Fluconazole

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Revision as of 20:04, 15 August 2019 by Aidan (talk | contribs)

Classification

  • Antifungal in the triazole family with excellent bioavadilability but limited efficacy outside of Candida

Indications

  • Fungal infections

Monitoring

  • ECG for QT prolongation
  • Liver enzymes for hepatitis

Pharmacokinetics

  • Good oral bioavailability
  • CNS penetration

Side Effects

  • Best side effect profiles of the antifungals
  • Before starting, check:
    • Liver enzymes as baseline
    • Creatinine (requires renal dosing)
    • EKG (QT prolongation)
  • Beware drug-drug interactions, especially with new DOACs