MedPath

Fluconazole

Generic Name
Fluconazole
Brand Names
Diflucan
Drug Type
Small Molecule
Chemical Formula
C13H12F2N6O
CAS Number
86386-73-4
Unique Ingredient Identifier
8VZV102JFY
Background

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.

Indication

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.

Associated Conditions
Candida intertrigo, Candida pneumonia, Candida urinary tract infection, Candidemia, Candidiasis, Coccidioidomycosis, Esophageal Candidiasis, Fungal Infections, Fungal peritonitis caused by Candida, Meningitis, Cryptococcal, Oropharyngeal Candidiasis, Peritoneal candidiasis, Pneumonia cryptococcal, Pruritus, Skin Irritation, Systemic Candida Infections caused by Candida, Vaginal Candidiasis, Disseminated Candidiasis

Comparative Randomized Study of the Efficacy, Safety, and Toleration of Fluconazole Oral Suspension or Nystatin Oral Suspension in the Treatment of Patients With Oropharyngeal Candidiasis in Association With the Acquired Immunodeficiency Syndrome

Not Applicable
Completed
Conditions
Candidiasis, Oral
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Pfizer
Registration Number
NCT00002112
Locations
🇺🇸

California Med Research Group, Fresno, California, United States

🇺🇸

UCSF Hosp, San Francisco, California, United States

🇺🇸

Johns Hopkins School of Medicine, Baltimore, Maryland, United States

and more 2 locations

Open, Non-Comparative Study of Fluconazole in Patients With Coccidioidal Meningitis

Not Applicable
Completed
Conditions
Meningitis
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Pfizer
Registration Number
NCT00002010
Locations
🇺🇸

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

Safety and Effectiveness of Fluconazole Versus SCH 56592 to Treat Thrush in HIV-Positive Patients

Phase 3
Completed
Conditions
Candidiasis, Oral
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Schering-Plough
Target Recruit Count
300
Registration Number
NCT00002446
Locations
🇺🇸

ViRx Inc, San Francisco, California, United States

🇺🇸

Boulevard Comprehensive Care Ctr, Jacksonville, Florida, United States

🇺🇸

Miami Veterans Administration Med Ctr, Miami, Florida, United States

and more 15 locations

A Comparison of SCH 56592 and Fluconazole in the Treatment of Oropharyngeal Candidiasis (OPC) in HIV-Positive Patients

Phase 2
Completed
Conditions
Candidiasis, Oral
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Schering-Plough
Target Recruit Count
500
Registration Number
NCT00002399
Locations
🇺🇸

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

and more 49 locations

Non-Comparative Study of Fluconazole in Patients With Serious Mycoses and Who Cannot Be Treated With Conventional Antifungal Therapy

Not Applicable
Completed
Conditions
Candidiasis
Mycoses
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Pfizer
Registration Number
NCT00002038
Locations
🇺🇸

Pfizer Central Research, Groton, Connecticut, United States

A Comparison of Fluconazole and Amphotericin B in the Treatment of Cryptococcal Meningitis

Not Applicable
Completed
Conditions
Meningitis, Cryptococcal
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Pfizer
Registration Number
NCT00002305
Locations
🇺🇸

UCLA CARE Ctr, Los Angeles, California, United States

🇺🇸

Emory Univ School of Medicine, Atlanta, Georgia, United States

🇺🇸

DeKalb Gen Hosp, Decatur, Georgia, United States

and more 42 locations

A Comparison of Fluconazole and Amphotericin B in the Treatment of Fungal Infections

Phase 3
Completed
Conditions
Mycoses
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Pfizer
Registration Number
NCT00002277
Locations
🇺🇸

Dr Temple Williams, Houston, Texas, United States

🇺🇸

M D Anderson Cancer Ctr, Houston, Texas, United States

🇺🇸

Dr Layne Gentry, Houston, Texas, United States

A Study of Fluconazole in the Prevention of Fungal Infections in HIV-Infected Patients Living in Areas Where Fungal Infections Are Common

Not Applicable
Completed
Conditions
Mycoses
Coccidioidomycosis
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Pfizer
Registration Number
NCT00002325
Locations
🇺🇸

Tucson Veterans Administration Med Ctr, Tucson, Arizona, United States

🇺🇸

McDowell Clinic, Phoenix, Arizona, United States

🇺🇸

Dr Lawrence Cone, Rancho Mirage, California, United States

Randomized, Controlled, Double-Blind Study of Itraconazole Oral Solution Versus Fluconazole Tablets for the Treatment of Esophageal Candidiasis.

Not Applicable
Completed
Conditions
Candidiasis, Esophageal
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Janssen Pharmaceuticals
Registration Number
NCT00002132
Locations
🇺🇸

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

and more 15 locations

A Comparison of the Safety and Effectiveness of Fluconazole or Clotrimazole in the Treatment of Fungal Infections of the Mouth and Throat in Patients With AIDS

Not Applicable
Completed
Conditions
Candidiasis, Oral
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Pfizer
Registration Number
NCT00002282
Locations
🇺🇸

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

and more 14 locations
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