desipramine vs terbinafine

PlainMeds reviewed this comparison against our methodology in August 2026. It places FDA and CMS record fields side by side, without recommending either medication.

Side-by-side comparison of desipramine and terbinafine. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

7 DRUG INTERACTIONS Terbinafine is an inhibitor of CYP450 2D6 isozyme and has an effect on metabolism of desipramine. In a study to assess the effects of terbinafine on desipramine in healthy volunteers characterized as normal metabolizers, the administration of terbinafine resulted in a 2-fold increase in C max and a 5-fold increase in area under the curve (AUC).

Drug Class
desipramine Tricyclic Antidepressant (TCA)
terbinafine Allylamine Antifungal
Type
desipramine Prescription
terbinafine Prescription
Summary
desipramine

Desipramine is a medicine used to treat depression. It belongs to a class of drugs called tricyclic antidepressants.

terbinafine

Terbinafine is an antifungal medicine. It is used to treat fungal infections of the fingernails and toenails.

What It Treats
desipramine

Desipramine is used to treat depression. Depression can cause feelings of sadness, loss of interest, and trouble functioning in daily life. This medicine can help improve your mood and overall well-being.

terbinafine

Terbinafine treats onychomycosis, a fungal infection of the toenails or fingernails. Before you start taking this medicine, your doctor should take a nail sample. This is to make sure the infection is caused by a fungus.

How It Works
desipramine

Desipramine works by affecting certain chemicals in the brain. It helps to increase the levels of norepinephrine. This can improve mood and reduce symptoms of depression.

terbinafine

Terbinafine belongs to a class of medicines called allylamine antifungals. It works by stopping the growth of fungi. This eventually kills the fungus causing the infection.

Common Side Effects
desipramine
  • Drowsiness
  • Dizziness
  • Dry mouth
  • Constipation
  • Blurred vision
terbinafine
  • Headache
  • Diarrhea
  • Rash
  • Upset stomach
  • Abnormal liver enzyme tests
FAERS Reports
desipramine
  • Fatigue 119
  • Completed Suicide 116
  • Nausea 77
  • Headache 70
  • Weight Increased 68
terbinafine
  • Rash 391
  • Pruritus 316
  • Fatigue 300
  • Nausea 280
  • Ageusia 270
Serious Warnings
desipramine

Antidepressants may increase the risk of suicidal thoughts or actions in children, teens, and young adults. Watch for worsening depression, unusual behavior, or thoughts of suicide. Desipramine is not approved for use in children.

terbinafine

Terbinafine can cause liver problems, including liver failure. Your doctor should check your liver before you start taking it and regularly while you are taking it. Tell your doctor right away if you have nausea, loss of appetite, tiredness, vomiting, pain in your upper right belly area, yellowing of the skin or eyes, dark urine, or pale stools. If you have taste changes, stop taking terbinafine. These changes can be severe, long-lasting, or even permanent. Tell your doctor if you feel depressed or have other mood changes.

Pregnancy
desipramine

Tell your doctor if you are pregnant or plan to become pregnant. Desipramine may affect your baby. Talk to your doctor about the risks and benefits of taking this medicine while pregnant or breastfeeding.

terbinafine

Talk to your doctor if you are pregnant or plan to become pregnant. It is not known if terbinafine will harm your unborn baby. Terbinafine passes into breast milk. Talk to your doctor about the risks and benefits of breastfeeding while taking this medicine.

Also Compare, Nearby Drugs

How to Read This desipramine vs terbinafine Comparison

desipramine is classified in the Tricyclic Antidepressant (TCA) drug class, while terbinafine sits within the Allylamine Antifungal class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, desipramine has 450 submissions while terbinafine has 1,557. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to terbinafine stops a liver enzyme from working, which causes desipramine to build up to much higher levels in the blood.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for desipramine or terbinafine.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.