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Fluconazole (Diflucan)

Category:

  • Antifungal

Description:

  • Antifungal

Indications:

  • Candidiasis therapy and prophylaxis

  • Crytococcal menigitis

  • Vaginal Candidiasis

Contraindications:

  • Known sensitivity to fluconazole 

Precautions:

  • Pregnancy category C

  • Culture specimens to determine causative organism, use emperically then continue or alter therapy as indicated.

Adverse Reactions (Side Effects):

  • Headache (13%)

  • Nausea (7%)

  • Abdominal pain (6%)

  • Diarrhea (3%)

Dosage:

Administered orally and as injectable

Adult

Vaginal Candidiasis: 

  • 150mg for one time dose

Oropharyngeal and Esophageal Candidiasis: 

  • 200mg on day 1, then followed by 100mg daily for 14 days

Other Candidiasis: 

  • Doses up to 400mg per day until cured

Crytpococcal Meningitis: 

  • 400mg on day 1, then followed by 200mg daily for ten to twelve weeks following culture-negative cerebral spinal fluid

Child:

  • 3 mg/kg for adult dose of 100mg

  • 6 mg/kg for adult dose of 200mg

  • 12 mg/kg for adult dose of 400mg

 


The information contained here is an abbreviated summary. For more detailed and complete information, consult the manufacturer's product information sheets or standard textbooks

Source: Operational Medicine 2001,  Health Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C., 20372-5300

This information is provided by The Brookside Associates.  The Brookside Associates, LLC. is a private organization, not affiliated with any governmental agency. The opinions presented here are those of the author and do not necessarily represent the opinions of the Brookside Associates or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. All material presented here is unclassified.

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