Lucan-R 50 mg/5 ml (Powder for Suspension)

35 ml bottle: ৳ 78.30

Medicine Details

Therapeutic Class

  • Drugs for subcutaneous and mycoses

Indications

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

Pharmacology

  • Fluconazole is a triazole antifungal agent
  • Potent inhibitor of fungal cytochrome P-450 dependent enzymes
  • Responsible for the synthesis of ergosterol

Dosage & Administration

  • Different dosage for various indications
  • Adults and Children dosage recommendations
  • Dosage interval modification for patients with renal impairment
  • Use in specific populations like elderly and patients with renal impairment

Interaction

  • Increased prothrombin time after warfarin administration
  • Prolongation of serum half-life of concomitantly administered oral sulphonylureas
  • Increased plasma concentrations of fluconazole with co-administration of hydrochlorothiazide
  • Increase in the level of phenytoin and decrease in AUC and shorter half-life with rifampicin co-administration
  • Interaction with combined oral contraceptives, cyclosporin, theophylline, and other medications
  • Effect of food, cimetidine, antacids, and total body irradiation on fluconazole absorption

Contraindications

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

Side Effects

  • Nausea, abdominal discomfort, diarrhea, flatulence
  • Rare occurrence of rash and anaphylaxis

Pregnancy & Lactation

  • Adverse effects observed in animals at high dose levels
  • Little use during human pregnancy
  • Not recommended in pregnancy or in women of childbearing potential unless adequate contraception is employed

Precautions & Warnings

  • Observation of abnormalities in hepatic, renal, hematological, and biochemical function tests
  • Potential occurrence of hepatic necrosis, exfoliative cutaneous reactions
  • Discontinuation of therapy in case of rashes and close monitoring in invasive/systemic fungal infections
  • Not recommended during lactation

Use in Special Populations

  • Normal dose usage in the elderly
  • Dosage modification in patients with renal impairment

Overdose Effects

  • Supportive and symptomatic treatment
  • Possibility of forced volume diuresis for increased elimination rate
  • Approximately 50% decrease in plasma levels after a three-hour session of haemodialysis

Storage Conditions

  • Dry place away from light and heat
  • Keep out of the reach of children

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