Antifungal Drugs - Fluconazole (Diflucan) Flashcards

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Questions and Answers

What is the drug class of fluconazole?

  • Antifungal (correct)
  • Antibacterial
  • Antiviral
  • Analgesic

What is the trade name of fluconazole?

Diflucan

What is the pregnancy category of fluconazole?

  • A
  • B
  • C (correct)
  • D

What is a contraindication for fluconazole?

<p>Hypersensitivity</p> Signup and view all the answers

What interactions does fluconazole have with warfarin?

<p>Increases PT</p> Signup and view all the answers

How is fluconazole absorbed in the body?

<p>Well absorbed in GI tract</p> Signup and view all the answers

What is the half-life of fluconazole?

<p>20-50 hours</p> Signup and view all the answers

What is one of the therapeutic uses of fluconazole?

<p>To treat Candida infections</p> Signup and view all the answers

What are some common side effects of fluconazole?

<p>All of the above (D)</p> Signup and view all the answers

What is the nursing process reference page for fluconazole?

<p>444-445</p> Signup and view all the answers

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Study Notes

Antifungal Drug Overview: Fluconazole (Diflucan)

  • Drug Class: Antifungal, utilized to combat fungal infections.
  • Trade Name: Marketed as Diflucan.

Pregnancy and Safety

  • Pregnancy Category: Classified as C, indicating potential risks to fetal development.

Contraindications and Cautions

  • Hypersensitivity: Not safe for individuals with known allergies to fluconazole.
  • Caution advised during pregnancy, necessitating careful consideration of risks versus benefits.

Drug Interactions

  • Increases Prothrombin Time (PT) when co-administered with warfarin.
  • Can enhance hypoglycemic effects when taken alongside oral sulfonylureas.
  • Interacts with phenytoin, cyclosporine, and haloperidol, elevating their plasma levels.
  • Effectiveness may decrease with concomitant use of cimetidine and rifampin.

Pharmacokinetics

  • Absorption: Well-absorbed when administered orally via the gastrointestinal tract.
  • Distribution: Protein binding (PB) is approximately 12%.
  • Half-life (t1/2): Ranges from 20 to 50 hours, indicating prolonged action.
  • Excretion: Primarily eliminated through urine.

Pharmacodynamics

  • Oral Administration:
    • Onset of action: Unknown.
    • Peak effect: 1-2 hours post-administration.
    • Duration of action: Unknown.
  • Vaginal Administration:
    • Onset, peak, and duration of action are all unknown.

Therapeutic Applications

  • Indicated for the treatment of Candida infections and cryptococcal meningitis.
  • Mechanism of Action: Works by increasing permeability of fungal cell membranes, disrupting their integrity.

Side Effects

  • Common side effects (oral):
    • Anorexia, nausea, vomiting, diarrhea (especially at large doses).
    • Additional symptoms include stomach cramps, rash, and headache.
  • Vaginal use may cause rash and burning sensation.
  • No known adverse reactions are associated with fluconazole.

Nursing Considerations

  • Important information and guidelines for nursing care located on pages 444-445 of relevant pharmacological resources.

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