• Title/Summary/Keyword: terbinafine

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Pharmacokinetic Comparison of Lamisil Tablet and Muzonal Tablet Containing Terbinafine HCl in Healthy Volunteers (건강한 지원자에 있어서 염산테르비나핀 함유 라미실정과 무조날정의 약물동력학적 비교)

  • Choi Han-Gon;Yong Chul Soon;Rhee Jong-Dhal;Woo Jong-Soo;Lee Kyung Hee;Yoo Bong Kyu
    • YAKHAK HOEJI
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    • v.49 no.4
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    • pp.255-259
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    • 2005
  • Financial standing of National Health Insurance has been experiencing a grave deterioration during the last 4-5 years, and the yearly amount paid by the insurance for drug expense rose up to 4 trillion won recently. Furthermore, the ratio of drug expenses in the total expenditure of the insurance reached about $25\%$, showing the tendency to be levelled off. As a measure to improve the financial deterioration of the insurance and to encourage generic substitution among the health professionals, we compared pharmacokinetic parameters of brand name drug (Lamisil) and generic drug (Muzonal) containing terbinafine HCl in healthy volunteers. The area under the curve (AUC) of the two drugs showed $2220.4\pm784.7\;and\;2143.1\pm861.6hr{\cdot}ng/ml$ in the corresponding order and no statistically significant difference was identified. The peak concentration $(C_{max})$ of the generic drug demonstrated $566.6\pm246.2 ng/ml$ compared to $550.8\pm204.0$ of brand name drug, which was not significantly different either. Time to reach peak concentration showed about 6 minutes difference between the drugs, which has no clinical significance to the treatment of dermatomycosis and dermatophytosis.

Antifungal Activity of 5 Antifungal Agents and Granitic Powder on Microsporum canis (Microsporum canis에 대한 5가지 항진균제와 맥반석 가루의 항진균 효과)

  • Kang Tae-hyung;Lee Jeong-chi;Won Young-ho;Oh Seok-il;Lee Chung-gil;Lee Chai-yong
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.371-376
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    • 2005
  • The aim of this study was to determine tile inhibitory effect of granitic powder against Microsporum canis. Fourteen strains of M. canis isolated from dgs and cats with fungal dermatitis and two strains isolated from humans were used in this study. The in vitro antifungal activities of granitic powder and 5 commercialized antifungal agents (terbinafine, itraconazole, ketoconazole, griseofulvin and fluconazole) were compared. The antifungal effect was measured by the broth microdilution method and was expressed as the minimal inhibitory concentration (MIC). The MIC value of the granitic powder was ranged from 31.3 to 250mg/ml. Terbinafine showed the lowest MIC value among the 5 commercial antifungal agents $(0.0078-0.125{\mu}g/ml)$, while fluconazole showed the highest MIC values $(125-1,000{\mu}g/ml)$. The MIC range of itraconazole, griseofuvin and ketoconazole were $0.125-0.5{\mu}g/ml\;0.625-5{\mu}g/ml$ and $10-40{\mu}g/ml$ respectively. The Geometric mean(GM) MIC values of terbinafine and ketoconazole against M. canis isolated from human were $0.0078{\mu}g/ml\;and\;10{\mu}g/ml$, respectively, while the GM MIC values of these agents against M. canis isolated from animals were $0.063{\mu}g/ml\;and\;31.4{\mu}g/ml$, respectively. Other antifungal agents did not show any significant differences in antifungal activity against M. canis of animal or human origin. Although granitic powder was shown to have antifungal activity, it was much lower than that of the 5 commercialized antifungal agents.

In Vitro Antifungal Activities of Amphotericin B, Fluconazole, Itraconazole, Terbinafine, Caspofungin, Voriconazole, and Posaconazole against 30 Clinical Isolates of Cryptococcus neoformans var. neoformancs

  • Lee, Young-Ki;Fothergill, Annette W.
    • Mycobiology
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    • v.31 no.2
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    • pp.95-98
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    • 2003
  • Aantifungal agents were tested against 30 clinical isolates of Cryptococcus neoformans var. neoformans using the NCCLS method(M27-A2). Posaconazole, itraconazole and amphotericin B had lower MIC than the remaining four antifungal agents. The MIC result for posaconazole was over 220-fold lower active than fluconazole. Fluconazole MICs for most isolates fell within the dose-dependant range. The overall MIC ranges and $MIC_{50}s$ were amphotericin B(0.03-0.25; 0.25), fluconazole(0.5-64; 16), itraconazole(0.015-1; 0.125), terbinafine(0.06->2; 1), caspofungin(8-32; 32), voriconazole(0.015-0.5; 0.25), and posaconazole(0.015-0.25; 0.06 ${\mu}g/ml$), respectively. In conclusion, the $MIC_{50}s$ of these drugs did not exhibit any sign of an upward shift with the exception of fluconazole and tendency cross-resistance between the seven drugs was not observed. We conclude that in vitro resistance to antifungal agents has not significantly changed despite the recent wide-spread use of triazoles for long-term treatment of Cryptococcal meningitis.

Antifungal Susceptibility Testing for the Dermatophytes Isolated from Dogs and Cats (개와 고양이에서 분리한 피부사상균에 대한 항진균제의 감수성시험)

  • Shin, Jae-Eun;Sung, Choong-Hyun;Kim, Doo
    • Journal of Veterinary Clinics
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    • v.18 no.1
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    • pp.1-6
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    • 2001
  • The aim of this study was to determine optimal therapeutic dose of antifungal agents for dermatophytes. Forty nine dermatophytes were isolated form dogs and cats showing skin lesions and were tested for their in vitro susceptibility to nystatin, griseofulvin, terbinafine, ketoconazole and fluconazole by broth microdilution test. Terbinafine showed the lowest MIC value among the antifungal agents tested, and MIC values ranged from 0.002 to 0.016 $\mu\textrm{g}$/ml. Fluconazole showed the highest MIC values among the antifungal agents tested, and MIC values ranged from 32 to 512 $\mu\textrm{g}$/ml. MIC values of nystatin, griseofulvin and ketoconazole ranged from 1.12 to 4.48 $\mu\textrm{g}$/ml, 0.5 to 4.0 $\mu\textrm{g}$/ml, and 1.6 to 12.8 $\mu\textrm{g}$/ml, resistant to griseofulvin, and that antifungal susceptibility test was needed to determine optimal therapeutic dose of antifungal agents for each dermatophyte.

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Antimicrobial Effect of Bamboo (Phyllosrachys Bambusoides) Essential Oil on Trichophyton and Pityrosporum (무좀균과 비듬균에 대한 대나무 기름의 항균효과)

  • Lee, Sook-Kyung
    • Journal of Food Hygiene and Safety
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    • v.18 no.3
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    • pp.113-117
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    • 2003
  • In order to develop a antimicrobial agent, bamboo oil was extracted by high temperature suction from dired bamboo truk and then antimictobial activities against Trichophyton and Pityrosporum are investigated. 1. Bamboo oil showed the strongest antimicrobial effect on Trichophyton mentagrophytes > Epidermophyton floccusum > Trichophyton rubrun. Bamboo oil showed the strongest antimicrobial activity on Trichophyton mentagrophytes. 2. Bamboo oil showed the strongest antimicrobial effect on Pityroporum ovale 75 > Pityrosporum ovale 77. Bamboo oil showe the strongest antimicrobial activity on Pityroporum ovale 75.3 Antimicrobial effect in 50%-ethanol extracts of bamboo oil are similar to 100%-bamboo oil.

A Case Study on Leukopenia Patients Using Ortho-Cellular Nutrition Therapy (OCNT) (세포교정영양요법(OCNT)을 이용한 백혈구 감소증 사례 연구)

  • Jeonghwa Baek
    • CELLMED
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    • v.13 no.11
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    • pp.38.1-38.9
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    • 2023
  • Objective: A case report on the Leukopenia Patients Using Ortho-Cellular Nutrition Therapy (OCNT) Methods: A Korean female in her 50s suffering from the rare side effect of leukopenia after taking athlete's foot medicine (Terbinafine HCl) Results: The results revealed that the white blood cell count, which had dropped before the OCNT, had improved to a normal level. Conclusion: The application of the OCNT can help change health-related figures in patients with relevant problems.

A Randomized Active Controlled Clinical Trial to Evaluate Safety and Efficacy of a Topical Unani Formulation Marham Kharish Jadeed in the Management of Qūbā (Tinea Corporis)

  • Aaliya, Aaliya;Nawab, Mohammad;Kazmi, M.H.;Ayyub, Sana
    • CELLMED
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    • v.10 no.3
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    • pp.22.1-22.7
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    • 2020
  • Introduction: Qūbā (Tinea Corporis) is a very common disease widely prevalent worldwide. 20 - 25 % individuals suffer for this stubborn disease. Unani System of Medicine offers its treatment. There are many pharmacopoeial formulations indicated for various types of dermatophytic infections. In this study clinical efficacy and safety of the topical Unani formulation Marham Kharish Jadeed (a compound drug in the dosage form of an ointment) was assessed and compared with a standard conventional medicine. Materials and methods: A clinical study was conducted on 60 participants of qūbā randomized into test and control groups (n=30 in each group). The participants were clinically diagnosed and confirmed by microscopy of skin scrapings. The efficacy of the Unani formulation was assessed in terms of TSS score and elimination of fungal elements from the skin lesions. The data collected were analyzed statistically. Results and discussion: The study showed that the Unani formulation had comparatively better efficacy clinically than conventional medicine Terbinafine hydrochloride 1% cream in terms of reduction of itching, erythema, scaling, peripheral raised margins of the lesion comparing to baseline. In this study, 27 participants in test group and 18 participants in control group were completely cured (≥75% reduction in TSS Score with Mycological Cure) after 4 weeks of treatment. The efficacy of the Unani formulation was found significant statistically. The individual drugs of the formulations having analgesic (Musakkin), blood purifier (Muṣaffi-i-Dam), demulcent (Mulaṭṭif), antifungal (Qātil-i-fafūndῑ), detergent (Jālῑ), refrigerant (Mubarrid) and antiseptic (Dāfi'-i-'Ufūnat) properties might be responsible for the efficacy of Unani formulation. Conclusion: The findings of the study suggested that the Unani formulation was found effective and safe in the management of qūbā. No local and systemic adverse effect was reported during the study.

Antifungal Susceptibility of Microsporum canis isolated from canine dermatophytosis (개 피부병 유래의 Microsporum canis의 항진균제 감수성)

  • Han, Ki-ok;Choi, Won-pil
    • Korean Journal of Veterinary Research
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    • v.41 no.2
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    • pp.173-176
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    • 2001
  • The present study was conducted to examine the drug susceptibility of 57 strains of Microsporum canis isolated from dogs with dermatitis in Taegu, 1999. Antifungal susceptibility test was performed by the microdilution method, using 7 antifungal drugs as follows: itraconazole(I), terbinafine(T), ketoconazole(K), griseofulvin(G), amphotericin B(A), flucytosine(5-Fc)(F), tolnaftate(To). All tester strains of M canis were highly susceptible to T, I, K and To(geometric mean $MICs{\leq}0.007{\sim}0.155{\mu}g/ml$), while those were lowly susceptible to G, A and F(geometric mean MICs $0.285{\sim}26.430{\mu}g/ml$).

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Bovine dermatophytosis and susceptibility of the isolates to antifungal drugs (소 피부사상균증의 발생상황 및 분리균의 약제감수성)

  • 오강희;박노찬;도재철;임소정;박진희
    • Korean Journal of Veterinary Service
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    • v.26 no.1
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    • pp.57-65
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    • 2003
  • The present study was conducted to examine the outbreak state of bovine dermatophytosis in 14 farms(4 dairy farms, 10 Korean indigenous cattle farms) in Gyeongbuk province from November 2000 to November 2001. The causative agents of dermatophytosis was identified by mycological examination. Antifungal susceptibility test of 26 isolates was performed by agar dilution method, using 5 antifungal drugs. Prevalence of bovine dermatophytosis was found to be 13.5%(90/665) in dairy cattle farms and 14.5%(220/1,520) in Korean indigenous cattle farms. The most common age at which this disease occurred was 2-12 months. This disease usually occurred from winter to spring and the occurrence subsequently decreased in the summer. But 4 Korean indigenous cattle farms with poorly hygienic status were occurred all the year round. The causative agent was identified as Trichophyton verrucosum exclusively in these case. Antifungal susceptibility test of T verrucosum (26 strains) was performed by agar dilution method, using 5 antifungal drugs including tolnaftate, griseofulvin, ketoconazole, amphotericin B and terbinafine. All isolates were highly sensitive to 5 antifungal drugs (geometric mean MICs 0.004∼0.032 $\mu\textrm{g}$/$m\ell$). The isolates were the most sensitive to especially tolnaftate.