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Terbinec Plus Cream is used to treat skin infections caused by bacteria or fungi, including ringworm infection, jock itch, athlete’s foot, rosacea, psoriasis, etc. It contains Metronidazole, Terbinafine, Clobetasol and Ciprofloxacin. Metronidazole kills microorganisms by damaging their DNA. Ciprofloxacin prevents the bacteria from reproducing and repairing themselves. Clobetasol inhibits the release of chemical messengers that cause inflammation and redness. Terbinafine kills the fungi by preventing the formation of fungal protective covering. Together, these help in treating skin infections.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

Kentossa Pharmaceuticals

Consume Type :

Topical

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Terbinec Plus Cream

Terbinec Plus Cream is a prescription-strength topical cream used to treat complex or mixed skin infections. It targets skin conditions where bacterial growth, fungal activity, and severe inflammation or itching occur at the same time. This medication is designed to clear up the underlying infection while providing relief from physical discomfort.

For the best results, you must apply Terbinec Plus Cream consistently and exactly as prescribed by your doctor. It is typically applied to the clean, dry affected skin once or twice daily. Maintaining good skin hygiene, keeping the area dry, and avoiding tight clothing are simple lifestyle changes that can support your treatment.

Most patients tolerate this topical cream well, but some may experience mild localized side effects like temporary burning, redness, or skin dryness. If you notice severe skin thinning, skin color changes, or signs of an allergic reaction like a sudden rash or swelling, you should consult your doctor immediately.

Talk to your doctor before starting Terbinec Plus Cream if you have any viral skin infections, such as shingles or cold sores, or if you have skin tuberculosis. Do not take this if you have a known allergy to any of the active ingredients in this formulation. This medicine is generally not recommended for infants or young children unless specifically prescribed and closely supervised by a specialist. Children absorb potent topical steroids more readily than adults, increasing the risk of serious side effects, especially when applied over large areas or under diapers or occlusive dressings. 

Inform your doctor of any other topical treatments you are using to prevent unwanted drug interactions. If you are pregnant, breastfeeding, or are an elderly individual, consult your healthcare provider before applying this medication to ensure it is safe for your specific situation.

Uses of Terbinec Plus Cream

This medicine is used to treat mixed bacterial and fungal skin infections while relieving inflammation and associated symptoms. The detailed uses of this medicine are as follows:

  • Mixed skin infections: Terbinec Plus Cream helps treat complex skin infections involving both bacterial and fungal organisms, while also reducing associated inflammation.
  • Infected dermatitis: Helps manage eczema or dermatitis complicated by secondary bacterial or fungal infections, relieving redness, itching, and irritation while treating the underlying infection.
  • Inflammatory fungal infections: Helps reduce severe swelling, redness, and itching while actively clearing fungal pathogens and controlling secondary bacterial growth.

Key Benefits

Terbinec Plus Cream helps treat mixed skin infections while relieving inflammation and discomfort. Its benefits include:

  • Treats both bacterial and fungal skin infections with a single topical medication, reducing the need for multiple creams.
  • Helps reduce redness, swelling, itching, and irritation by controlling inflammation.
  • Stops the growth of infection-causing bacteria and fungi, promoting faster healing of affected skin.
  • Relieves discomfort associated with inflamed skin lesions, helping you carry out your daily activities more comfortably.
  • Supports the restoration of healthy skin by clearing the infection and allowing the skin barrier to heal.
Side effects of Terbinec Plus Cream 15 gm
  • Keep your skin clean by gently washing your face two times daily and after sweating. Choose a mild and non-abrasive cleanser.
  • Use gentle alcohol-free skin care products. Avoid products that might irritate your skin such as exfoliants, astringents and toners.
  • Acne may also occur due to oil in the hair. Thus, if you have oily hair, shampoo more frequently than you do now and keep your hair away from face.
  • Keep your hands off your face as touching face throughout the day might worsen acne. Also, do not pick, squeeze or pop acne as it will prolong the healing process and increase the risk of dark spots and scarring.
  • Avoid tanning by applying a broad spectrum sunscreen and wearing sun-protective clothing when outdoors.
  • Eat foods that reduce inflammation, such as salmon and walnuts, which are rich in omega-3 fatty acids.
  • Avoid foods that can trigger skin irritation, such as dairy, gluten, or soy.
  • Include foods that are good for your skin, such as berries and leafy greens, which are rich in antioxidants.
  • Avoid substances that can irritate your skin, such as harsh soaps or chemicals.
  • Wear protective clothing, such as gloves or long sleeves, to prevent further skin irritation.
  • Reduce stress through techniques like meditation or deep breathing to help manage skin irritation.
  • Get enough rest to help your skin heal and recover.

Directions for Use

  • Follow your doctor's instructions on the dosage and timing of this medication, to improve effectiveness.
  • Take a small amount of medicine on the fingertip and apply it as a thin layer on the affected area.
  • Clean and dry the affected area.
  • It is only for external use.

How Terbinec Plus Cream Works

This combination medicine contains Metronidazole, Terbinafine, Clobetasol, and Ciprofloxacin. Metronidazole: It is an antimicrobial medicine that works mainly against certain anaerobic bacteria (bacteria that grow without oxygen). It disrupts their DNA, preventing these bacteria from growing and surviving, which helps clear the infection caused by susceptible anaerobic organisms. Terbinafine: It is an antifungal medicine that works by inhibiting the enzyme squalene epoxidase, an important step in fungal sterol synthesis. This leads to a depletion of ergosterol, damages the fungal cell membrane, and causes fungal cells to die, helping clear the infection. Clobetasol: It is a potent corticosteroid that reduces inflammation by blocking the release of chemicals responsible for redness, swelling, itching, and irritation, providing rapid symptom relief. Ciprofloxacin: It is a fluoroquinolone antibiotic that works mainly against many aerobic bacteria by blocking the enzymes they need to copy and repair their DNA. This prevents bacterial multiplication and complements metronidazole's activity against anaerobic bacteria, providing broader antibacterial coverage when both types of bacteria are suspected.
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Alcohol

Consult your doctor

It is not known whether Terbinec Plus Cream interacts with alcohol. Please consult your doctor.

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Pregnancy

Consult your doctor

Please consult the doctor if you are pregnant; your doctor will prescribe the medicine only if the benefits outweigh the risks.

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Breast Feeding

Consult your doctor

Please consult the doctor if you are breastfeeding; your doctor will decide whether Terbinec Plus Cream can be used by breastfeeding mothers or not.

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Driving

Safe

Terbinec Plus Cream is unlikely to affect your ability to drive. However, drive or operate machinery only if you are alert.

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Liver

Consult your doctor

Please consult the doctor if you have any concerns regarding the usage of Terbinec Plus Cream in patients with liver impairment.

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Kidney

Consult your doctor

Please consult the doctor if you have any concerns regarding the usage of Terbinec Plus Cream in patients with kidney impairment.

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Children

Caution

Terbinec Plus Cream is not recommended for children below 12 years as the safety and effectiveness have not been established.

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Heart

Safe if prescribed

Terbinec Plus Cream is generally safe for heart patients when used topically and as prescribed. Since it acts locally on the skin, systemic absorption is minimal, but medical supervision is still advised to avoid allergic reactions or skin sensitivity.

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Geriatrics

Caution

Terbinec Plus Cream can be used by geriatric patients, but only under medical supervision. Older adults may have thinner or more sensitive skin, increasing the risk of irritation or side effects, so careful monitoring is advised.

What if I have taken an overdose of Terbinec Plus Cream

If you apply too much cream, gently wipe off the excess. If someone accidentally swallows the medicine, seek immediate medical attention or contact your local poison control center right away. Large amounts applied over extensive skin areas for prolonged periods may increase the risk of steroid-related side effects.

Diet & Lifestyle Advise

  • Keep the affected area clean and dry: Keep the treated skin clean, cool, and completely dry to prevent moisture buildup, which encourages bacterial and fungal growth.
  • Wear breathable clothing: Choose loose-fitting, breathable cotton clothing to reduce friction, improve air circulation, and minimize sweat accumulation over the affected area.
  • Avoid scratching the skin: Do not scratch or pick at the infected skin, as this can introduce new bacteria, worsen the infection, and delay healing.
  • Wash personal items regularly: Wash towels, clothing, and bedsheets frequently in hot water to help remove lingering bacteria and fungal spores and reduce the risk of reinfection.
health query

Have a query?

How Soon It Starts Working

The time required for Terbinec Plus Cream to start to work: The time required for Terbinec Plus Cream to show its action is not clinically established. The time for which the effects of Terbinec Plus Cream last: The duration of action for Terbinec Plus Cream is not clinically established.

What if you forget to take Terbinec Plus Cream

If you forget to apply a dose, apply it as soon as you remember. If it is almost time for your next application, skip the missed dose and return to your regular schedule. Do not double the amount to catch up.

Storage

• Store Terbinec Plus Cream at room temperature, below 25°C, or according to the storage instructions provided on your product label.

Drug Warnings

  • Check the tube before first use: Always inspect the protective seal on the tube before using the cream. Do not use it if the seal is broken or the packaging is damaged.
  • Do not apply to open wounds: Avoid applying the cream to open wounds, deep cuts, or severely burned skin unless specifically directed by your doctor.
  • Avoid contact with sensitive areas: Do not get the medicine in your eyes, nose, mouth, or inside the vaginal area. If accidental contact occurs, rinse thoroughly with plenty of water.
  • Do not cover with airtight dressings: Do not cover the treated area with airtight bandages, plastic wraps, or occlusive dressings unless your doctor instructs you to do so.
  • Limit use on sensitive skin areas: Avoid prolonged application on the face, underarms, or groin unless your doctor is closely monitoring your treatment, as these areas are more prone to steroid-related side effects.

Drug-Drug Interactions

verifiedApollotooltip
  • Other topical steroids: Using other steroid creams alongside this medicine may increase the risk of skin thinning and other side effects.
  • Oral corticosteroids: Taking oral steroid medicines while using this cream can increase the level of steroids absorbed into your body.
  • Warfarin and other blood thinners: Systemic absorption from normal topical use is minimal, so interactions are unlikely. However, if the cream is used over large areas of skin or for prolonged periods, tell your doctor if you are taking blood thinners such as warfarin so they can decide whether additional monitoring is needed.
  • Immunosuppressant medicines: Using this cream together with other medicines that suppress the immune system or with additional corticosteroids may increase the risk of infections or steroid-related side effects, especially if used over large areas for long periods.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

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No clinically significant food interactions are known with Terbinec Plus Cream when used as directed.

No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTI BACTERIALS - TOPICAL, ANTIFUNGALS - TOPICAL]

FAQs

Terbinec Plus Cream is used to treat bacterial and Fungal skin infections.
Terbinec Plus Cream works by killing the infection-causing organisms. It also inhibits the release of chemical messengers that cause inflammation and redness.
Terbinec Plus Cream may cause staining of clothes. Therefore, avoid contact with clothes or fabric. Also, avoid bleach when washing fabric that has come in contact with Terbinec Plus Cream, as it may cause a permanent stain.
You are recommended to use Terbinec Plus Cream for as long as the doctor has prescribed it. However, if the condition persists or worsens despite using Terbinec Plus Cream for a week, consult your doctor.
Terbinec Plus Cream contains ciprofloxacin, clobetasol, metronidazole and terbinafine.
You are recommended to take the advice of your doctor before taking Terbinec Plus Cream with other medicines to avoid potential interactions.
No, Terbinec Plus Cream is not recommended for use on the face unless advised by your doctor. The skin on the face is more sensitive, and using this cream could lead to increased absorption and potential side effects such as irritation, redness, or burning sensation. Therefore, consult your doctor before using Terbinec Plus Cream on face.
Yes, you can use Terbinec Plus Cream to treat candidiasis (if it is caused by Candida species) only if prescribed b your doctor.
Yes, Terbinec Plus Cream is an antibiotic cream. As it contains ciprofloxacin and metronidazole antibiotics.
Yes, you can use Terbinec Plus Cream for psoriasis. However, it's important to consult your doctor before starting Terbinec Plus Cream to ensure it's appropriate for your specific condition.
No, do not stop using Terbinec Plus Cream even if your symptoms improve before the end of the treatment period as stopping early can lead to the recurrence of the infection and might contribute to antibiotic resistance. Thus, it's important to complete the full course of treatment as prescribed by your doctor.
Use Terbinec Plus Cream only on affected areas. Avoid using Terbinec Plus Cream on open wounds. Avoid contact with eyes, mouth, and mucous membranes. If contact occurs, rinse with water immediately. Avoid using Terbinec Plus Cream if you are allergic to Terbinec Plus Cream. Inform your doctor if you have diabetes, adrenal gland disorder, kidney or liver disease, pregnant or breastfeeding. Inform your doctor if you are using other medicines and if you are pregnant or breastfeeding.
Using a higher than recommended dose of Terbinec Plus Cream for long periods can cause side effects such as weight gain, high blood pressure, fatigue, hormonal changes, and Cushing's syndrome. Overuse can also cause skin thinning and antibiotic resistance. Follow doctor's instructions and consult if you experience any side effects.
Store Terbinec Plus Cream at room temperature in a cool and dry place. Do not freeze. Close the cap tightly after each use to prevent contamination. Keep it out of reach of children.
No, Terbinec Plus Cream is not typically used for treating acne. It is designed to treat skin infections caused by bacteria and fungi. If you have any concerns, consult your doctor.
Avoid using Terbinec Plus Cream on private parts unless specifically directed by your doctor. The sensitive skin in these areas can be more prone to irritation, and the Terbinec Plus Cream components might cause adverse reactions.
No, it is not specifically formulated to remove dark spots. Consult your if you have any concerns.
Yes, Terbinec Plus Cream contains clobetasol as a steroid to reduce inflammation, redness, and itching.
Yes, Terbinec Plus Cream is safe for external use on the skin when applied as directed by your doctor.
The common side effects of Terbinec Plus Cream are dryness, itching, redness, peeling, and stinging. If any of these side effects persist or worsen, please consult your doctor.
Most patients notice an improvement in itching and redness within a few days, but you should complete the full prescribed course to help clear the infection completely.
No. This cream is not recommended for diaper rash because airtight diapers can increase the absorption of the strong steroid, raising the risk of side effects in infants. Ask your child's healthcare provider about safer alternatives.
If you notice skin thinning, stretch marks, or visible blood vessels, contact your healthcare provider promptly. If you have been using this medicine over large areas of skin or for a prolonged period, do not stop it abruptly without medical advice, as your doctor may recommend gradually reducing treatment in some situations.
This medicine should only be used during pregnancy if your doctor determines that the expected benefits outweigh the potential risks to the baby.
Do not cover the treated area with bandages or airtight dressings unless your doctor specifically instructs you to do so, as this can increase medicine absorption and the risk of side effects.
If the cream is swallowed, seek immediate medical attention or contact a poison control center, as it is intended for external use only.
It is best to avoid applying makeup over the treated area until the medicine has been fully absorbed and your skin has started to heal.

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Country of origin

India

Manufacturer/Marketer address

F/4, Palak-Ii, Opp. Shriji Enclave, Above Sbi Bank, Anandnagar Road, Satellite, Ahmedabad - 380015
Other Info - TER0445
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