Fluact 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 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

Potent inhibitor of fungal cytochrome P-450 dependent enzymes responsible for the synthesis of ergosterol

Dosage & Administration

  • Adults:
    • 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
    • Orally or by IV infusion, 400 mg on first day then 200-400 mg daily for Invasive candidal infections and cryptococcal infections (including meningitis)
    • 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
  • Child over 1 year:
    • 1-2 mg/kg daily for Superficial Candidiasis
    • 3-6 mg/kg daily for Systemic Candidiasis & Cryptococcal infection
  • Use in Specific Population:
    • Elderly patient: The normal dose should be used if there is no evidence of renal impairment
    • Renal Impairment: Dosage intervals should be modified based on creatinine clearance

Interaction

  • Potentially interacts with warfarin, sulphonyl ureas, hydrochlorothiazide, phenytoin, rifampicin, oral contraceptives, cyclosporin, theophylline
  • Absorption is not impaired by co-administration with food, cimetidine, antacids, or following total body irradiation for bone marrow transplantation

Contraindications

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

Side Effects

  • Nausea
  • Abdominal discomfort
  • Diarrhoea
  • Flatulence
  • Rarely encountered rash and anaphylaxis

Pregnancy & Lactation

Not recommended for use in pregnancy or in women of childbearing potential unless adequate contraception is employed

Precautions & Warnings

Abnormalities of hepatic, renal, hematological, and other biochemical function tests have been observed, exfoliative cutaneous reactions reported rarely, use during lactation not recommended

Use in Special Populations

  • Use in the elderly: The normal dose should be used if there is no evidence of renal impairment
  • Use in renal impairment: Dosage intervals or daily dosage should be adjusted based on creatinine clearance

Overdose Effects

Supportive measures and symptomatic treatment with gastric lavage if necessary, forced volume diuresis may increase elimination rate

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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