Fluconazole Yeast Infection Dosage
The dosage of this drug is different for different patients. The amount of medication and treatment duration will depend on your condition, your response to the treatment, and for children, their body weight.
The number of doses you take per day, the time between doses, and the duration you take the medication will depend on various factors determined by your doctor.
Typical Oral Dosages for Adults:
- Vaginal candidiasis: 150mg/day.
- Urinary tract infections or peritonitis: 50-200mg/day.
- Cryptococcal meningitis: 400mg for one day, followed by 200mg/day for at least 10-12 weeks.
- Esophageal candidiasis: 200mg for one day, followed by 100mg/day for at least three weeks.
- Oropharyngeal candidiasis: 200mg for one day, followed by 100mg/day for at least two weeks.
- Other infections: Up to 400mg/day.
Dosages for children are variable and must be determined by your doctor.
If you miss a dose of Fluconazole, take it as soon as possible. However, if it is close to your next dose before you remember youve missed a dose, skip the dose you missed and proceed with your regular dosing schedule. Do not take a double dose of the medication.
Accidentally taking an extra dose or two is unlikely to harm you. However, you should speak to your doctor or pharmacist now if:
- You feel unwell from taking too much Fluconazole.
- Your child has taken too much Fluconazole.
Monistat And Other Otc Yeast Infection Medicines
Topical yeast infection medicines called azole antifungals are available both OTC and with a prescription. Most OTC options contain one of the following medications:
Cream, which is applied with an applicator
Which form of yeast infection medicine you choose should be based on what you find more comfortable to use, as suppositories and creams were found to work similarly well in one study.
These topical yeast infection medicines are available in 1-day, 3-day, and 7-day regimens. If your symptoms are milder, 1- or 3-day versions should be enough to treat it. But if your symptoms are more severe, you may require the 7-day course. Its best to check with your healthcare provider if you arent sure how long you should use topical OTC yeast infection medicines.
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What Other Drugs Will Affect Diflucan
Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.
Fluconazole can cause a serious heart problem. Your risk may be higher if you also use certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV.
Many drugs can interact with fluconazole, and some drugs should not be used at the same time. Tell your doctor about all your current medicines and any medicine you start or stop using. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.
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Where Should I Keep My Medication
Keep out of the reach of children.
Store at room temperature below 30 degrees C . Throw away any medication after the expiration date.
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.
Monistat Vs Diflucan: Differences Similarities And Which Is Better For You
Vaginal yeast infections are a relatively common and very treatable condition that many women face. These infections are typically caused by an overgrowth of a fungal group known as candida albicans, which is present in the normal vaginal flora of most women. When certain conditions allow the overgrowth of vaginal candida, also known as candidiasis, it leads to symptoms that may include vaginal tenderness, itching, discharge, and/or odor. The sensitivity of this condition leaves many women looking for a quick and effective treatment option. Monistat and Diflucan are two treatment options for vulvovaginal candidiasis.
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How To Use Diflucan Oral
In Canada, some brands of this medication are available without a prescription. Before taking over-the-counter fluconazole, read the product instructions and talk to your doctor if this is your first vaginal yeast infection, if this is your second infection within 2 months, or if you are considering treatment for a girl under 12 years old.
Take this medication by mouth usually as a single dose, with or without food at any time of the day, or as directed by your doctor.
The effect of this medication continues for several days. If your condition does not improve after a few days or if it worsens, or if you think you may have a serious medical problem, get medical help right away.
Should I Take Fluconazole For A Yeast Infection
- Odorless discharge, or a very mild yeast infection smell
- Burning when urine touches raw, irritated skin
- Intense fishy vaginal odor
- Thin grey or greenish discharge
- Burning during urination
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Treating Yeast Infections And Drug Interactions
Medication interactions can be a serious issue, and its important to educate yourself about certain kinds of drug interactions. Did you know that for women who take medications on a regular basislike oral contraceptives or medicines for treating diabetes or high cholesterolwhen treating a yeast infection, theres more to think about than just eliminating symptoms? For these women, MONISTAT® may be a safer choice. This is because topical antifungals cause fewer drug interactions within the body because they work at the site of the infection, not in the bloodstream.
Studies have shown that oral antifungals such as fluconazole have been associated with abnormal elevations of liver enzymes. Because the body metabolizes fluconazole in the liver, interactions can occur if you take fluconazole along with other medications that are also metabolized in the liver.¹ Even if you take just one tablet, fluconazole remains in your body for days. Before you take fluconazole to treat a yeast infection, check with your healthcare professional or pharmacist about potential interactions with medicines you may already be taking, or check for medication interactions online. This is especially important if you experience recurrent vaginal yeast infections, since your healthcare professional may be likely to prescribe multiple doses of fluconazole.¹
How Should I Take Diflucan
Take Diflucan exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.
Your dose will depend on the infection you are treating. Vaginal infections are often treated with only one pill. For other infections, your first dose may be a double dose. Carefully follow your doctor’s instructions.
You may take Diflucan with or without food.
Shake the oral suspension before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device .
Use Diflucan for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Fluconazole will not treat a viral infection such as the flu or a common cold.
Store at room temperature away from moisture and heat. Do not freeze.
You may store the oral suspension in a refrigerator, but do not allow it to freeze. Throw away any leftover liquid that is more than 2 weeks old.
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Who Should Take Brexafemme
Always check in with your doctor before treating a yeast infection. An estimated 2 out of 3 people who treat yeast infections themselves dont actually have one, says the Department of Health and Human Services’ Office on Womens Health. And this can make infections harder to treat when you do get them.
But if you do have a yeast infection, your treatment may depend on how severe the infection is. Brexafemme is probably not necessary for every woman with a yeast infection, says Mary Jane Minkin, MD. Shes a gynecologist and clinical professor of obstetrics, gynecology and reproductive sciences at Yale University. Diflucan is an effective treatment for many. But for women who have a tough yeast infection, Brexafemme is effective against more strains.
Its also important to consider the cost. The price of Brexafemme is estimated at $475 for a 4-tablet treatment. The average out-of-pocket price for Diflucan is around $30.
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Brexafemme is not approved for pregnant women. The FDA is requiring SCYNEXIS, the company that makes Brexafemme, to study whether it is risky for pregnant women, newborns or a baby developing in the womb. For now, your health care provider may ask you to take a pregnancy test before treatment. And if youre on birth control, you should continue taking it while on Brexafemme.
What Are The Main Differences Between Monistat Vs Diflucan
Monistat is an over-the-counter treatment option for vaginal yeast infections. It fights fungal infections by decreasing the production of ergosterol. This causes damage to the cell wall of the fungus, allowing the escape of nutrients needed for the fungus to thrive.
Monistat comes in a variety of treatment combinations which can include vaginal ovules and/or vaginal creams for both internal and external applications. There are products for one-day, three-day, or seven-day treatment durations. Many of the Monistat formulations have generic options available. Over the counter use of Monistat products is not intended for anyone under the age of 12.
Diflucan is a prescription treatment for yeast infections that works in a similar fashion to Monistat in that it decreases the production of ergosterol. The damage this causes to the cell wall membrane will not allow the fungus to live. Diflucan is available as an oral tablet in 50 mg, 100 mg, 150 mg, and 200 mg strengths. It is also available as an oral suspension and injectable solution. Obtaining a prescription for Diflucan requires evaluation by a physician, and in some cases, a specimen may be required. Diflucan can be prescribed in both children and adults.
|Main differences between Monistat vs. Diflucan|
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What May Interact With This Medication
Do not take this medication with any of the following medications:
This medication may also interact with the following medications:
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
Who Can And Cannot Take Fluconazole
Most people can take this medication. However, fluconazole contraindications do exist. Consult your healthcare provider before using it if youve ever experienced any of the following:
- Allergic reaction to Fluconazole or other medications.
- Heart arrhythmia, other heart rhythm problems, or heart disease.
- Kidney or liver dysfunction.
- Acute porphyria .
- Abnormal levels of calcium, potassium, or magnesium as measured by a blood test.
It is essential to monitor your treatment progress with regular visits to your healthcare provider. Your doctor may request blood or urine tests to assess your condition. Should your symptoms not improve, or should they become worse, continue to take your medication and check with your doctor.
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What Are Side Effects Associated With Using Fluconazole
Side effects associated with use of Fluconazole, include the following:
Other side effects of fluconazole include:
- QT prolongation
- Typical dosage: 400 mg, taken once per day.
- Treatment length: Treatment can last several weeks.
Use of this drug for the prevention of candidiasis in people younger than 18 years hasnt been approved.
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This raises your risk of side effects. Your doctor may start you on a lowered dose or a different dosing schedule. This can help keep levels of this drug from building up too much in your body.
Getting The Most From Your Treatment
- Remember to keep any regular appointments with your doctor. This is so your doctor can check on your progress. If you are taking a course of fluconazole, you may need to have a blood test to check that it is not affecting your liver if you are taking it for more than one month.
- If your symptoms do not improve despite taking fluconazole, speak again with your pharmacist or doctor so that your infection can be investigated further.
- If you buy any medicines, always check with a pharmacist that they are safe to take with fluconazole.
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Is Monistat Or Diflucan More Effective
Monistat and Diflucan are each effective treatment options for vaginal yeast infections and have been compared in a variety of ways. In some women, vaginal yeast infections may be recurrent and bothersome, and the simplicity of a one-day treatment option may be the most appealing. In a study comparing the single-dose treatment of Monistat and Diflucan, Diflucan was found to have slightly higher cure rates, verified by lab tests and symptomatic improvement, though these differences were not statistically significant. More importantly, short term clinical cure was achieved in 94% of Monistat patients and 100% of Diflucan patients. Therefore, both Monistat and Diflucan are highly effective treatment options for vaginal yeast infections.
Only your physician can diagnose a vaginal yeast infection and decide what course of treatment is best for you in treating initial and recurring infections.
Drugs That Should Not Be Used With Fluconazole
There are certain drugs that you should not use with fluconazole. When used with fluconazole, these drugs can cause dangerous effects in your body. Examples of these drugs include:
- Terfenadine. When used with fluconazole at doses of 400 mg or higher, this drug can cause a life-threatening heart rhythm condition called torsades de pointes.
- Pimozide, clarithromycin, erythromycin, ranolazine, lomitapide, donepezil, voriconazole, and quinidine. When used with fluconazole, these drugs can cause a life-threatening heart rhythm condition called torsades de pointes.
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Drug Interactions Of Monistat Vs Diflucan
Monistat is generally very safe to take with other medications. There is a chance that intravaginal use of miconazole products may result in enough significant systemic absorption to interfere with Coumadin metabolism, causing an increase in plasma levels of warfarin. Therefore, intravaginal use of miconazole in patients taking warfarin is generally not recommended as a precaution.
Diflucan is a strong inhibitor of cytochrome P-450 enzyme subtype CYP2C19, as well as a moderate inhibitor of subtypes CYP2C9 and CYP3A4. This results in a variety of potential drug interactions as these enzymes play important roles in the processing and absorption of many other drugs. Diflucan may interact with blood thinners, antibiotics, oral contraceptives, and other commonly used medications. In addition, Diflucan has been associated with an adverse event known as QT prolongation, a serious irregular heart rhythm. When Diflucan is taken with other drugs that cause QT prolongation, their effects may be potentiated and this effect is potentially fatal. Drugs whose QT prolongation effect may be increased when taken with Diflucan include amiodarone, astemizole, pimozide, quinidine, quetiapine, and erythromycin.
The following table provides a sample of drug interactions, but may not be a complete list. A medical professional can provide additional information and a complete list of interactions.
Yeast Infection Medication Tips
People should be aware of the following advice when taking medication for yeast infections:
- It is important to take the entire dosage of medication. For example, if a person is using a 7-day suppository to clear an infection, they should insert the suppository daily, even if their symptoms begin to clear before the 7-day period ends.
- The oils in certain suppositories and creams can interfere with barrier birth control methods such as condoms. The oils can weaken the materials in condoms, making them less effective. When using these yeast infection treatments, a person should use a different form of birth control or abstain from sex during the duration of the treatment if they would typically use a condom.
- People who are pregnant will need to consult a doctor. Pregnant people should always consult a doctor before using any prescription or nonprescription medication to treat an infection.
Below are answers to some common questions about treating yeast infections.
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When To Contact A Doctor
A person should contact a doctor if they suspect that they have a yeast infection. The symptoms can be similar to those of other conditions. The doctor can properly diagnose and treat a yeast infection.
If a yeast infection does not clear up with treatment, the person should seek further medical advice. They may need to adjust their medications to treat any itching and discomfort.
Why Does My Yeast Infection Keep Coming Back
- Your initial infection wasn’t treated completely
- You’re creating humid or moist conditions for Candida to thrive
- You have a drug-resistant strain of yeast
- Your vaginal bacteria is out of whack
- You have a weakened immune system
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