Fluconazole, commonly known as Diflucan, is an antifungal drug used for the treatment of both systemic and superficial fungal infections in a variety of tissues. It was initially approved by the FDA in 1990. This drug is an azole antifungal, in the same drug family as ketoconazole and itraconazole. Fluconazole has many advantages over the other antifungal drugs including the option of oral administration. The side effect profile of this drug is minimal. It has been demonstrated as an efficacious treatment for vaginal yeast infections in one single dose.
Fluconazole can be administered in the treatment of the following fungal infections:
1) Vaginal yeast infections caused by Candida
2) Systemic Candida infections
3) Both esophageal and oropharyngeal candidiasis
4) Cryptococcal meningitis
5) UTI (urinary tract infection) by Candida
6) Peritonitis (inflammation of the peritoneum) caused by Candida
A note on fungal infection prophylaxis
Patients receiving bone marrow transplantation who are treated with cytotoxic chemotherapy and/or radiation therapy may be predisposed to candida infections, and may receive fluconazole as prophylactic therapy.
A note on laboratory testing
Obtaining specimens for fungal culture and other important laboratory studies such as serology or pathology is advised before starting fluconazole therapy in order to isolate the organisms to be eliminated through treatment. It is permissible to start therapy before the results are available, however, adjusting the therapy once laboratory results confirm the causative organism may be necessary.
California Med Research Group, Fresno, California, United States
UCSF Hosp, San Francisco, California, United States
Johns Hopkins School of Medicine, Baltimore, Maryland, United States
HIV Research Group, San Diego, California, United States
Tucson Veterans Administration Med Ctr, Tucson, Arizona, United States
Audie L Murphy Veterans Administration Hosp, San Antonio, Texas, United States
ViRx Inc, San Francisco, California, United States
Boulevard Comprehensive Care Ctr, Jacksonville, Florida, United States
Miami Veterans Administration Med Ctr, Miami, Florida, United States
Wayne State Univ / Harper Hosp, Detroit, Michigan, United States
Centro de Micologia / Facultad de Medicina UBA, Buenos Aires, Argentina
Faculty of Medicine / Dept of Internal Medicine, Addis Ababa, Ethiopia
Pfizer Central Research, Groton, Connecticut, United States
UCLA CARE Ctr, Los Angeles, California, United States
Emory Univ School of Medicine, Atlanta, Georgia, United States
DeKalb Gen Hosp, Decatur, Georgia, United States
Dr Temple Williams, Houston, Texas, United States
M D Anderson Cancer Ctr, Houston, Texas, United States
Dr Layne Gentry, Houston, Texas, United States
Tucson Veterans Administration Med Ctr, Tucson, Arizona, United States
McDowell Clinic, Phoenix, Arizona, United States
Dr Lawrence Cone, Rancho Mirage, California, United States
Rush Presbyterian - Saint Luke's Med Ctr, Chicago, Illinois, United States
Univ of Missouri at Kansas City School of Medicine, Kansas City, Missouri, United States
Dr Eskild A Petersen, Tucson, Arizona, United States
Dr Robert Larsen, Los Angeles, California, United States
SUNY / Health Sciences Ctr at Stony Brook, Stony Brook, New York, United States
Buckley Braffman Stern Med Associates, Philadelphia, Pennsylvania, United States
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