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Formulas

Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid

Description: This Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid is a specially crafted topical solution intended for direct application to the nails. Its dual-action formula combines the antifungal properties of econazole nitrate and terbinafine hydrochloride to effectively treat nail fungal infections, such as onychomycosis. The medication penetrates the nail bed to combat the underlying cause of fungal growth, while also working to alleviate symptoms like brittleness and discoloration. Regular use of this nail liquid supports the restoration of healthy nail structure and appearance, ensuring a comprehensive approach to nail health management.

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Nail Solution
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Formula Information

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Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid is a specially compounded formulation designed for the topical treatment of various nail conditions, including fungal nail infections (onychomycosis), nail brittleness, and discoloration. This liquid formulation is intended for direct application to the nails, ensuring that the active ingredients are delivered to the site of infection or damage for maximum therapeutic effect.

The combination of econazole nitrate and terbinafine hydrochloride in this nail liquid offers a dual-action approach to treating fungal nail infections. Econazole nitrate is an antifungal agent belonging to the imidazole class, which works by disrupting the fungal cell membrane, leading to the death of the fungus. It is effective against a broad spectrum of fungi, including dermatophytes, yeasts, and molds that commonly cause nail infections. Terbinafine hydrochloride is an allylamine antifungal that inhibits the enzyme squalene epoxidase, which is a key component in the fungal cell membrane synthesis. This action not only prevents the growth of the fungus but also contributes to its elimination.

The synergistic effect of these two antifungal agents makes the Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid a potent treatment option for patients suffering from fungal nail infections. By combining the broad-spectrum activity of econazole with the fungicidal properties of terbinafine, this formulation enhances the chances of eradicating the infection and restoring the nails to a healthy state. Additionally, the liquid form allows for easy application and penetration into the nail bed, which is essential for reaching the site of infection.

Patients using this formulation should be advised on the proper application technique to ensure optimal results. The nail liquid should be applied to the affected nails, typically once or twice daily, or as directed by a healthcare provider. Consistency in application is crucial for the success of the treatment, as fungal nail infections can be stubborn and require prolonged therapy. It is also important for patients to maintain good nail hygiene and to monitor for any signs of irritation or adverse reactions.

Prescribers considering this formulation for their patients should be aware of the potential interactions and contraindications associated with econazole nitrate and terbinafine HCL. While generally well-tolerated, these agents may not be suitable for all patients, particularly those with a history of hypersensitivity to the active ingredients or excipients in the formulation. Additionally, prescribers should take into account the patient's overall medical history, including any other medications being taken, to avoid possible drug interactions.

For more detailed information on the Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid, or to discuss specific patient cases, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing personalized care and support to both patients and healthcare providers to ensure the safe and effective use of our compounded formulations.

Drug Interactions

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The Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid is a topical antifungal medication designed to treat nail fungal infections, also known as onychomycosis. Econazole nitrate is an azole antifungal that works by inhibiting the synthesis of ergosterol, a key component of fungal cell membranes, leading to increased membrane permeability and ultimately fungal cell death. Terbinafine hydrochloride is an allylamine antifungal that primarily acts by inhibiting squalene epoxidase, an enzyme involved in the biosynthesis of ergosterol in fungi. This dual-action formulation enhances the treatment's efficacy against a broad spectrum of dermatophytes, yeasts, and molds that commonly cause nail infections.

When considering drug interactions, it is important to note that the systemic absorption of econazole nitrate and terbinafine HCL from topical nail applications is minimal. However, patients should be advised to inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements, as interactions can still occur. For instance, although rare, the use of econazole with certain anticoagulants (like warfarin) may increase the risk of bleeding, and monitoring of prothrombin time or INR may be necessary. Terbinafine has been known to potentially reduce the effectiveness of oral contraceptives, and alternative or additional contraceptive measures should be considered.

Patients should avoid using other topical products on the treated nails unless directed by a healthcare provider, as there may be a risk of altering the absorption or effectiveness of the Econazole Nitrate/Terbinafine HCL Nail Liquid. Additionally, the use of occlusive dressings or wrappings is not recommended with this formulation unless advised by a healthcare professional, as this may also change the drug's properties or increase the risk of systemic exposure.

It is also important to consider the potential for cross-sensitivity with other azole antifungal agents. Patients with a known hypersensitivity to econazole or other azoles should not use this product. Similarly, those with a history of allergic reaction to terbinafine or allylamine antifungals should avoid this medication. If an allergic reaction or severe irritation occurs, treatment should be discontinued, and appropriate medical attention should be sought.

While the risk of significant drug interactions with this topical formulation is low, healthcare providers should perform a thorough medication review to minimize any potential risks. If you have any questions or require further information regarding the Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this medication.

How Does it Work

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The Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid is a specially compounded medication designed for the treatment of various nail conditions, primarily fungal infections such as onychomycosis. This liquid formulation is applied topically to the nails, ensuring direct delivery of the active ingredients to the site of infection or damage. The combination of econazole nitrate and terbinafine hydrochloride offers a dual mechanism of action against fungal pathogens, increasing the efficacy of the treatment.

Econazole nitrate is an antifungal agent belonging to the imidazole class, which works by disrupting the synthesis of ergosterol, a vital component of fungal cell membranes. By inhibiting the enzyme lanosterol 14-alpha-demethylase, econazole nitrate prevents the conversion of lanosterol to ergosterol, leading to increased cell membrane permeability and ultimately causing the death of the fungal cell. This action is effective against a broad spectrum of dermatophytes, yeasts, and molds that commonly cause nail infections.

Terbinafine hydrochloride, on the other hand, is an allylamine antifungal that also targets the fungal cell membrane. It specifically inhibits the enzyme squalene epoxidase, which is another key player in the biosynthesis of ergosterol. The inhibition of this enzyme not only reduces the concentration of ergosterol but also leads to an accumulation of squalene within the fungal cell, which is toxic to the cell. This dual effect enhances the antifungal activity and can lead to a faster resolution of the infection.

The combination of these two antifungal agents in a nail liquid formulation allows for a synergistic effect, potentially reducing treatment duration and improving cure rates. The liquid form of the medication is particularly advantageous for nail applications, as it can penetrate the hard keratin structure of the nails more effectively than creams or ointments. This ensures that the active ingredients reach deeper layers of the nail and the nail bed where the fungi reside.

Patients are advised to apply the Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid as directed by their healthcare provider, usually once or twice daily, ensuring the nail is clean and dry before application. Consistent use as prescribed is crucial for the success of the treatment. This formulation not only treats the fungal infection but may also improve the appearance of the nails by reducing brittleness and discoloration associated with the infection.

For prescribers considering this formulation for their patients, it is important to note that the combination of econazole nitrate and terbinafine HCL targets a wide range of fungal pathogens, making it a versatile option for treating onychomycosis. Additionally, the pharmacokinetic properties of the topical application minimize systemic absorption, which reduces the risk of systemic side effects and drug interactions.

If you have any questions about the Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid or its use in treating nail conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the necessary support and guidance to ensure the safe and effective use of this medication.

Other Uses

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The Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid is predominantly used to treat fungal nail infections, which are often characterized by discolored, thickened, and brittle nails. However, some clinicians may employ this formulation for 'off-label' uses, such as treating certain types of dermatophyte infections of the skin near the nail or the soles of the feet, like athlete's foot, when the infection is around the nail area. It is essential to note that while the active ingredients have antifungal properties, their effectiveness for conditions other than nail fungal infections has not been extensively studied in this particular formulation.

In addition to the treatment of nail fungus, the components of this formulation may exhibit secondary benefits such as providing a protective barrier for the nail, potentially preventing recurrent infections, and promoting a healthier environment for nail regrowth. Patients with recurring conditions, or those in high-risk environments for fungal infections, might find this formulation useful as a preventative measure. Some clinicians might explore the use of this nail liquid in combination therapies, for instance, rotating it with other antifungal agents to prevent resistance or using it alongside oral antifungals for a more comprehensive treatment strategy.

While the use of Econazole Nitrate/Terbinafine HCL Nail Liquid for conditions other than nail infections is not the primary indication, prescribers might consider its application in other fungal-related scenarios with a thorough evaluation of the patient's condition on a case-by-case basis. Always consult with the prescriber before using this treatment for any condition other than those for which it has been prescribed.

We remind patients and prescribers to use this medication solely as directed and to follow all application instructions carefully. Should you have any questions or require further information about the possible other uses of this nail liquid, do not hesitate to reach out to us at Bayview Pharmacy for guidance. With a dedicated team of compounding pharmacists, we are always ready to support and provide detailed information tailored to your specific needs.

Frequently Asked Questions

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What is Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid used for?

This medication is used to treat fungal infections of the nails. It can also help with other conditions like nail brittleness or discoloration, aiming to promote healthy nail growth and improve the overall appearance of the nails.

How is this nail liquid applied?

To apply the medication, clean the affected nail(s) and then apply a thin layer of the medication directly to the nail(s) and the surrounding skin, usually twice a day or as directed by your healthcare provider.

How long does it take to see improvements in my nail condition?

Improvements in nail conditions vary from person to person. It may take several weeks to notice an improvement since nails grow slowly. It is important to use the medication consistently as directed to achieve the best results.

Can this nail liquid be used with nail polish?

It is generally not recommended to use nail polish or other nail cosmetic products on the treated nails, as they can form a barrier that prevents the medication from being absorbed effectively.

What are the side effects of Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid?

Side effects can include irritation at the application site, itching, redness, or a burning sensation. If you experience any severe side effects or signs of an allergic reaction, contact your healthcare provider immediately.

Should the Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid be refrigerated?

No, this medication should be stored at room temperature away from moisture and heat. Refer to the product's label for specific storage instructions.

Is this nail liquid safe for pregnant or breastfeeding women?

It's important to discuss with your healthcare provider if you are pregnant or breastfeeding to determine if this medication is safe for you to use.

Can children use Econazole Nitrate 1%/Terbinafine HCL 2.5% Nail Liquid?

Consult a pediatrician or healthcare provider before using this medication on children, as safety and efficacy for pediatric use may vary.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it's almost time for the next dose, skip the missed dose and resume your regular dosing schedule. Do not double up to make up for the missed dose.

How does the combination of Econazole Nitrate and Terbinafine HCL work?

Econazole Nitrate and Terbinafine HCL work in synergy to treat nail fungus; Econazole Nitrate is an antifungal that inhibits fungal cell membrane growth, and Terbinafine HCL is an allylamine antifungal that inhibits the enzyme squalene epoxidase, resulting in fungal cell death. This combination increases the effectiveness of the treatment.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.