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D01AE13 Selenium sulfide
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D01AE14 Ciclopirox
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D01AE15 Terbinafine
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D01AE16 Amorolfine
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D01AE17 Dimazole
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D01AE18 Tolnaftate
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D01AE19 Tolciclate
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D01AE20
Combinations
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D01AE21 Flucytosine
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D01AE22 Naftifine
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D01AE23 Butenafine
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Undecylenic acid, combinations |
Wikipedia
Linking: http://en.wikipedia.org/wiki/Terbinafine
http://www.jornaldepneumologia.com.br/ In clinical practice, there are few drugs used to control the various fungal
infections of the respiratory tract. Sulfonamides, which are effective against
only a few agents, were the first drugs used in the treatment of patients with
systemic mycosis, being first administered around 1940. In the decade that
followed, amphotericin B became available. Its antifungal spectrum and efficacy
have placed it (and held it) in the position of the drug of choice for the
control of visceral and disseminated infections. Although of little use in
isolation, 5-fluorocytosine was considered to work in synergy with amphotericin
B, especially against cryptococci. The clinical use of azole drugs began in the
mid-1970s. Due to their broad spectrum of action, and after the development of
cetoconazole, their easy oral administration, these drugs had a great impact on
antifungal therapy. In the 1990s, the imidazoles were joined by the triazoles
(fluconazole and itraconazole), which presented greater bioavailability and a
more intense effect. Voriconazole, a second generation triazole with a broader
spectrum of action than the previous azoles, was recently was approved for
medical use. Other new derivates, such as posaconazole and ravuconazole, are
still awaiting approval. In the last 15 years, lipid formulations of
amphotericin B have been developed. In addition, there are two new classes of
antifungal agents: the allylamines, represented by terbinafine, with greater use
for both skin and nail mycosis; and the echinocandins, of which caspofungin is
the most well known in Brazil.
http://jcm.asm.org/ The in vitro activities of voriconazole against 19 different species of
dermatophytes were compared with those of terbinafine, itraconazole,
ketoconazole, griseofulvin, and fluconazole. MICs were determined
according to a National Committee for Clinical Laboratory Standards
broth macrodilution method. Voriconazole appeared more active than
ketoconazole, griseofulvin, and fluconazole and less active than
itraconazole and terbinafine. Based on these results, voriconazole
merits further investigation as a potentially useful agent for the
treatment of dermatophytosis.
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