Flucoder 50 mg/5 ml (Powder for Suspension)

35 ml bottle: ৳ 78.00

Medicine Details

Indications

  • Vaginal Candidiasis
  • Oropharyngeal Candidiasis
  • Oesophageal Candidiasis
  • Tinea corporis/Tinea cruris
  • Tinea pedis/Other Tinea
  • Kerion
  • Pityriasis versicolor
  • Onychomycosis
  • Invasive candidal infections
  • Cryptococcal infections
  • Prevention of cryptococcal meningitis
  • Prevention of fungal infections in immunocompromised patients
  • Systemic Candidiasis
  • Fungal urinary tract infections
  • Disseminated candidiasis
  • Prophylaxis for fungal infection in neutropenic cancer patients
  • Acute treatment of other systemic fungal infections

Pharmacology

Fluconazole is a triazole antifungal agent. It is a potent inhibitor of fungal cytochrome P-450 dependent enzymes responsible for the synthesis of ergosterol.

Dosage & Administration

  • 150 mg as a single dose for Vaginal Candidiasis
  • 200 mg in 1st day followed by 100 mg daily for 14 days for Oropharyngeal Candidiasis
  • 200 mg in 1st day followed by 100 mg daily for 14-30 days for Oesophageal Candidiasis
  • 150 mg weekly for 4-6 weeks for Tinea corporis/Tinea cruris/Tinea pedis/Other Tinea
  • 50 mg daily for 20 days for Kerion
  • 400 mg as a single dose for Pityriasis versicolor
  • 150 mg weekly for 12 months for Onychomycosis
  • 400 mg on first day then 200-400 mg daily for Invasive candidal infections and cryptococcal infections
  • Orally or by IV infusion, 200 mg daily for Prevention of cryptococcal meningitis
  • Orally or by IV infusion, 50-400 mg daily for Prevention of fungal infections in immunocompromised patients

Interaction

Fluconazole interacts with warfarin, oral sulphonyl ureas, hydrochlorothiazide, phenytoin, rifampicin, combined oral contraceptive, cyclosporin, theophyline, food, cemetidine, antacids, and after total body irradiation for bone marrow transplantation.

Contraindications

Fluconazole should not be used in patients with known hypersensitivity to Fluconazole or related triazole compounds.

Side Effects

  • Nausea
  • Abdominal discomfort
  • Diarrhoea
  • Flatulence
  • Rash
  • Anaphylaxis (rare)

Pregnancy & Lactation

Fluconazole should not be used in pregnancy or in women of child bearing potential unless adequate contraception is employed.

Precautions & Warnings

Abnormalities of hepatic, renal, haematological and other biochemical function tests have been observed in some patients. Rare cases of hepatic necrosis and exfoliative cutaneous reactions have been reported. It is not recommended for use during lactation.

Use in Special Populations

Normal doses should be used in the elderly with no evidence of renal impairment. Dose intervals or daily dosage should be adjusted in patients with renal impairment according to creatinine clearance levels.

Overdose Effects

Supportive measures and symptomatic treatment with gastric lavage if necessary may be adequate. Forced volume diuresis may increase the elimination rate. Haemodialysis decreases plasma levels by approximately 50%.

Therapeutic Class

Drugs for subcutaneous and mycoses

Storage Conditions

Keep in a dry place away from light and heat. Keep out of the reach of children.

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