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diflucan dosage vaginal yeast infection

by Prof. Niko Dickinson Published 3 years ago Updated 3 years ago

When to take Diflucan?

What is Fluconazole (Diflucan) used for?

  • Blastomycosis
  • Candida Urinary Tract Infection
  • Candidemia
  • Coccidioidomycosis
  • Coccidioidomycosis -- Meningitis
  • Cryptococcal Meningitis -- Immunocompetent Host
  • Cryptococcal Meningitis -- Immunosuppressed Host
  • Cryptococcosis
  • Esophageal Candidiasis
  • Fungal Peritonitis

More items...

How long can you take Diflucan?

Proper Use

  • Dosing. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label.
  • Missed Dose. If you miss a dose of this medicine, take it as soon as possible. ...
  • Storage. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. ...

Can you purchase Diflucan over the counter?

Unfortunately, there is no Diflucan OTC. You can only get Diflucan or fluconazole with a prescription from your doctor. There’s no oral equivalent to Diflucan that you can get over the counter. However, if you are searching for a way to treat fungal infections without a prescription, there are some topical creams you can get over-the-counter.

How much is Diflucan 150 mg?

The recommended dosage of DIFLUCAN for vaginal candidiasis is 150 mg as a single oral dose. Multiple Dose SINCE ORAL ABSORPTION IS RAPID AND ALMOST COMPLETE, THE DAILY DOSE OF DIFLUCAN (FLUCONAZOLE) IS THE SAME FOR ORAL (TABLETS AND SUSPENSION) AND INTRAVENOUS ADMINISTRATION.

Usual Adult Dose For Vaginal Candidiasis

150 mg orally as a single doseInfectious Diseases Society of America (IDSA) Recommendations:-Uncomplicated vaginitis: 150 mg orally as a single dos...

Usual Adult Dose For Oral Thrush

Oropharyngeal candidiasis: 200 mg IV or orally on the first day followed by 100 mg IV or orally once a dayDuration of therapy: At least 2 weeks, to...

Usual Adult Dose For Candidemia

Doses up to 400 mg/day have been used.Comments:-Optimal therapeutic dose and therapy duration have not been established.Use: For systemic Candida i...

Usual Adult Dose For Esophageal Candidiasis

200 mg IV or orally on the first day followed by 100 mg IV or orally once a dayDuration of therapy: At least 3 weeks and for at least 2 weeks after...

Usual Adult Dose For Candida Urinary Tract Infection

50 to 200 mg IV or orally once a dayUse: For the treatment of Candida urinary tract infections and peritonitisIDSA Recommendations:-Asymptomatic cy...

Usual Adult Dose For Cryptococcal Meningitis - Immunocompetent Host

Acute infection: 400 mg IV or orally on the first day followed by 200 mg IV or orally once a dayDuration of therapy: 10 to 12 weeks after CSF cultu...

Usual Adult Dose For Cryptococcal Meningitis - Immunosuppressed Host

Acute infection: 400 mg IV or orally on the first day followed by 200 mg IV or orally once a dayDuration of therapy: 10 to 12 weeks after CSF cultu...

Usual Adult Dose For Cryptococcosis

IDSA Recommendations:Mild to moderate pulmonary infection and nonmeningeal, nonpulmonary infection if CNS disease ruled out, no fungemia, single si...

Usual Adult Dose For Fungal Infection Prophylaxis

400 mg IV or orally once a dayDuration of therapy: 7 days after neutrophil count rises above 1000 cells/mm3Comments:-If severe granulocytopenia (le...

Usual Adult Dose For Coccidioidomycosis - Meningitis

IDSA Recommendations: 400 mg orally once a dayComments:-Some experts start therapy with 800 to 1000 mg/day.-Patients who respond to therapy should...

Is Candida krusei resistant to fluconazole?

Candida krusei is inherently resistant. Convenience and efficacy of single dose oral tablet of fluconazole regimen for the treatment of vaginal yeast infections should be weighed against acceptability of higher incidence of drug related adverse events with fluconazole (26%) versus intravaginal agents (16%)

Does amobarbital affect fluconazole?

Minor (1) amobarbital decreases levels of fluconazole by inhibition of GI absorption. Applies only to oral form of both agents. Minor/Significance Unknown.

Does fluconazole increase brexpiprazole?

Monitor Closely (1) fluconazole will increase the level or effect of brexpiprazole by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Administer a quarter of brexpiprazole dose if coadministered with a moderate CYP3A4 inhibitor PLUS a strong/moderate CYP2D6 inhibitor.

Does fluconazole increase estrogen levels?

Monitor Closely (1) fluconazole will increase the level or effect of bazedoxifene/conjugated estrogens by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

Can fluconazole be used as an alternative to axitinib?

Serious - Use Alternative (1) fluconazole increases levels of axitinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug . If unable to avoid coadministration with moderate CYP3A4 inhibitors, monitor closely and reduce dose if necessary .

Does fluconazole affect avanafil?

Monitor Closely (1) fluconazole will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors

Does fluconazole increase acalabrutinib?

Monitor Closely (1) fluconazole will increase the level or effect of acalabrutinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Decrease acalabrutinib dose to 100 mg once daily if coadministered with a moderate CYP3A inhibitor.

How long does fluconazole last?

200 mg IV or orally on the first day followed by 100 mg IV or orally once a day#N#Duration of therapy: At least 3 weeks and for at least 2 weeks after symptoms resolve#N#Comments:#N#-Doses up to 400 mg/day may be used based on clinical judgment of patient response.#N#IDSA Recommendations: 200 to 400 mg IV or orally once a day for 14 to 21 days#N#Comments:#N#-Recommended as primary therapy; oral fluconazole is preferred.#N#US CDC, NIH, and IDSA Recommendations for HIV-infected Patients: 100 to 400 mg IV or orally once a day for 14 to 21 days#N#-Suppressive therapy: 100 to 200 mg orally once a day#N#Comments:#N#-Recommended as preferred therapy#N#-Unless frequent or severe recurrences, suppressive therapy generally not recommended

How long does oral thrush treatment last?

Oropharyngeal candidiasis: 200 mg IV or orally on the first day followed by 100 mg IV or orally once a day. Duration of therapy: At least 2 weeks, to reduce the risk of relapse. IDSA Recommendations:

How long does it take for a cutaneous infection to resolve?

IDSA Recommendations:#N#Cutaneous or lymphocutaneous infection: 400 to 800 mg IV or orally once a day#N#Duration of therapy: 2 to 4 weeks after all lesions resolve (usually 3 to 6 months total)#N#Comments:#N#-Recommended as alternative therapy; should only be used if other agents are not tolerated

How to report diflucan side effects?

These are not all the possible side effects of Diflucan. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What is diflucan used for?

Diflucan is a prescription medicine used to treat the symptoms of fungal infections. Diflucan may be used alone or with other medications.

What is fluconazole used for?

Fluconazole is a highly selective inhibitor of fungal cytochrome P450 dependent enzyme lanosterol 14-α-demethylase. This enzyme functions to convert lanosterol to ergosterol. The subsequent loss of normal sterols correlates with the accumulation of 14-α-methyl sterols in fungi and may be responsible for the fungistatic activity of fluconazole. Mammalian cell demethylation is much less sensitive to fluconazole inhibition.

How much azithromycin is in a crossover study?

Azithromycin. An open-label, randomized, three-way crossover study in 18 healthy subjects assessed the effect of a single 1200 mg oral dose of azithromycin on the pharmacokinetics of a single 800 mg oral dose of fluconazole as well as the effects of fluconazole on the pharmacokinetics of azithromycin.

Does fluconazole increase nortriptyline?

Fluconazole increases the effect of amitriptyline and nortriptyline. 5-Nortriptyline and/or S-amitriptyline may be measured at initiation of the combination therapy and after 1 week. Dosage of amitriptyline/nortriptyline should be adjusted, if necessary.

Is fluconazole a CYP3A4 inhibitor?

(See CONTRAINDICATIONS.) Fluconazole is a moderate CYP2C9 and CYP3A4 inhibitor. Fluconazole is also a strong inhibitor of CYP2C19. Patients treated with DIFLUCAN, who are also concomitantly treated with drugs with a narrow therapeutic window metabolized through CYP2C9 and CYP3A4, should be monitored for adverse reactions associated with the concomitantly administered drugs. In addition to the observed /documented interactions mentioned below, there is a risk of increased plasma concentration of other compounds metabolized by CYP2C9, CYP2C19, and CYP3A4 coadministered with fluconazole. Therefore, caution should be exercised when using these combinations and the patients should be carefully monitored. The enzyme inhibiting effect of fluconazole persists 4 to 5 days after discontinuation of fluconazole treatment due to the long half-life of fluconazole. Clinically or potentially significant drug interactions between DIFLUCAN and the following agents/classes have been observed and are described in greater detail below:

Does Diflucan help with candidiasis?

DIFLUCAN is also indicated to decrease the incidence of candidiasis in patients undergoing bone marrow transplantation who receive cytotoxic chemotherapy and/or radiation therapy.

How to report fluconazole side effects in Canada?

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Before taking flu conazole, tell your doctor or pharmacist if you are allergic to it; or to other azole antifungal drugs (such as ketoconazole, itraconazole ); or if you have any other allergies.

What to tell your doctor before taking fluconazole?

Before using fluconazole, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems ( heart failure, slow heartbeat, QT prolongation in the EKG ), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).

What is fluconazole used for?

Fluconazole is used to treat vaginal yeast infections. It works by stopping the growth of common types of vaginal yeast ( fungus ). This medication belongs to a class of drugs called azole antifungals.

Can fluconazole harm a baby?

It may harm an unborn baby if taken during the first 3 months of pregnancy. Discuss the risks and benefits with your doctor, and ask if you should use a medication applied in or around the vagina instead. Fluconazole passes into breast milk but is unlikely to harm a nursing infant.

Can fluconazole be taken in breast milk?

Fluconazole passes into breast milk but is unlikely to harm a nursing infant. Consult your doctor before breast-feeding. Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions.

Can fluconazole cause QT prolongation?

Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, kidney disease. Fluconazole may cause a condition that affects the heart rhythm (QT prolongation).

What Is Fluconazole and How Does It Work?

Fluconazole is used to treat vaginal yeast infections. It works by stopping the growth of common types of vaginal yeast ( fungus ). This medication belongs to a class of drugs called azole antifungals.

What Are Warnings and Precautions for Fluconazole ?

This medication contains fluconazole. Do not take Diflucan if you are allergic to fluconazole or any ingredients contain ed in this drug.

What Other Drugs Interact with Fluconazole?

If your medical doctor is using this medicine to treat your pain, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider or pharmacist first.

Is Candida krusei resistant to fluconazole?

Candida krusei is inherently resistant. Convenience and efficacy of single dose oral tablet of fluconazole regimen for the treatment of vaginal yeast infections should be weighed against acceptability of higher incidence of drug related adverse events with fluconazole (26%) versus intravaginal agents (16%)

Does fluconazole inhibit CYP2C9?

Fluconazole inhibits CYP2C9, CYP2C19, and CYP3A4 isoenzymes; co-administration with drugs that are substrates if these isoenzy mes may be contraindicated or warrant dosage modifications

How does diflucan work?

Diflucan works by damaging the cell wall of the fungus that causes the infection. This makes it more difficult for fungi like Candida to multiply further.

What is the best pill for yeast infection?

Diflucan is a common yeast infection pill that treats fungal infections. In addition to treating vaginal yeast infections, Diflucan can be used for fungal infections of the mouth, lungs, and blood. It is also prescribed to prevent fungal infections in individuals who have lower immunity, including people living with cancer or HIV.

What is yeast infection pill?

Yeast infection pills are used to treat vaginal infections caused by a fungus called Candida.

Is Diflucan a good pill for yeast infections?

Since Brexafemme is not yet available in generic form, it tends to be very expensive. This is why Diflucan is still the preferred yeast infection pill.

Can yeast infection cause burning?

A yeast infection is a fungal infection that can cause vaginal itching and burning, as well as a thick, white, and clumpy discharge. While Candida albicans is a fungus normally found in the vaginal flora, an overgrowth of it can lead to vaginal yeast infections. Yeast infection pills, such as Diflucan ( fluconazole ), are effective in treating vaginal yeast infections and restoring the balance between natural bacteria and yeast.

Is diflucan resistant to fluconazole?

Resistance to Diflucan (fluconazole) is not very common.

Can you be allergic to diflucan?

It is rare to have an allergic reaction to Diflucan. However if you experience any of the following symptoms, it is important to seek medical attention immediately:

How long does it take to cure VVC?

Short-course topical formulations (i.e., single dose and regimens of 1–3 days) effectively treat uncomplicated VVC. Treatment with azoles results in relief of symptoms and negative cultures in 80%–90% of patients who complete therapy.

Can you test for Candida glabrata on a microscopy?

Candida glabrata does not form pseudohyphae or hyphae and is not easily recognized on microscopy. C. albicans azole resistance is becoming more common in vaginal isolates ( 1144, 1145 ), and non– albicans Candida is intrinsically resistant to azoles; therefore, culture and susceptibility testing should be considered for patients who remain symptomatic.

Can you take fluconazole while pregnant?

VVC occurs frequently during pregnancy. Only topical azole therapies, applied for 7 days, are recommended for use among pregnant women. Epidemiologic studies indicate a single 150-mg dose of fluconazole might be associated with spontaneous abortion ( 1150) and congenital anomalies; therefore, it should not be used ( 1151 ).

How much esophageal candidiasis is prescribed?

The dose is usually 12 milligrams (mg) per kilogram (kg) of body weight on the first day, followed by 6 mg per kg of body weight once a day, for at least 10 to 12 weeks. Children younger than 6 months of age—Use and dose must be determined by your doctor. For esophageal candidiasis:

How long does it take to take 100 mg of esophageal candidiasis?

For esophageal candidiasis: Adults—200 milligrams (mg) on the first day, followed by 100 mg once a day for at least 3 weeks. Your doctor may increase your dose as needed. Children 6 months to 13 years of age—Dose is based on body weight and must be determined by your doctor.

How much mcg of bone marrow is needed for candidiasis?

For prevention of candidiasis during bone marrow transplantation: Adults—400 milligrams (mg) once a day. Children—Use and dose must be determined by your doctor.

How long does it take to take 200 mg of a sulfate supplement?

For cryptococcal meningitis: Adults—400 milligrams (mg) on the first day, followed by 200 mg once a day for at least 10 to 12 weeks. Your doctor may adjust your dose as needed. Children 6 months to 13 years of age—Dose is based on body weight and must be determined by your doctor.

How much mcg is in a day?

For other infections that may occur in different parts of the body: Adults—Doses of up to 400 milligrams (mg) per day. Children 6 months to 13 years of age—Dose is based on body weight and must be determined by your doctor. The dose is usually 6 to 12 milligrams (mg) per kilogram (kg) of body weight per day.

How to measure oral medicine?

Shake the oral liquid well before each use. Measure the medicine with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid.

Can you take IBM Micromedex more often?

Proper Use. Drug information provided by: IBM Micromedex. Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects. This medicine should come with a patient information leaflet.

Overview

  • Fluconazole is also sometimes used to treat serious fungal infections that begin in the lungs and can spread through the body and fungal infections of the eye, skin and nails. Fluconazole is also sometimes used to prevent fungal infections in people who are likely to become infected because they have human immunodeficiency virus (HIV) or cancer or have had a transplant operation (su…
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  • Fluconazole is an anti-fungal medication that is often used to treat yeast fungal infections in dogs. It is most commonly used to treat skin infections, but it can also be used to treat fungal infections in organs or elsewhere in dogs bodies. Though it is not approved for veterinary use by the FDA, fluconazole is available with the prescription of a veterinarian and often goes by the bra…
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Side Effects

  • Fluconazole may cause other side effects. Call your doctor if you have any unusual problems while taking this medication. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).
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  • In a study of this drug for treatment of lactation-associated thrush of the breasts, mothers took an average of 7.3 capsules (range: 1 to 29 capsules) of 150 mg every other day until pain resolved. Seven of the 96 women reported side effects possibly due to fluconazole in their breastfed infants, including flushed cheeks, gastrointestinal upset, and runny or mucous stools.
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  • Side effects of fluconazole in dogs havent been thoroughly studied, though several side effects have been observed in humans and some similar side effects have been seen in dogs. Here are a few common side effects associated with fluconazole.
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  • Seek emergency veterinary medical attention if your pet experiences any signs of an allergic reaction (hives; difficulty breathing; swelling of the face, lips, tongue, or throat). Talk to your veterinarian immediately if your pet develops any of these side effects: jaundice, loss of appetite, vomiting, depression, tiredness, anemia, skin rash. Talk to your veterinarian about any side effec…
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Contraindications

  • AU TGA pregnancy category D: Drugs which have caused, are suspected to have caused or may be expected to cause, an increased incidence of human fetal malformations or irreversible damage. These drugs may also have adverse pharmacological effects. Accompanying texts should be consulted for further details. US FDA pregnancy category C: Animal reproduction studi…
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  • Do not give this medication if your pet is allergic to fluconazole or other azole antifungal agents. Do not use fluconazole if your pet is pregnant unless the benefit outweighs the risk. Tell your veterinarian if your pet is allergic to any medications, or if your pet has liver disease or kidney disease. Seek emergency veterinary medical attention if you think you have used too much of thi…
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  • Risk of serious hepatotoxicity; monitor liver function during therapy and for signs/symptoms of hepatic injury; discontinue if occurs. Proarrhythmic conditions. Monitor closely for skin rashes; discontinue if lesions progress. Renal or hepatic impairment. Susp: hereditary fructose, glucose/galactose malabsorption, sucrose-isomaltase deficiency: not recommended. Elderly. Us…
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Administration

  • Fluconazole comes as a tablet and a suspension (liquid) to take by mouth. It is usually taken once a day, with or without food. You may need to take only one dose of fluconazole, or you may need to take fluconazole for several weeks or longer. The length of your treatment depends on your condition and on how well you respond to fluconazole. Follow the directions on your prescriptio…
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  • The usual dosage of fluconazole for dogs varies widely depending on the condition being treated. A veterinarian may prescribe between 5.5 mg and 22 mg per pound of a dogs weight, and it may have to be administered once every 12 to 24 hours. Fluconazole comes in tablet form and should be given orally with or without food.
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  • Give fluconazole exactly as it was prescribed by your veterinarian. Do not give in larger amounts or use it for longer than recommended by your veterinarian. Follow the instructions on the prescription label. If you do not understand these directions speak to your pharmacist or veterinarian. The usual dose of fluconazole in dogs can vary from 5.5 mg to 22 mg/lb of pet's we…
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  • All doses are once daily. Oropharyngeal candidiasis: 200mg on Day 1, then 100mg/day for at least 2 weeks. Esophageal candidiasis: 200mg on Day 1, then 100mg/day for at least 3 weeks; treat for at least 2 weeks after symptoms resolve; max 400mg/day. Systemic infections: doses of up to 400mg/day have been used. Prophylaxis in bone marrow transplant: 400mg/day; if anticipated s…
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Treatment

  • Your doctor may tell you to take a double dose of fluconazole on the first day of your treatment. Follow these directions carefully. You should begin to feel better during the first few days of treatment with fluconazole. If your symptoms do not improve or get worse, call your doctor. Continue to take fluconazole until your doctor tells you that you should stop, even if you feel bett…
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  • If your veterinarian prescribes fluconazole for your dog, it is important that you stick to their instructions and continue giving your dog the medication for the full length of time that they prescribe. Fluconazole is absorbed by the body quickly, but you are not likely to see symptoms improve for one to two weeks, and it may take several months before the condition disappears e…
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Medical Uses

  • Fluconazole is used to treat fungal infections, including yeast infections of the vagina, mouth, throat, esophagus (tube leading from the mouth to the stomach), abdomen (area between the chest and waist), lungs, blood, and other organs. Fluconazole is also used to treat meningitis (infection of the membranes covering the brain and spine) caused by fungus. Fluconazole is als…
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  • According to the Academy of Breastfeeding Medicine, this drug is often used to treat breast candidiasis in nursing mothers, especially if recurrent or persistent infections; no adequate clinical trials on fluconazole in Candida mastitis available. This drug is often used simultaneously in the mother and infant when other therapies fail. Most often the maternal regimen is 400 mg once fo…
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  • Fluconazole is most commonly used to treat skin infections in dogs, as well as infections of the nail beds. It is often chosen for treatment when other anti-fungal medications fail, as fluconazole is effective at fighting off more serious infections and often has fewer side effects. It can be used to treat ringworm, though veterinarians often reserve the drug for infections that are more intens…
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Fluconazole is an antifungal medicine in tablet form that is used to treat a variety fungal infections, including yeast infections. It is typically used to treat skin infections, and more intense fungal infections of the lungs and other organs that can occur after your pet inhales fungus from infected soil. Fluconazole is often us…
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Interactions

  • Concomitant terfenadine at multiple doses of fluconazole 400mg. Concomitant drugs known to prolong the QT interval and metabolized by CYP3A4 (eg, cisapride, astemizole, erythromycin, pimozide, quinidine). See Contraindications. Avoid concomitant voriconazole; if needed, monitor closely esp. when given within 24hrs after fluconazole. Caution with amiodarone (esp. with high …
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Preparation

  • It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
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Risks

  • As with all medications, there is a risk of allergic reaction to fluconazole in dogs which may lead to anaphylaxis. If you see the signs of an allergic reaction, such as itchiness, hives, swelling, difficulty breathing, or other symptoms, contact your veterinarian right away. Should side effects become severe or cause you concern, consult your veterinarian so they can adjust the dosage o…
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  • Fluconazole can interact with many other drugs. It is important to tell your veterinarian about any other medications, vitamins, or supplements your pet is taking before giving fluconazole to your pet. Do not give to pets who have liver disease or impairment. If your pet has kidney disease or kidney failure, discuss the risks versus benefits with your veterinarian before giving fluconazole. …
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Results

  • A peak milk level of 4.1 mg/L was observed 2 hours after the dose on day 20 postpartum in a woman taking 200 mg orally once a day for 18 days; half-life of elimination from breast milk was 26.9 hours. Another woman received a single 150 mg oral dose at 12 weeks postpartum; highest milk levels were 2.9 and 2.7 mg/L at 2 and 5 hours after the dose, respectively, and milk drug lev…
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