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Show PATIENT INFORMATION ABOUT LAMISIL’ TABLETS Generic name: terbinatine (tur-bin-uh-teen) Please read this aswell as any otherinformation your doctor gives you about LAMISIL: (terbinafine HC!tablets) Tablets and tungalinfections of the toenail or fingernail. Only a ‘doctor or other quaitied heatthcare professional has the tramning necessary to determine it LAMISIL Tablets are nightfor you. What are LAMISIL Tablets? LAMISIL Tablets are a prescrption medicine for the treatment of onychomycosis (on-2eko-miko-sis) What is ¢s a fungal rien fingemaiis oF toenaits. Because the fungus infects the area underneath the nail and in the place where the nailforms. it can be very ‘stubborn and dificult to cure. The infection may cause some orailof the following: the nail can tun colors like white, yellow or brown, and become thickened and brite. ‘Additionally, t may be paintfor some people. How do LAMISIL Tablets work? When you take LAMISIL Tablets, the active ingredient, terinatine, travels to the inlect ed area under the toenailor fingernail. Because terbinafine accumulates and lingers in the area of the nail that is growing, it can continue to work for months even after your prescription s finished, allowing the nail to heal naturally over a period of time. take LAMISIL Tablets Patients take one 250 mg tablet per day (it may be taken with or without food). You should follow your doctor's advice on how to take LAMISIL Tablets, Be sure to take the AMERICA’S FAMILY DOCTOR/continued sontotell them thetruth based onthe best and latest science.” Dr. Satcher brings impressive credentials to his job. From 1993to 1998, he wasdirectorof the Centers for Disease Control and Prevention (CDC)in Atlanta. Before that, he waspresident of MeharryMedicalCollege in Nashville. whichat one time graduated more than 40 percent ofthe black doctors in this country. At Meharry, he oversaw a controversial merger of the school’s teaching hospital with Nashville's General Hospital, markingthefirst emplary academic record and leadership skills. would be among thefirst. They were wrong. “Everybody wasjust certain I was going to be accepted, and they turned me down,” he said. Instead, Satcherstudied medicine at Case Western Reserve University in Cleveland, wherehe did research on finding the causes of sickle cell anemia. But his heart wasn’t in research. What he really wanted to dowaspractice medicinein underserved communities. His chanceto dothat work arrived in the form of Al Hanes. head of the community medicine program at the Martin Luther King Jr. General Hospital in Watts. a depressed section of Los Angeles. Hanestold him,“If you came outhere, you could re- often takes at least 10 to 12 months for toenails and 4 months for fingernails. This 1S due to the length of timeit takes for the new nails to grow in Who should not take LAMISIL Tablets LAMISIL Tablets should not be taken by anyone allergic to any of its ingredients. ‘You should be aware of these warnings and precautions when taking LAMISIL + ASwath all medications. you should discuss any side effects you experience with your doctor or healthcare professional, + Rare instances ot senous liver problems ally makea difference.” Satcher chose to take the job in Los Angelesrather than pursue a position at Harvard. Whenhearrived at the hospital, he quickly realized that about 40 percentofthe patients suffered from untreated hypertension (high blood pressure). He opened a hypertensionclinic. Later,he started free clinic in the basement ‘doctor may ask you to undergo tests belore and during treatment wath LAMISIL Tablets in chnical studies. 0.9% of patents taking LAMISIL Tablets discontinued therapy ‘because ofa skin rash. In rare cases. these skin indicate a senous sade effect. It you notice a rash, stop taking LAMISIL and call your doctor. + ‘solated cases of decreases in white biood cell count have been reported. in all of the. reported cases to date. nese have been reversible. Patents witier disease or kidney problems should nottake LAMISIL Tablets. Ityou Nave problems with your mmune system, your doctor may need to monitor your white blood cell count carefully ¢ you take LAMISIL Tablets for more than 6 weeks. in ‘some cases. LAMISIL therapy may need to be: * Changes in the retina and lens of the eye have been reported following the use of + LAMISIL The significance of these changes is not known. In clinical studies, 0.9% of patents discontinued taking LAMISIL because of visual disturbances. The tumor-causing potential of LAMISIL has been exammned in numerous stuckes in wade ange of suesnice, dogs, and morkays. These ess suggest het is a finding specific to ie soe wh omar one be re at eof ASL ‘Tablets. Because treatment of onychomycosis can be delayed until ater pregnancy is Completed, LAMISIL Tablets should not be taken by pregnant women The ache ingedert of LAMISIL Tait loti, present nthe breast mak of nursing mothers. Therefore, LAMISIL Tablets should not be taken by nursing mothers + No studies have been done in chien to evaluate the safety of LAMISIL Tablets. Sa cone (nears lenere sorta AMETee oh any other medications. Certain medications, including Tagamet’,” rtampin may affect the rate at which LAMISIL is eliminated from the uit sone or argsmeses,LAMTate tas beenusedaywin ‘many commonly prescribed ‘as Seldane’, Lanoxin’: Possible side effects ‘Most patients tolerate treatment with LAMISIL Tablets very well, However, lke all prespinue, AMISTnecasan scewc sorta oe.Se ‘a8 determined by three studies, were mid and in general did notlead 10 Gecorieuaton of reafront wthLAMSHL sees, The noe teported side effects were headache, which occurred in 12.9% ‘symptoms, including dlarthea (5.6%), upset stomach (43%) tas obrbences (25%), neon (2.6%), abdominal pain (24%), flatulence (2.2%), rah oh) itching (2.8%), hives (1.15), and abnormalities in laboratory tests of iver enzymes (3:3%). In some cases, ‘these complaints were no more frequent than in patents taking placebo (sugar pil) LAMISILTablets were prescribed only for you. Do not share LAMISIL Tablets with ‘other ‘more information about Seek jour tocar or ater atbones * Tagamet (cimetidine)isa registered trademark of SmithKine Beecham Pharmaceuticals. tSeidane (tertenadine)is a registered trademark of Hoechst Marion Roussel, nc. Lanoxin (digoxin)is a registered trademark of Glaxo Wellcome Inc. Scoumadin (wartarin) is a registered trademark of DuPont Pharma, In 1985, as CDC director, Satcher had to temporarily close the organization because of a government-wide shutdow! time many white patients would be treated by black doctors. Bridging the racial divide Satcher hasa longhistory ofconfronting bigotry. Hesaid hevividly recalled the dayhi: year-old brother rushed home. out of breath, to tell his family how he had hidden behind the hedgesin a park for whites only and heard Gov. George Wallace say he would deputize every white manin thestate before he would see a black person goto the University of Alabama. “T grew upin that kind ofenvironment.” Satcher said. “It drove me to channel my energy into changing things.” Asastudentat Morehouse College in Atlanta, hejoined the Student Nonviolent Coordinating Committee. “Thefeeling that 1 was part ofa movement where | could really confront the system wassogratifying,” he said. “There are things that we did that people said were radical, but we were able to demonstrate, go to restau- rants,get arrested andthengo backlater on and see the restauranttotally integrated and everybody acting asif nothing had happened. While at Morehouse, Dr. Satcher sethis sights onattending medical schoolat Duke University. Although Dukehad never had a black medical student, people thought Satcher, with his ex- hausting work, he also one ofthe happiesttimes of his life. “We worked with people from the ground up,” he told me. “There was an excitementandsimplicity that I do miss. Balancingpublic andprivatelife Although Satcher has a calm, understanding presence,he also has a deeply emotional side. In 1978, he wasshattered by the death of his first wife, Callie, from breast cancer. She was 36 years old and the motheroffourchildren, the youngestjust 2. Within a year Satcher metthe poet Nola Richardson, whom he martied in 1980. “Nola knows how to make me laugh, enjoy life and keepthingsin balance,” hesaid. By now Dr.Satcheris used to being comPared to the charismatic former Surgeon General C. Everett Koop. Whena reporter at a recent meetingofthe National Press Clubpersisted in talking about Dr. Koop,Satcher expressed admiration for Koopbutsaid he wasnottrying to imitate him. “I come to this position having been director ofthe CDC foralmost five full years,” hetold the reporters. “So I didn’tjustfall off the turnip truckandget here.” When another reporterasked whatSatcher wanted his own legacy to be,he answered that he hoped that people could look back andsay, “Satcher madea difference. He moved us forward.” © |