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Two medicines, side by side

Ciclopirox vs terbinafine

Ciclopirox and terbinafine are both labeled for fungal infections. Drugs@FDA records approvals of ciclopirox since 1982 and of terbinafine since 1992. Pharmacies paid $0.169 per gram (Ciclopirox 0.77% cream) and $0.143 per terbinafine HCl 250 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the ciclopirox FDA label on DailyMed (effective July 10, 2026); the terbinafine FDA label on DailyMed (effective October 17, 2025).

Highlights of the ciclopirox record

Ciclopirox (Loprox) · label of July 10, 2026

Used for

From the label: indications

(To understand fully the indication for this product, please read the entire INDICATION AND USAGE section of the labeling.) Ciclopirox topical solution, USP 8% as a component of a comprehensive management program, is indicated as topical treatment in immunocompetent patients with mild to moderate onychomycosis of fingernails and toenails without lunula involvement, due to Trichophyton rubrum. […]

On the market

Earliest approval on file
December 30, 1982
Generic labelers
14 labelers
Pharmacy cost
$0.169 per gram

Supply and safety

Shortage
No current entry
Recalls
5

Highlights of the terbinafine record

Terbinafine (Lamisil) · label of October 17, 2025

Used for

From the label: indications

INDICATIONS AND USAGE Terbinafine tablets are indicated for the treatment of onychomycosis of the toenail or fingernail due to dermatophytes (tinea unguium). Prior to initiating treatment, appropriate nail specimens for laboratory testing [potassium hydroxide (KOH) preparation, fungal culture, or nail biopsy] should be obtained to confirm the diagnosis of onychomycosis. […]

On the market

Earliest approval on file
December 30, 1992
Generic labelers
39 labelers
Pharmacy cost
$0.143 per tablet

Supply and safety

Shortage
No current entry
Recalls
0

Source: FDA drug labels via openFDA (Ciclopirox label of July 10, 2026, Terbinafine label of October 17, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do ciclopirox and terbinafine differ on the record?

Generics: ciclopirox since 2004; terbinafine since 2007 (Drugs@FDA).

CiclopiroxTerbinafine
Labeled forFungal infectionsFungal infections
Pharmacologic classn/aAllylamine Antifungal
How it works (label)n/aTerbinafine is an allylamine antifungal [see Clinical Pharmacology (12.4) ].
Half-life (label)n/aeady-state, in comparison to a single dose, the peak concentration of terbinafine is 25% higher and plasma AUC increases by a factor of 2.5; …
Earliest approval on file (Drugs@FDA)December 30, 1982December 30, 1992
First generic approvedAugust 6, 2004July 2, 2007
Generic labelers (NDC)14 labelers39 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.169 per gram (Ciclopirox 0.77% cream)$0.143 per tablet (Terbinafine HCl 250 mg tablet)
12-month price change-6%-5%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded50
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)2,9378,847
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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