PATIENT
INFORMATION LEAFLET (UK)
Please read this leaflet
This
leaflet tells you about Diflucan capsules. Please
read it before you start to take your medicine. It
will help you. If you do not understand or you want
to know more, ask your doctor or pharmacist
(chemist). Keep this leaflet, you may want to read
it again.
The name
of this medicine is Diflucan capsules. The active
ingredient is fluconazole.
What is
in your medicine?
Diflucan
capsules come in two different strengths:
Each light
turquoise blue and white capsule contains 50mg
fluconazole. They have "FLU 50" and "PFIZER" printed on
them.
Each purple
and white capsule contains 200mg fluconazole. They have
"FLU 200" and "PFIZER" printed on them.
Colouring
agents in capsule shell:
50mg
capsules: patent blue V (E131), titanium dioxide (E171).
200mg
capsules: erythrosine (E127), indigotine (E132),
titanium dioxide (E171)
Other
inactive ingredients (all capsule strengths): Colloidal
silicon dioxide, lactose, magnesium stearate, maize
starch, sodium lauryl sulphate, gelatin (capsule shell
only).
Diflucan
50mg and 200mg come in packs of 7 capsules.
What
type of medicine is Diflucan?
Diflucan is
one of a group of medicines called anti-fungal agents.
What is
your medicine for?
Diflucan
capsules are used to treat infections caused by
fungi/yeasts. Diflucan may also be used to stop you from
getting a fungal infection. The most common cause of
fungal infections is a yeast called
Candida.
You may be
given this medicine by your doctor to treat fungal
infections such as:
-
thrush of the mouth or throat (mucosal infections).
Thrush is commonly caused by
Candida
- skin
infections - e.g. athlete's foot, ringworm
-
internal (systemic) fungal infections caused by
Candida - e.g.
infections of the bloodstream, urinary tract or
other body organs
-
internal (systemic) fungal infections caused by
Cryptococcus - e.g.
cryptococcal meningitis and infections of other
sites such as the lungs and skin
-
genital Candida
infections, e.g. vaginal thrush or candidal
balanitis (inflammation of the end of the penis
and/or foreskin).
You may also
be given Diflucan to:
- stop
you from getting a fungal infection (if your immune
system is not working properly).
- stop
an infection caused by
Cryptococcus from coming back (in AIDS
patients).
Before
you take Diflucan capsules.
If the
answer is YES to any of these
questions - tell your doctor immediately:
- Are
you pregnant or trying to become pregnant?
- Are
you breast-feeding?
- Do
you have liver or kidney problems?
- Have
you ever had an allergic reaction to any of the
ingredients of Diflucan, or other medicines which
you may have taken to treat a fungal infection? This
may have been itching, reddening of the skin or
difficulty in breathing.
- Are
you taking either terfenadine (an antihistamine) or
cisapride (used for stomach upsets)?
- Do
you suffer from heart disease, including heart
rhythm problems?
- Has
your doctor told you that you have abnormal levels
of potassium, calcium or magnesium in your blood?
Inform your
doctor if you are taking any of the following medicines:
-
warfarin or coumarin drugs (to prevent blood clots)
- oral
sulphonylureas such as chlorpropamide, glibenclamide,
glipizide or tolbutamide (to control diabetes)
-
diuretics, such as hydrochlorothiazide, used to
treat fluid retention and high blood pressure
-
benzodiazepines (used as tranquillizers)
-
phenytoin (used to control epilepsy)
-
rifampicin or rifabutin (antibiotics)
-
cyclosporin or tacrolimus (used to affect the immune
response)
-
theophylline (used to control asthma)
-
astemizole (an antihistamine)
-
zidovudine, also known as AZT (used in HIV-infected
patients).
How to
take your medicine
Diflucan
capsules should only be taken by mouth.
The usual
doses of this medicine for different infections are
below. Check with your doctor if you are not sure why
you have been prescribed Diflucan capsules.
ADULTS
-
Mucosal infections of mouth
-
50-100mg once daily for 7-14 days.
-
Mucosal infections of throat
or elsewhere
-
50-100mg once daily for 14-30 days.
-
Fungal skin infections
-
50mg once daily for 2-4 weeks.
-
Athlete’s foot may need up to 6 weeks treatment.
-
Internal fungal infections
caused by Candida
-
400mg on the first day then 200-400mg once
daily.
-
Internal fungal infections
caused by Cryptococcus
-
400mg on the first day then 200-400mg once daily
for 6-8 weeks.
-
To stop you from getting a
fungal infection
-
50-400mg once daily while you are at risk of
getting an infection.
-
To prevent a cryptococcal
infection from coming back
-
100-200mg once daily indefinitely.
-
To treat genital
Candida infection
-
150mg as a single dose.
CHILDREN
-
4 weeks to 15 years old
-
mucosal infections
-
3mg/kg once daily.
-
internal fungal infections
caused by Candida
or Cryptococcus
-
6-12mg/kg once daily.
-
prevention of fungal
infections
-
3-12mg/kg once daily while at risk of getting an
infection.
-
-
2-4 weeks old
-
Same dose as above but given once every 2 days.
A maximum dose of 12mg/kg every 2 days.
-
-
Less than 2 weeks old
-
Same dose as above but given once every 3 days.
A maximum dose of 12mg/kg every 3 days.
A
maximum dosage of 400mg daily should not be exceeded
in children.
Use of
Diflucan for treating genital
Candida infections in children under 16 years
old is not recommended.
ELDERLY
The
usual adult dose should be given unless you have
kidney problems.
PATIENTS WITH KIDNEY PROBLEMS
Your
doctor may modify your dose, depending on your
kidney function.
Doctors
sometimes prescribe different doses to these. The
label on the pack will tell you what dose you or
your child should take. If you are still not sure,
ask your doctor or pharmacist.
Swallow
your capsules with a glass of water.
It is
best to take your capsules at the same time each
day.
You may
take your medicine with or without a meal.
What
if you take too many capsules?
Taking
too many capsules at once may make you unwell.
Contact your doctor or your nearest hospital
casualty department at once.
What
if you miss a capsule?
Do not
worry. If you miss a capsule, leave out that dose
completely. Take your next dose at the right time.
YOU WILL FIND MORE ABOUT DIFLUCAN
ON THE BACK OF THIS LEAFLET.
Does
this medicine cause undesirable effects?
Diflucan may
cause some undesirable effects. The most common
undesirable effects are:
-
nausea
-
stomach discomfort
-
diarrhoea
- wind
- rash
-
headache
These
undesirable effects are usually mild. If they cause you
discomfort or are long lasting, check with your doctor
or pharmacist.
The
following have occurred rarely in patients taking
Diflucan, but they may not all be due to the drug.
-
itching
-
vomiting
-
seizure
-
abnormalities in blood/liver function/urine and
other biochemical tests
-
liver toxicity
-
severe skin reactions
- hair
loss
-
dizziness
-
swelling of the face
-
altered sense of taste
-
change in heart rate or rhythm
A few people
develop allergic reactions to medicines. If you develop
any of the following undesirable effects, tell your
doctor immediately:
-
sudden wheeziness, difficulty in breathing or
tightness in chest
-
swelling of eyelids, face or lips
- skin
lumps or red itchy spots
- itch
all over body
AIDS
patients should be warned that they are likely to be
prone to skin reactions to many drugs, including
Diflucan.
Tell your
doctor or pharmacist if you become unwell or have any
other discomfort you do not understand.
Look
after your medicine
This
treatment is for YOU. Do not
give it to others. It may not suit them.
Do not take
this medicine after the date stamped on the pack.
Where to keep your medicine
-
Store below 30°C.
-
Keep all medicines out of the reach of children.
Further
information
This leaflet
does not contain all the information about this
medicine. If you have any questions or are not sure
about anything, ask your doctor or pharmacist.
The
information in this leaflet is about Diflucan capsules
only.