Nispore 150 mg (Capsule)

Unit Price: ৳ 22.00 (1 x 10: ৳ 220.00)
Strip Price: ৳ 220.00

Medicine Details

Indications

  • Vaginal Candidiasis
  • Oropharyngeal Candidiasis
  • Oesophageal Candidiasis
  • Tinea corporis/Tinea cruris/Tinea pedis/Other Tinea
  • Kerion
  • Pityriasis versicolor
  • Onychomycosis
  • Invasive candidal infections 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

  • 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
  • Dosage adjustments for children, elderly, and patients with renal impairment
  • Specific dosage intervals based on creatinine clearance
  • Oral or IV administration

Interaction

  • Increased prothrombin time with warfarin
  • Prolonged half-life of oral sulphonylureas
  • Increased plasma concentrations with hydrochlorothiazide
  • Increased level of phenytoin
  • Decrease in AUC and shorter half-life with rifampicin
  • Elevated AUC of certain contraceptive hormones
  • Slow increase in cyclosporin concentrations
  • No impairment of absorption with food, cimetidine, antacids, or following total body irradiation

Contraindications

  • Known hypersensitivity to Fluconazole or related triazole compounds

Side Effects

  • Nausea
  • Abdominal discomfort
  • Diarrhoea
  • Flatulence
  • Rarely encountered rash
  • Rare cases of anaphylaxis

Pregnancy & Lactation

  • Adverse effects seen in animals at high dose levels
  • Not recommended in pregnancy or in women of childbearing potential without adequate contraception

Precautions & Warnings

  • Observation of hepatic, renal, haematological and biochemical function tests
  • Assessment of risk-benefit ratio in patients with significant rise of liver enzymes
  • Rare cases of exfoliative cutaneous reactions
  • Discontinue therapy on rash development
  • Not recommended during lactation
  • Unlikely to impair ability to drive or use machinery

Use in Special Populations

  • Normal dose for the elderly without renal impairment
  • Dosage adjustments for patients with renal impairment
  • Excretion predominantly in urine

Overdose Effects

  • Supportive measures and symptomatic treatment
  • Possibility of gastric lavage
  • Enhanced elimination rate with forced volume diuresis
  • Approximately 50% decrease in plasma levels with haemodialysis

Therapeutic Class

  • Drugs for subcutaneous and mycoses

Storage Conditions

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

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