Fluconazole (Diflucan) Flashcards
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Questions and Answers

What is the MOA of Fluconazole (Diflucan)?

Inhibits synthesis of ergosterol in cell membrane.

When do you give Fluconazole (Diflucan)?

Treatment of candidiasis, fungal meningitis.

When do you give a one-time dose of Fluconazole (Diflucan)?

Vaginal yeast infection.

What is Fluconazole (Diflucan) an alternative to?

<p>IV amphotericin.</p> Signup and view all the answers

What are the advantages of Fluconazole (Diflucan)?

<p>Lower toxicity and oral usability.</p> Signup and view all the answers

What are the adverse effects of Fluconazole (Diflucan)?

<p>Nausea, vomiting, diarrhea.</p> Signup and view all the answers

What are the serious adverse effects of Fluconazole (Diflucan)?

<p>Steven-Johnson syndrome.</p> Signup and view all the answers

When do you not give Fluconazole (Diflucan)?

<p>Hepatic impairment, hypokalemia, preexisting renal impairment, CYP450 involvement.</p> Signup and view all the answers

What do you monitor with Fluconazole (Diflucan)?

<p>BUN, serum creatinine, liver function.</p> Signup and view all the answers

Study Notes

Mechanism of Action

  • Fluconazole inhibits ergosterol synthesis, an essential component of fungal cell membranes.

Clinical Indications

  • Effective in treating candidiasis and fungal meningitis.
  • A single dose is indicated for vaginal yeast infections.

Alternative Treatment

  • Serves as an alternative to intravenous amphotericin for fungal infections.

Advantages

  • Lower toxicity compared to some antifungal agents.
  • Available in oral form for usability, facilitating administration.

Adverse Effects

  • Common side effects include nausea, vomiting, and diarrhea.

Serious Adverse Effects

  • May cause Steven-Johnson syndrome, a severe skin reaction.

Contraindications

  • Not recommended for patients with hepatic impairment, hypokalemia, or preexisting renal impairment.
  • Caution in patients due to CYP450 drug interactions.

Monitoring Parameters

  • Regular monitoring of blood urea nitrogen (BUN), serum creatinine, and liver function tests is essential during Fluconazole therapy.

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Description

Test your knowledge on Fluconazole (Diflucan) with this set of flashcards. Learn about its mechanism of action, indications for use, and specific situations for dosing. Perfect for pharmacy students or healthcare professionals seeking to refresh their understanding of this antifungal medication.

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