Limastin 50 mg (Capsule)

Unit Price: ৳ 8.00 (30's pack: ৳ 240.00)

Medicine Details

Category Details
Generic Fluconazole
Company Oyster pharmaceuticals ltd

Title

  • Limastin Antifungal Medicine

Categories

  • Antifungal
  • Medicine
  • Pharmaceutical

Description

  • Fluconazole is a potent inhibitor of fungal cytochrome P-450 dependent enzymes.
  • Well tolerated with common side effects being gastrointestinal symptoms.
  • Should not be used in patients with known hypersensitivity to fluconazole or related triazole compounds.
  • Not recommended for use in pregnancy or during lactation.
  • Should be stored in a dry place away from light and heat, and kept out of the reach of children.

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
  • 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

Mode of Action

  • Potent inhibitor of fungal cytochrome P-450 dependent enzymes.
  • Essential component of fungal cell membrane responsible for the synthesis of ergosterol.

Dosage and Administration

  • Adults
  • Child over 1 year
  • Use in specific population (Elderly patients, Renal impairment)
  • Doses up to 12 mg/kg for children aged 5-13 years

Interaction

  • Interacts with warfarin, sulphonyl ureas, hydrochlorothiazide, phenytoin, rifampicin, oral contraceptives, cyclosporin, food, cemetidine, antacids, theophylline.

Contraindications

  • Known hypersensitivity to fluconazole or related triazole compounds.

Side Effects

  • Nausea
  • Abdominal discomfort
  • Diarrhoea
  • Flatulence
  • Rare cases of rash
  • Rare reports of anaphylaxis

Pregnancy and Lactation

  • Adverse fetal effects seen in animals at high doses
  • Not recommended during pregnancy or in women of childbearing potential unless adequate contraception is employed.
  • Found in human breast milk at concentrations similar to plasma, not recommended during lactation.

Precautions and Warnings

  • Abnormalities of hepatic, renal, haematological, and biochemical function tests in some patients
  • Rare cases of hepatotoxicity
  • Rare development of exfoliative cutaneous reactions
  • Caution in patients with serious underlying diseases like AIDS and cancer
  • Discontinue if rash develops during treatment
  • Caution in patients with invasive/systemic fungal infections who develop rashes
  • Not recommended during lactation

Use in Special Populations

  • Use in the elderly
  • Use in renal impairment, dosage adjustments based on creatinine clearance
  • Excreted predominantly in urine
  • Monitoring recommended in patients receiving haemodialysis

Overdose Effects

  • Supportive measures and symptomatic treatment
  • Forced volume diuresis may increase elimination rate
  • Haemodialysis can decrease 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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