TERFIN PLUS

# MOMETASONE FUROATE 0.1% W/W + TERBINAFINE 1% W/W ## Short Description **Mometasone Furoate 0.1% w/w + Terbinafine 1% w/w** is a topical combination medicine containing a **corticosteroid and an antifungal**. It may be prescribed for certain **inflamed fungal skin infections** where both fungal infection and significant redness, itching, or inflammation are present. **Terbinafine** treats susceptible fungal organisms, while **mometasone** reduces inflammation, redness, and itching. > **Important:** Because topical corticosteroids can worsen or mask some fungal infections when used inappropriately, this combination should be used only when specifically recommended by a healthcare professional and generally for a limited duration. ## Key Benefits * Helps treat susceptible **fungal skin infections**. * Terbinafine directly targets fungal organisms. * Mometasone helps reduce **redness, swelling, and itching**. * May provide relief from inflammatory symptoms associated with certain fungal infections. * Combines antifungal and anti-inflammatory actions in a single topical preparation. * Can help improve skin comfort while the fungal infection is being treated. ## Uses / Indications This combination may be prescribed for selected **inflamed superficial fungal skin infections**, such as: * Tinea corporis (ringworm of the body). * Tinea cruris (fungal infection of the groin). * Tinea pedis (athlete's foot), when significant inflammation is present. * Other susceptible dermatophyte infections with marked inflammation, when specifically diagnosed by a healthcare professional. ### Important This product is **not appropriate for every itchy or red skin condition**. The corticosteroid component can worsen certain infections or skin diseases if used incorrectly. It should generally **not be used for acne, rosacea, or undiagnosed rashes** unless specifically prescribed. ## How It Works ### Terbinafine 1% Terbinafine is an **allylamine antifungal**. It inhibits the fungal enzyme **squalene epoxidase**, interfering with the production of ergosterol, an essential component of fungal cell membranes. This causes accumulation of squalene and disruption of the fungal cell membrane, ultimately leading to the death of susceptible fungi. ### Mometasone Furoate 0.1% Mometasone is a **topical corticosteroid**. It reduces the release of inflammatory substances in the skin, helping decrease: * Redness. * Swelling. * Itching. * Irritation. ### Combined Action **Terbinafine → treats the fungal infection** **Mometasone → reduces inflammation and itching** The two ingredients therefore address both the **underlying fungal infection and associated inflammatory symptoms**. ## Dosage & Administration The exact treatment duration should be determined by the prescribing healthcare professional. General topical-use instructions include: 1. Clean and gently dry the affected area. 2. Apply a **thin layer** to the affected skin. 3. Usually apply once daily or according to the prescribed directions. 4. Gently spread the medicine over the affected area and, when directed, a small area of surrounding skin. 5. Wash hands before and after application unless the hands themselves are being treated. 6. Avoid covering the treated area with airtight or occlusive dressings unless specifically instructed. 7. Do not use more frequently or for longer than prescribed. ### Important Do not apply the product to large areas of the body or use it for prolonged periods without medical supervision because of the corticosteroid component. Avoid applying it to: * Eyes. * Mouth. * Inside the nose. * Genital or mucosal surfaces unless specifically prescribed. * Open wounds. ### Missed Application Apply when remembered unless it is nearly time for the next application. **Do not apply an excessive amount to make up for a missed application.** ## Side Effects Possible side effects include: * Mild burning or stinging. * Itching. * Irritation. * Dryness. * Redness at the application site. ### Mometasone-Related Effects Prolonged or inappropriate use may cause: * Skin thinning (**atrophy**). * Stretch marks. * Changes in skin pigmentation. * Increased visibility of small blood vessels. * Easy bruising. * Increased hair growth at the application site. * Perioral dermatitis. * Acne-like eruptions. ### Serious Side Effects Stop using the product and seek medical advice if you develop: * Severe skin irritation. * Significant swelling. * Severe allergic reaction. * Worsening or spreading infection. * New pus, pain, or fever associated with the skin infection. * Significant skin thinning or other unusual skin changes. ## Precautions & Warnings ### For External Use Only This medicine is intended for **external skin use**. Do not swallow it. ### Avoid Prolonged Steroid Use Mometasone can suppress local immune responses. Prolonged or inappropriate use may: * Worsen a fungal infection. * Mask symptoms of infection. * Allow infection to spread. * Cause skin thinning. ### Avoid the Face Unless Prescribed Facial skin is particularly sensitive to topical corticosteroids. Do not use this combination on the face unless specifically directed by a healthcare professional. ### Children Children may absorb relatively more topical corticosteroid through the skin. Use in children should therefore be **specifically recommended and monitored by a healthcare professional**. ### Large Areas Do not apply to extensive areas of skin unless prescribed. Absorption of corticosteroids increases when large areas are treated. ### Occlusive Dressings Do not cover treated areas with plastic wraps, tight bandages, or other occlusive dressings unless specifically instructed. ### Eyes Avoid contact with the eyes. If the medicine enters the eyes, rinse thoroughly with clean water and seek medical advice if irritation persists. ### Pregnancy and Breastfeeding Tell your healthcare professional if you are: * Pregnant. * Planning pregnancy. * Breastfeeding. Use during pregnancy or breastfeeding should be based on an assessment of potential benefits and risks. ## Drug Interactions Because terbinafine and mometasone are applied topically, clinically significant systemic drug interactions are generally less likely than with oral medicines. However, interactions and additive effects can occur, particularly with extensive or prolonged use. ### Other Topical Steroids Using multiple corticosteroid-containing creams on the same area may increase the risk of **skin thinning and steroid-related adverse effects**. ### Other Topical Medicines Using several topical products simultaneously may increase skin irritation or alter absorption. ### Systemic Corticosteroids Using this product over large areas or for prolonged periods together with systemic corticosteroids may increase overall corticosteroid exposure. Tell your doctor or pharmacist about **all prescription medicines, OTC products, creams, ointments, supplements, and herbal products** you use. ## Storage Information * Store at room temperature according to the manufacturer's instructions. * Keep the tube/container tightly closed. * Protect from excessive heat and direct sunlight. * Do not freeze unless the product label specifically permits it. * Keep away from moisture. * Keep out of reach of children. * Do not use after the expiry date. * Do not use if the tube or seal is damaged. ## Prescription Status **Mometasone Furoate 0.1% + Terbinafine 1% is generally a prescription medicine**, although classification may vary between countries and specific products. Because it contains a **potent topical corticosteroid**, it should not be routinely self-used for undiagnosed fungal rashes. ## Genuine Medicine Assurance When purchasing Mometasone Furoate 0.1% + Terbinafine 1%, obtain it from a **licensed pharmacy or authorized medicine supplier**. Before use, verify: * Correct active ingredients and strengths. * Manufacturer information. * Batch/lot number. * Manufacturing and expiry dates. * Intact tube and packaging. * Clear labeling and application instructions. Do not use the product if the packaging appears damaged, tampered with, incorrectly labeled, or suspicious. ## Frequently Asked Questions (FAQ) ### 1. What is Mometasone Furoate 0.1% + Terbinafine 1% used for? It may be prescribed for certain **inflamed fungal skin infections**, where an antifungal is needed along with treatment of significant redness, itching, and inflammation. ### 2. Is this cream an antifungal? Yes. It contains **terbinafine 1%**, an antifungal medicine. However, it also contains mometasone, a corticosteroid. ### 3. What is the role of mometasone in this combination? Mometasone helps reduce **redness, swelling, itching, and inflammation** associated with the skin condition. ### 4. What is the role of terbinafine? Terbinafine treats susceptible fungal organisms by interfering with **ergosterol production**, which is essential for fungal cell membranes. ### 5. Can this cream be used for ringworm? It may be prescribed for certain cases of **ringworm (tinea)** with significant inflammation. However, because it contains a corticosteroid, it should be used only according to medical advice. ### 6. Can Mometasone + Terbinafine be used for athlete's foot? It may be prescribed for selected cases of **tinea pedis**, particularly when significant inflammation is present. However, uncomplicated athlete's foot may not require a steroid-containing combination. ### 7. Can this cream be used for itching without a fungal infection? It should **not be routinely used for unexplained itching**. Mometasone can temporarily suppress inflammation while potentially worsening or masking certain infections. ### 8. Can I use this cream for acne? No. This combination is **not routinely indicated for acne**, and topical corticosteroids can worsen acne or cause acne-like eruptions. ### 9. Can I use this cream on my face? Do not use it on the face unless specifically prescribed. Facial skin is more susceptible to **steroid-related side effects**, including skin thinning and visible blood vessels. ### 10. Can I use Mometasone + Terbinafine on the groin? It may be prescribed for certain **inflamed fungal infections of the groin**, but the corticosteroid component means it should be used carefully and for the shortest appropriate duration. ### 11. Can this cream be used on children? Children can be more susceptible to corticosteroid absorption and side effects. Use in children should be **specifically recommended by a healthcare professional**. ### 12. How long should I use this cream? The duration depends on the diagnosis and severity of inflammation. Because it contains mometasone, prolonged use should be avoided unless specifically supervised by a healthcare professional. ### 13. Can I use the cream longer if the rash is still itchy? Do not extend treatment on your own. Persistent itching may indicate that the infection requires different treatment or that the diagnosis needs reassessment. ### 14. Can this cream cure fungal infections? The **terbinafine component treats susceptible fungal organisms**, but successful treatment also depends on the correct diagnosis, appropriate duration, and proper application. ### 15. Can this cream make a fungal infection worse? Yes, inappropriate or prolonged use of the corticosteroid component can **suppress local immune responses and potentially worsen or mask a fungal infection**. ### 16. Can I cover the treated area with a bandage? Avoid airtight or occlusive coverings unless your healthcare professional specifically instructs you to use them. Occlusion can increase corticosteroid absorption and side effects. ### 17. Can I use another antifungal cream at the same time? Do not routinely combine topical products without medical advice. Using several products together can increase irritation or make it difficult to determine which treatment is causing a reaction. ### 18. What happens if I accidentally apply too much? Occasional excessive application is unlikely to cause serious problems, but repeated excessive use can increase steroid absorption and skin side effects. Wash off excess product if appropriate and contact your healthcare professional if you are concerned. ### 19. What should I do if I miss an application? Apply it when remembered unless it is almost time for the next application. **Do not apply a double or unusually thick layer.** ### 20. Can this medicine be used during pregnancy? Use during pregnancy should be discussed with a healthcare professional. Avoid prolonged or extensive corticosteroid exposure unless specifically medically indicated. ### 21. Can I use it while breastfeeding? Discuss its use with your healthcare professional. Avoid applying it directly to the **nipple or breast area immediately before breastfeeding** unless specifically instructed. ### 22. Does this cream cause skin thinning? Yes. **Mometasone can cause skin thinning**, particularly with prolonged use, application to sensitive areas, use under occlusion, or excessive application. ### 23. Is Mometasone + Terbinafine available without a prescription? The combination is generally treated as a **prescription medicine**, although regulations differ between countries. ### 24. How should I store Mometasone + Terbinafine cream? Store it according to the manufacturer's instructions, generally at room temperature, away from excessive heat and moisture, and keep the tube tightly closed. ## Medical Disclaimer This information about **Mometasone Furoate 0.1% w/w + Terbinafine 1% w/w** is provided for general educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. This combination contains a **topical corticosteroid**, so inappropriate, prolonged, or unsupervised use can worsen or mask fungal infections and cause skin-related adverse effects. The correct diagnosis is important before treatment. Use only as directed by a qualified healthcare professional. Avoid the eyes, face, mucous membranes, and large areas of skin unless specifically instructed. Seek medical attention for severe allergic reactions, rapidly worsening infection, significant skin changes, or symptoms that do not improve with treatment.