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Formulas

Fluconazole 40 mg/5 mL Oral Liquid

Fluconazole 40 mg/5 mL Oral Liquid is a specially compounded medication designed for oral use, offering a precise and manageable method of drug delivery. This formulation is particularly beneficial for patients who experience difficulty swallowing pills, such as children and the elderly. The liquid form ensures accurate dosing and ease of administration.

The medication is indicated for the treatment of various fungal infections, including thrush (oral candidiasis), esophageal candidiasis, systemic candidiasis, urinary tract infections caused by fungi, and peritonitis. It is also used in the prophylaxis of fungal infections for immunocompromised patients, such as those undergoing chemotherapy or radiation therapy, and those with AIDS or organ transplants.

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Fluconazole
Oral Liquid
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Formula Information

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Fluconazole 40 mg/5 mL Oral Liquid is a custom-prepared medication designed to provide an effective antifungal treatment in a liquid form. This formulation is particularly beneficial for patients who have difficulty swallowing pills, such as young children or elderly individuals, or for those who may have conditions that impair their ability to ingest solid dosage forms. The liquid formulation ensures that patients receive the precise dose of fluconazole, which is crucial for the successful treatment of various fungal infections.

Fluconazole is a potent antifungal agent that works by inhibiting the synthesis of ergosterol, a key component of fungal cell membranes. By disrupting the cell membrane, fluconazole effectively weakens the fungal cells, leading to their death and the resolution of the infection. This medication is commonly used to treat a wide range of fungal infections, including but not limited to oral thrush, esophageal candidiasis, systemic candidiasis, vaginal yeast infections, and cryptococcal meningitis. It is also employed as a prophylactic agent in immunocompromised patients to prevent fungal infections.

The 40 mg/5 mL concentration allows for flexible dosing, which can be adjusted according to the patient's weight, the severity of the infection, and the specific pathogen involved. The oral liquid formulation is also flavored to improve palatability, making it more acceptable to patients who may be averse to the taste of medication. It is important for prescribers to consider the patient's liver function and potential interactions with other medications when prescribing fluconazole, as it is metabolized in the liver and can interact with a variety of other drugs.

For optimal results, patients should adhere to the prescribed dosing schedule and complete the full course of therapy, even if symptoms improve before the medication is finished. This helps to prevent the development of resistance and ensures the eradication of the infection. Patients and prescribers should monitor for signs of adverse reactions, such as gastrointestinal disturbances, skin rashes, or liver toxicity, and report any concerns to the compounding pharmacist or healthcare provider.

At Bayview Pharmacy, we are committed to providing high-quality, patient-specific formulations to meet the unique needs of each individual. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the use of Fluconazole 40 mg/5 mL Oral Liquid. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us.

Drug Interactions

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Fluconazole is an antifungal medication that works by inhibiting the growth of various types of fungi. It is commonly used to treat and prevent a variety of fungal infections, including thrush, esophageal candidiasis, systemic candidiasis, and fungal urinary tract infections, among others. When prescribing fluconazole in a 40 mg/5 mL oral liquid formulation, it is crucial to consider potential drug interactions that may affect the efficacy of the treatment or cause adverse effects.

Fluconazole is known to interact with a wide range of medications due to its influence on cytochrome P450 (CYP) enzymes, particularly CYP3A4 and CYP2C9. This can lead to increased plasma concentrations of drugs metabolized by these enzymes, potentially resulting in toxicity. For example, fluconazole can increase the levels of certain statins, increasing the risk of myopathy and rhabdomyolysis. It can also enhance the effects of oral hypoglycemic agents, such as sulfonylureas, leading to hypoglycemia. Patients taking these medications should be closely monitored for signs of adverse reactions.

Additionally, fluconazole can increase the anticoagulant effects of warfarin, which may necessitate more frequent monitoring of prothrombin time and INR, and potentially require a warfarin dose adjustment. Concurrent use with other QT-prolonging drugs, such as certain antiarrhythmics, antipsychotics, and antibiotics, may increase the risk of QT prolongation and ventricular arrhythmias, including torsades de pointes. Patients with existing cardiac conditions or those taking other QT-prolonging medications should be evaluated for the risk of cardiac events.

Fluconazole can also interact with immunosuppressants like cyclosporine and tacrolimus, leading to increased levels of these drugs and a higher risk of nephrotoxicity. Dose adjustments and renal function monitoring may be necessary when these drugs are co-administered. Additionally, co-administration with benzodiazepines metabolized by CYP3A4 can result in prolonged sedation and respiratory depression.

It is important to note that this is not an exhaustive list of all potential drug interactions with fluconazole. Patients should be advised to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs, herbal supplements, and vitamins, to ensure safe and effective use of fluconazole oral liquid. Prescribers should consult the patient's medication profile for potential drug interactions to adjust dosing or take appropriate precautions as needed.

If you have any questions or require further information regarding drug interactions with fluconazole 40 mg/5 mL oral liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this medication.

How Does it Work

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Fluconazole is an antifungal medication that works by inhibiting the growth of various types of fungi. It achieves this by interfering with the synthesis of ergosterol, a critical component of fungal cell membranes. Without ergosterol, the cell membrane becomes weak and allows essential cellular contents to leak out, leading to the death of the fungal cell. This mechanism of action makes fluconazole effective in treating a range of fungal infections.

The Fluconazole 40 mg/5 mL Oral Liquid formulation is designed to provide a specific dose of fluconazole in a liquid form, which is particularly beneficial for patients who have difficulty swallowing pills or capsules, such as young children or the elderly. The liquid form allows for flexible dosing, which can be easily adjusted according to the patient's weight, age, and severity of the infection. This is especially important in pediatric and geriatric populations, where dosing needs to be precise to avoid under or overdosing.

This oral liquid formulation is used to treat various fungal infections, including but not limited to, oropharyngeal and esophageal candidiasis, systemic candida infections, cryptococcal meningitis, and the prevention of candidal infections in patients with compromised immune systems. The ease of administration and the ability to tailor the dose make this liquid formulation an excellent choice for managing these conditions.

For patients and prescribers considering the use of Fluconazole 40 mg/5 mL Oral Liquid, it is important to understand that the medication should be taken as directed by the healthcare provider. The duration of treatment can vary depending on the type and severity of the infection. It is also essential to complete the full course of therapy, even if symptoms improve before the medication is finished, to ensure the infection is fully eradicated and to prevent resistance.

If you have any questions about the Fluconazole 40 mg/5 mL Oral Liquid formulation or its use in treating fungal infections, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage your health or the health of your patients.

Other Uses

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While Fluconazole 40 mg/5 mL Oral Liquid is primarily formulated for the treatment of fungal infections including thrush (oral and esophageal), candiduria, vaginal candidiasis, and systemic candidiasis among others, it has a broad range of antifungal activity that can be tapped for other, less common indications. For example, it may be utilized off-label for the prophylactic treatment of certain fungal infections in immunocompromised patients, including those with cancer undergoing chemotherapy or those who have undergone transplant surgery. It is also occasionally used in the management of fungal infections in patients with advanced HIV, where the risk of such infections is higher. Additionally, this liquid formulation may be indicated for the treatment of certain fungal infections of the nails, although this is typically less common.

Beyond its antifungal uses, fluconazole can be part of investigational or adjunct therapy protocols for various other conditions, as deemed appropriate by a healthcare professional. When using fluconazole for any off-label uses, it is important that it is prescribed by a healthcare provider who has taken into account all relevant patient details, including any contraindications and potential drug interactions.

Fluconazole's oral liquid form is particularly advantageous for patients who have difficulty swallowing pills or tablets, such as young children, the elderly, or people with certain neurological disorders or dysphagia. The measured liquid can deliver an accurate dosage, is easier to swallow, and can be mixed with certain foods or beverages to improve palatability if permitted by a healthcare provider. This advantages adherence to the treatment protocol, which is critical for the successful management of fungal infections.

It's essential that all patients and prescribers are aware that while fluconazole is a versatile and effective antifungal agent, it should not be used indiscriminately. The use of fluconazole, especially for off-label indications, must be based on a thorough evaluation of the patient's health status and the prescriber's clinical judgment. If you have any questions about the possible other uses of Fluconazole 40 mg/5 mL Oral Liquid, please reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is ready to provide you with the information you need to ensure the safe and effective use of this medication.

Frequently Asked Questions

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What is Fluconazole 40 mg/5 mL Oral Liquid used for?

Fluconazole 40 mg/5 mL Oral Liquid is an antifungal medication that is used to treat a variety of fungal infections, including yeast infections of the mouth, throat, esophagus, lungs, bladder, genital area, and the blood. It is especially beneficial for patients who have difficulty swallowing pills or for those in pediatric and geriatric populations who require a more easily consumable medication form.

How should Fluconazole Oral Liquid be stored?

Fluconazole Oral Liquid should be stored at room temperature, away from direct light, heat, and moisture. Keep the bottle tightly closed when not in use, and make sure to discard any unused medication after the expiration date or when the recommended storage period is exceeded. Consult the product label or your pharmacist for more specific storage instructions.

What is the recommended dosage of Fluconazole Oral Liquid?

The recommended dosage of Fluconazole Oral Liquid varies depending on the type and severity of the fungal infection, as well as the age and overall health of the patient. The dosage must be prescribed by a healthcare provider. Generally, for adults, the dose may be one 5 mL spoonful (equivalent to 40 mg of fluconazole) taken once daily, but your doctor will determine the most appropriate dose for your condition.

Can children take Fluconazole Oral Liquid?

Yes, Fluconazole Oral Liquid can be prescribed for children, and it's an advantageous form since it's easier for children who may struggle with swallowing pills. The dosage will be adjusted by a pediatrician based on the child's weight, age, and the specific infection being treated.

Can Fluconazole Oral Liquid be taken with food?

Fluconazole Oral Liquid can be taken with or without food. However, if you experience stomach upset, taking it with food or milk may alleviate these symptoms. Always follow the advice of your healthcare provider regarding medication intake.

Are there any medications that should not be taken with Fluconazole Oral Liquid?

Fluconazole can interact with several medications, which can lead to serious side effects. These include, but are not limited to, certain blood thinners, anti-seizure medications, heart rhythm medications, and some antidepressants. It is important to inform your healthcare provider of all medications and supplements you are taking before starting Fluconazole Oral Liquid.

What should I do if I miss a dose of Fluconazole Oral Liquid?

If you miss a dose of Fluconazole Oral Liquid, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one, as this may increase the risk of side effects.

Are there any side effects associated with Fluconazole Oral Liquid?

As with any medication, Fluconazole Oral Liquid can cause side effects, although not everyone will experience them. Common side effects may include headache, diarrhea, nausea, stomach pain, dizziness, and changes in taste. If any of these effects persist or worsen, contact your healthcare provider. Immediately report any severe side effects, such as signs of liver disease or a severe allergic reaction.

Can pregnant or breastfeeding women take Fluconazole Oral Liquid?

Pregnant women should only take Fluconazole Oral Liquid if it is clearly necessary and prescribed by their healthcare provider. The medicine may cause harm to the unborn baby. Breastfeeding women should also exercise caution, as fluconazole passes into breast milk. Consult your healthcare provider for a risk assessment before taking this medication while pregnant or breastfeeding.

How long does treatment with Fluconazole Oral Liquid usually last?

The duration of treatment with Fluconazole Oral Liquid depends on the infection being treated and the patient's response to the medication. Some infections may require only one dose, while others may need a longer course of treatment. It is crucial to complete the full course prescribed by your healthcare provider, even if symptoms disappear early, to ensure the infection is fully treated and prevent it from returning.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.