Formulary Monographs [FLUCONAZOLE, 081408]

FLUCONAZOLE
AZOLES
Treatment of orophary ngeal and esophageal candidiasis, systemic candidal infections, vaginal candidasis, urinary tract infections, pneumonia, and peritonitis. Also, acquired immunodeficiency syndrome patients with cryptococcal meningitis, as suppressiv
Nausea, vomiting, diarrhoea, elevations in liver functions tests and alopecia. Low dose does not appear to increase risk of congenital abnormalities in t he first trimester.
Oropharyngeal and esophageal candidiasis: 200mg on day 1 then
100mg PO/IV daily for at least 2 weeks. Systemic candidiasis:
400mg PO/IV once daily for 4 weeks and for at least 2 weeks orally after resolution of symptoms. Vaginal candidiasis: 150mg ora
Clindamycin, Calcium channel blockers, Phenothiazines and Tricyclic antidepressants - increased risk of cardiotoxicity. Simvastatin and Cerivastatin - increased risk of Rhabdomyolysis. Amlodipine - increases amlodipine toxicity .
Avoid use in pregnancy. Multiple congenital abnormalities has been reported with long-term high doses.