Fluconazole

Fluconazole is approved for the treatment of certain fungal infections, including thrush and vaginal yeast infections. It is also licensed to prevent yeast infections in people undergoing bone marrow transplantations. The medication is available by prescription only and comes in tablet, liquid suspension, and injectable form. It works by inhibiting an enzyme that is used by fungal cells to make ergosterol.

What Is Fluconazole?

Fluconazole (Diflucan®) is a prescription antifungal medication. It is approved to treat a variety of different fungal infections, such as yeast infections and thrush. It can also be used to prevent yeast infections in people undergoing bone marrow transplantations.
 
(Click What Is Fluconazole Used For? for more information, including possible off-label uses.)
 

Potential Side Effects

Just like any medicine, fluconazole may cause side effects. However, not everyone who takes the drug will experience problems. Most people actually tolerate it quite well. If side effects do occur, in most cases, they are minor and either require no treatment or can easily be treated by you or your healthcare provider. Serious side effects are less common.
 
Some of the most common side effects include but are not limited to:
 
  • Headache
  • Nausea
  • Abdominal pain (stomach pain).
     
(Click Fluconazole Side Effects to learn more, including potentially serious side effects you should report immediately to your healthcare provider.)
 

What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to taking fluconazole if you have:
 
  • Liver disease, such as liver failure, hepatitis, or cirrhosis
  • Heart disease
  • An irregular heart rhythm
  • Long QT syndrome
  • An electrolyte imbalance
  • Any other allergies, including allergies to food, dyes, or preservatives.
     
Also, let your healthcare provider know if you are:
 
Make sure to tell your healthcare provider about all other medicines you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
 
(Click Precautions and Warnings With Fluconazole to learn more, including information on who should not take the drug.)
 

How Does Fluconazole Work?

Fluconazole belongs to a group of medications known commonly as "azole" antifungals. It works by inhibiting an enzyme that is used by fungal cells to make ergosterol, an important component of the fungal cell membrane. As a result, there is not enough ergosterol and too much of the compounds that are normally used to make it, and fungal growth is inhibited.
 

When and How to Take This Medicine

Some general considerations for those taking fluconazole include the following:
 
  • Fluconazole comes in tablet, suspension (oral liquid), and injectable form.
     
  • Unlike most other yeast infection medications, fluconazole is not used vaginally. It works through the bloodstream to treat yeast infections.
     
  • You can take this drug either with or without food and at any time of the day.
     
  • Be sure to shake the oral suspension well before each dose.
     
  • For the medication to work properly, it must be taken as prescribed.

 

Dosing Information

The dose of fluconazole your healthcare provider recommends will vary, depending on a number of factors, including:
 
  • The medical condition being treated
  • Your age and weight (for children)
  • Other medications you are taking
  • Other medical conditions you may have.
     
As always, do not adjust your dose unless your healthcare provider specifically instructs you to do so.
 
(Click Fluconazole Dosage for more information.)
 

Drug Interactions

Fluconazole can potentially interact with a number of other medications (see Drug Interactions With Fluconazole).
 

What If I Overdose on Fluconazole?

People who take too much of this medicine may experience effects such as (but not limited to):
 
  • Hallucinations
  • Paranoid behavior.
     
If you happen to overdose on fluconazole, seek immediate medical attention.
 
(Click Diflucan Overdose for more information.)
 

What Should I Do If I Miss a Dose?

Usually, this is not an issue, since fluconazole is most often taken as a single dose. However, the medication is sometimes taken for several doses. If you forget to take your dose, take the missed one as soon as you remember. However, if it is almost time for your next dose, simply skip the one you missed and continue with your regular schedule -- never take a double dose.
 

Storage Methods

Fluconazole products (including the oral suspension) should be stored at room temperature, away from light and moisture. Keep this and all other medications out of the reach of children and pets. The oral suspension is good for two weeks after it is mixed by a pharmacist.
 

Is Generic Fluconazole Available?

This medication is available in generic form (see Generic Diflucan).
 

Who Makes This Medication?

Brand-name fluconazole is made by Pfizer, Inc. Generic versions are made by several manufacturers.
 

Available Strengths

The medication is available in the following strengths and forms:
 
  • Fluconazole 50 mg tablets
  • Fluconazole 100 mg tablets
  • Fluconazole 150 mg tablets
  • Fluconazole 200 mg tablets
  • Fluconazole powder for oral suspension (which is mixed by a pharmacist to a concentration of 10 or 40 mg per mL, depending on the strength)
  • Fluconazole 2 mg per mL injection (available in various package sizes).
     
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;
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