Terbitotal Cream

Composition of Terbitotal Cream

Terbitotal Cream contains Beclometasone (0.025% w/w) + Clotrimazole (1% w/w). It belongs to the Inhaled bronchodilator / corticosteroid and Antifungal class of medicines.

Uses of Terbitotal Cream

Treatment of Fungal skin infections

Key benefits

• In Treatment of Fungal skin infections Fungal skin infections can cause redness
• itching
• swelling
• and discomfort
• and may worsen due to inflammation. Terbitotal Cream helps treat the infection by stopping the growth of fungi while also reducing redness
• itching
• and irritation. This combination provides faster relief from discomfort
• helps clear the infection
• and promotes healing and restoration of healthy skin.

How Terbitotal Cream works

Terbitotal Cream is a combination of two medicines: Beclometasone and Clotrimazole which treat skin infections. Beclometasone is a steroid which blocks the production of certain chemical messengers (prostaglandins) that make the skin red, swollen and itchy. Clotrimazole is an antifungal which stops the growth of fungi on the skin by preventing them from forming their own protective covering.

How to take Terbitotal Cream

This medicine is for external use only. Use it in the dose and duration as advised by your doctor. Check the label for directions before use. Clean and dry the affected area and apply the cream. Wash your hands after applying, unless hands are the affected area.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

If you miss a dose of Terbitotal Cream, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

If you take too much

An overdose of this medicine can cause a racing heart, marked tremor, headache and a fall in blood potassium. It is unlikely from skin use; swallowing the preparation may cause stomach upset. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Terbitotal Cream

Most side effects of Terbitotal are mild and settle as the body adjusts. Reported side effects include:

• Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Terbitotal Cream

Warnings and precautions

Know which of your inhalers is the reliever and which is the preventer. A preventer must be used every day even when you feel well; a reliever is for symptoms. Seek emergency care if your reliever is not working, if you cannot speak a full sentence, or if you are using the reliever far more often than usual. Rinse your mouth with water and spit it out after every steroid inhaler dose to prevent thrush and hoarseness. Ask your doctor or pharmacist to watch your technique — poor technique is the commonest reason an inhaler seems not to work. Use a spacer if one has been advised, particularly for children. Keep applying for the full period your doctor stated, usually two to four weeks, and for a week or two after the rash has cleared. Stopping when it looks better is why ringworm keeps coming back. Apply a little beyond the visible edge of the patch — the fungus extends further than the redness. Do not use a combination cream containing a steroid on a fungal infection unless a doctor has specifically prescribed it. The steroid calms the redness while the fungus spreads underneath. See a doctor if the rash covers a large area, involves the scalp or nails, or has not improved in two weeks — these usually need tablets as well.

Do not take Terbitotal if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for anyone with a known allergy to the propellant used in the inhaler. For external use only. Not for use in the eyes.

Interactions with other medicines

Beta blockers, including eye drops for glaucoma, can tighten the airways and reduce the effect of your reliever. No significant interactions are expected from preparations used on the skin.

How to store Terbitotal Cream

Store below 30°C, away from direct sunlight. Close the cap tightly after each use. Keep out of the reach of children.

Expert advice for Terbitotal Cream

Apply a thin layer of Terbitotal Cream to clean, dry skin as directed by your doctor. Terbitotal Cream is for external use only. Avoid contact with the eyes, mouth, or inside the vagina, and rinse thoroughly with water if accidental contact occurs. Wash your hands before and after applying Terbitotal Cream unless your hands are the treated area. Do not cover the treated area with airtight dressings or tight bandages unless advised by your doctor. Use Terbitotal Cream only for the duration prescribed, as prolonged or unsupervised use of steroid-containing creams may thin the skin. Avoid applying Terbitotal Cream on large areas, the face, or private areas unless advised by your doctor. Do not mix Terbitotal Cream with other steroid creams or topical medicines unless instructed by your doctor. Keep the affected skin clean and dry, as moisture and humidity may worsen fungal infections. Stop using Terbitotal Cream and consult your doctor if severe burning, irritation, or worsening of the infection occurs. Consult your doctor if the infection spreads or does not improve after about 2 weeks of treatment. Do not share Terbitotal Cream with others, even if they have similar symptoms.

Manufacturer and class

Manufacturer:

MACLEODS PHARMACEUTICALS LTD

Therapeutic class:

DERMA

Drug class:

Inhaled bronchodilator / corticosteroid and Antifungal