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Lamisil Once is a clear to slightly cloudy gel-like solution, which, upon application on the feet, leaves a smooth, barely visible film that stays on the skin. The film delivers the active substance into the skin. Delivery progressively continues to kill the fungus that causes athlete's foot.

Lamisil Once contains 10mg of the fungicidal active substance terbinafine (as hydrochloride) per 1g of solution. The other ingredients are acrylates/octylacrylamide copolymer, hydroxypropylcellulose, triglycerides and ethanol.

Lamisil Once is a preparation for a single dose application.

What is Lamisil Once and what is it used for? Lamisil Once is used to treat athlete's foot. It works by killing the fungi which cause athlete's foot.

How do you know that you have athlete's foot? Athlete's foot (tinea pedis) appears only on the feet (usually both), where it often appears between the toes, and can spread to the sole and sides of the feet. The most common type of athlete's foot causes cracking or scaling of the skin, but you may also have mild swelling, blisters, or weeping sores. This may often be associated with itching or burning sensations.

If you are not sure about the cause of your condition, please talk to your doctor or pharmacist before using Lamisil Once. Check before you use Lamisil Onc.

When you must not use it: Do not use Lamisil Once if you are allergic to any of the ingredients in this medicine (see the list of ingredients at the beginning of this leaflet).

Take special care with Lamisil Once: Lamisil Once is for treating the skin of the feet only. Be careful not to get the product on your face and eyes, or damaged skin (other than the treatment site) as it could be irritating. If you get it accidentally into your eyes, rinse thoroughly with running water. If any discomfort persists, see your doctor. Do not swallow.

Lamisil Once is not recommended for long-term fungal infection of the soles and heels of the feet with associated thickening and/or pronounced flaking of the skin. If you think you might have this condition, you should consult your doctor.

If you have fungal nail infection (fungus inside and under the nail), with discoloration of the nails and change in nail texture (thick, flaky), do not use Lamisil Once but consult a doctor. You may require prescription medication for your nail infection.

If you are pregnant or breast-feeding: If you are pregnant, ask your doctor or pharmacist before using Lamisil Once. Do not use Lamisil Once while breast-feeding.

Lamisil Once and children: Do not use this medicine on patients under 18 years of age.

Taking other medicines: Before using Lamisil Once tell your doctor or pharmacist about any other medicines you are taking, or have recently taken, including any you have bought without medical prescription. Do not apply other medicinal products on the treated areas.

How to use Lamisil Once? For adults: Lamisil Once is to be applied only once. You have to apply the product on both feet (between and over the toes, sole and sides of the feet), even if symptoms are visible only on one foot This ensures the elimination of the fungus responsible for your infection which might be present in other areas of the feet even if no lesions are visible. When applied on the feet, the medication dries quickly to a colourless film. The tube has enough medication to treat both feet Follow the instructions carefully to get the best results.

When you use Lamisil Once: Lamisil Once delivers the active into the skin where it persists for a number of days to eliminate the fungus that causes athlete's foot. To get the best results, feet should not be washed or splashed for 24 hours after the application. It is therefore recommended to apply Lamisil Once after a shower or a bath, and wait 24 hours before washing your feet again.

Before you use Lamisil Once: Wash both feet and dry them carefully Wash and dry your hands Remove the cap from the tube

How to use Lamisil Once: This is a single application treatment. Apply to both feet. Finish one foot before treating the other. Use about half the tube for each foot, as needed to cover skin. Apply to each foot with fingers as shown in the accompanying diagrams: apply first between, under, and over all toes. Then apply over sole and - sides of your foot. Treat the other foot in the same way, even if your skin looks healthy. Spread evenly. Do not massage into skin. Do not apply to skin a second time. Leave the product to dry to a film for 1-2 minutes, before wearing your normal footwear. Replace the cap on the tube and discard any remaining product.

Do not keep or give the remaining product to other people. Wash your hands with warm soapy water after the application. The film left on your skin after applying the product, even if it is barely visible, will continue to work killing t he fungi for several days after the single-dose application.

Your skin condition should start to improve within a few days.

Even though Lamisil Once will begin to kill the fungi immediately after single application, it may take up to 4 weeks for your skin t o heal completely. Few people suffering from athlete's foot (1 person o ut of every 8), experience relapse or reinfection within three months of treatment with this product.

If you have not noticed any signs of improvement within 1 week after applying Lamisil Once, please see your doctor or pharmacist who will advise you. Do not use the product a second time for a particular athlete's foot episode if it did not work after the first application.

To help with treatment: To help the treatment keep the affected area clean by washing it regularly after the first 24 hours. Dry it carefully without rubbing. Try not to scratch the area although it may be itchy, because this could cause further damage and slow the healing process or spread the infection.

Because these infections can be passed on to other people, remember to keep your own towel and clothes and do not share them with others. To protect yourself from reinfection, these should be washed frequently.

What if you accidentally swallow some of the product? lf you or someone else accidentally swallows the product, please tell your doctor who will advise you what to do.

Possible side effects All medicines can cause unwanted effects in some people, and it is important to note the following: In very rare instances people may be allergic to the product, which could cause skin rash, itching, blistering of the skin, or hives (less than 1 person out of 10,000 is expected to suffer from allergy). In the unlikely event that you experience an allergic reaction or any of the above symptoms when using this product, remove the film with denatured alcohol, wash your feet with warm soapy water, rinse-off and consult your doctor or pharmacist.

Other side effects which may occur at the application site are uncommon (1 to 10 people out of 1,000), and usually mild, transient and harmless. These effects may include skin dryness, skin irritation or burning sensation after application. If you are nevertheless concerned, tell a doctor or pharmacist.

If you notice any side effects not mentioned in this leaflet, please tell your doctor or pharmacist.

Storing Lamisil Once Keep all medicines out of the reach and sight of children

Do not use or keep this medicine after the expiry date shown on the box and on the tube Store in the original container in order to protect from light. There is no special temperature precaution for storage Contains ethanol, keep away from naked flames Product Licence holder/manufacturer:Novartis Consumer Health