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

 

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Approved for public release; Distribution is unlimited.

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.

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates, LLC.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. The medical information presented was reviewed and felt to be accurate in 2001. Medical knowledge and practice methods may have changed since that time. Some links may no longer be active. This web version has not been approved by the Department of the Navy 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. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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