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butenafine (Lotrimin Ultra, Mentax, Mentax-TC)

 

Classes: Antifungals, Topical

Dosing and uses of Mentax ([Lotrimin Ultra] terbutaline)

 

Adult dosage forms and strengths

cream

  • 1%

 

Tinea Pedis

Cream: Apply to affected areas BID for at least 1 week; not to exceed 4 weeks

Gel: Apply to affected area BID for 7 days

Solution: Apply to affected area BID for 7 days

 

Ringworm & Jock Itch (Tinea Corporis, Tinea Cruris)

Cream: Apply to affected area qDay/BID for at least 1 week; not to exceed 4 weeks

Gel: Apply to affected area once daily for 7 days

Solution: Apply to affected area qDay for 7 days in tinea corporis and tinea cruris; apply to affected areas BID for 7 days in tinea versicolor

 

Tinea (Pityriasis) Versicolor

Apply qDay for 2 weeks

 

Pediatric dosage forms and strengths

cream

  • 1%

 

Tinea Pedis

<12 years old: Safety & efficacy not established

>12 years old: As in adults

 

Ringworm & Jock Itch (Tinea Corporis, Tinea Cruris)

<12 years old: Safety & efficacy not established

>12 years old: As in adults

 

Mentax ([Lotrimin Ultra] terbutaline) adverse (side) effects

Common

burning

stinging

 

Less Common

contact dermatitis

erythema

irritation

itching

 

Warnings

Contraindications

Hypersensitivity

 

Pregnancy and lactation

Pregnancy category: C

Lactation: excretion in milk unknown; use with caution

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Mentax ([Lotrimin Ultra] terbutaline)

Peak Plasma Time: 8-15 hr

Metabolism: liver

Excretion: urine

 

Mechanism of action

Synthetic benzylamine topical antifungal similar to allylamines (terbinafine, naftifine) that inhibits intermediary in synthesis of ergosterol, an essential component of fungal cell membranes

Fungistatic