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DIFLUCAN 50MG CAPSULES

Active substance(s): FLUCONAZOLE

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Diflucan® 50 mg Capsules

0081
23.10.17[21]

(fluconazole)
PATIENT INFORMATION LEAFLET
Read all of this leaflet carefully before you start taking this medicine
because it contains important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor, pharmacist or nurse.
- This medicine has been prescribed for you only. Do not pass it on to
others. It may harm them, even if their signs of illness are the same as
yours.
- If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet. See section 4.
Your medicine is called Diflucan 50 mg Capsules but will be referred to as
Diflucan throughout this leaflet. Also available in 200 mg strength.
What is in this leaflet:
1. What Diflucan is and what it is used for
2. What you need to know before you take Diflucan
3. How to take Diflucan
4. Possible side effects
5. How to store Diflucan
6. Contents of the pack and other information
1. WHAT DIFLUCAN IS AND WHAT IT IS USED FOR
Diflucan is one of a group of medicines called “antifungals”. The active
substance is fluconazole.
Diflucan is used to treat infections caused by fungi and may also be used to
stop you from getting a candidal infection. The most common cause of
fungal infections is a yeast called Candida.
Adults
You might be given this medicine by your doctor to treat the following types
of fungal infections:
- Cryptococcal meningitis – a fungal infection in the brain
- Coccidioidomycosis – a disease of the bronchopulmonary system
- Infections caused by Candida and found in the blood stream, body organs
(e.g. heart, lungs) or urinary tract
- Mucosal thrush - infection affecting the lining of the mouth, throat and
denture sore mouth
- Genital thrush – infection of the vagina or penis
- Skin infections - e.g. athlete’s foot, ringworm, jock itch, nail infection
You might also be given Diflucan to:
- stop cryptococcal meningitis from coming back
- stop mucosal thrush from coming back
- reduce recurrence of vaginal thrush
- stop you from getting an infection caused by Candida (if your immune
system is weak and not working properly)
Children and adolescents (0 to 17 years old)
You might be given this medicine by your doctor to treat the following types
of fungal infections:
- Mucosal thrush - infection affecting the lining of the mouth, throat
- Infections caused by Candida and found in the blood stream, body organs
(e.g. heart, lungs) or urinary tract
- Cryptococcal meningitis – a fungal infection in the brain

- zidovudine, also known as AZT; saquinavir (used in HIV-infected patients)
- medicines for diabetes such as chlorpropamide, glibenclamide, glipizide
or tolbutamide
- theophylline (used to control asthma)
- vitamin A (nutritional supplement)
- ivacaftor (used for treating cystic fibrosis)
- amiodarone (used for treating uneven heartbeats ‘arrhythmias’)
- hydrochlorothiazide (a diuretic)
Tell your doctor or pharmacist if you are taking, have recently taken or might
take any other medicines.
Diflucan with food and drink
You can take your medicine with or without a meal.
Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are
planning to have a baby, ask your doctor or pharmacist for advice before
taking this medicine.
You should not take Diflucan while you are pregnant unless your doctor has
told you to.
You can continue breast-feeding after taking a single dose of Diflucan up to
200 mg.
You should not breast-feed if you are taking a repeated dose of Diflucan.
Driving and using machines
When driving vehicles or using machines, it should be taken into account
that occasionally dizziness or fits may occur.
Diflucan contains lactose (milk sugar)
This medicine contains a small amount of lactose (milk sugar). If you have
been told by your doctor that you have an intolerance to some sugars,
please contact your doctor before taking this medicine.
3. HOW TO TAKE DIFLUCAN
Always take your medicine exactly as your doctor has told you. You should
check with your doctor or pharmacist if you are not sure.
Swallow the capsule whole with a glass of water. It is best to take your
capsules at the same time each day.
The recommended doses of this medicine for different infections are below:
Adults
Condition

Dose

To treat cryptococcal
meningitis

400 mg on the first day then 200 mg to 400
mg once daily for 6 to 8 weeks or longer if
needed. Sometimes doses are increased
up to 800 mg
To stop cryptococcal
200 mg once daily until you are told to
meningitis from coming back stop
To treat coccidioidomycosis 200 mg to 400 mg once daily from 11
months for up to 24 months or longer if
needed. Sometimes doses are increased
up to 800 mg
To treat internal fungal
800 mg on the first day then 400 mg once
infections caused by Candida daily until you are told to stop

You might also be given Diflucan to:
- stop you from getting an infection caused by Candida (if your immune
system is weak and not working properly).
- stop cryptococcal meningitis from coming back

To treat mucosal
infections affecting the
lining of mouth, throat and
denture sore mouth

200 mg to 400 mg on the first day then
100 mg to 200 mg until you are told to
stop

2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE DIFLUCAN
Do not take Diflucan
- if you are allergic to fluconazole, to other medicines you have taken to
treat fungal infections or to any of the other ingredients of this medicine
(listed in section 6). The symptoms may include itching, reddening of the
skin or difficulty in breathing
- if you are taking astemizole, terfenadine (antihistamine medicines for
allergies)
- if you are taking cisapride (used for stomach upsets)
- if you are taking pimozide (used for treating mental illness)
- if you are taking quinidine (used for treating heart arrhythmia)
- if you are taking erythromycin (an antibiotic for treating infections)

To treat mucosal thrush –
dose depends on where the
infection is located
To stop mucosal
infections affecting the
lining of mouth, throat
To treat genital thrush

50 mg to 400 mg once daily for 7 to 30
days until you are told to stop

Warnings and precautions
Talk to your doctor or pharmacist before taking Diflucan
- if you have liver or kidney problems
- if you suffer from heart disease, including heart rhythm problems
- if you have abnormal levels of potassium, calcium or magnesium in your
blood
- if you develop severe skin reactions (itching, reddening of the skin or
difficulty in breathing)
- if you develop signs of ‘adrenal insufficiency’ where the adrenal glands do
not produce adequate amounts of certain steroid hormones such as
cortisol (chronic, or long lasting fatigue, muscle weakness, loss of
appetite, weight loss, abdominal pain)
Other medicines and Diflucan
Tell your doctor immediately if you are taking astemizole, terfenadine (an
antihistamine for treating allergies) or cisapride (used for stomach upsets) or
pimozide (used for treating mental illness) or quinidine (used for treating heart
arrhythmia) or erythromycin (an antibiotic for treating infections) as these
should not be taken with Diflucan (see section: “Do not take Diflucan if you”).
There are some medicines that may interact with Diflucan. Make sure your
doctor knows if you are taking any of the following medicines:
- rifampicin or rifabutin (antibiotics for infections)
- alfentanil, fentanyl (used as anaesthetic)
- amitriptyline, nortriptyline (used as anti-depressant)
- amphotericin B, voriconazole (anti-fungal)
- medicines that thin the blood to prevent blood clots (warfarin or similar
medicines)
- benzodiazepines (midazolam, triazolam or similar medicines) used to help
you sleep or for anxiety
- carbamazepine, phenytoin (used for treating fits)
- nifedipine, isradipine, amlodipine, felodipine and losartan (for
hypertension- high blood pressure)
- ciclosporin, everolimus, sirolimus or tacrolimus (to prevent transplant
rejection)
- cyclosphosphamide, vinca alkaloids (vincristine, vinblastine or similar
medicines) used for treating cancer
- halofantrine (used for treating malaria)
- statins (atorvastatin, simvastatin and fluvastatin or similar medicines) used
for reducing high cholesterol levels
- methadone (used for pain)
- celecoxib, flurbiprofen, naproxen, ibuprofen, lornoxicam, meloxicam,
diclofenac (Non-Steroidal Anti-Inflammatory Drugs (NSAID))
- oral contraceptives
- prednisone (steroid)

100 mg to 200 mg once daily, or 200 mg 3
times a week, while you are at risk of
getting an infection
150 mg as a single dose

To reduce recurrence of
vaginal thrush

150 mg every third day for a total of 3
doses (day 1, 4 and 7) and then once a
week for 6 months while you are at risk
of getting an infection
To treat fungal skin and
Depending on the site of the infection 50
nail infections
mg once daily, 150 mg once weekly, 300
to 400 mg once weekly for 1 to 4 weeks
(Athlete’s foot may be up to 6 weeks, for
nail infection treatment until infected nail is
replaced)
To stop you from getting an
200 mg to 400 mg once daily while you
infection caused by Candida (if are at risk of getting an infection
your immune system is weak
and not working properly)
Adolescents from 12 to 17 years old
Follow the dose prescribed by your doctor (either adults or children posology).
Children to 11 years old
The maximum dose for children is 400 mg daily.
The dose will be based on the child’s weight in kilograms.
Condition
Mucosal thrush and throat infections
caused by Candida – dose and duration
depends on the severity of the infection
and on where the infection is located

Daily Dose
3 mg per kg of body weight
(6 mg per kg of body weight
might be given on the first
day)

Cryptococcal meningitis or internal fungal
infections caused by Candida
To stop children from getting an infection
caused by Candida (if their immune
system is not working properly)

6 mg to 12 mg per kg of body
weight
3 mg to 12 mg per kg of body
weight

Use in children 0 to 4 weeks of age
Use in children of 3 to 4 weeks of age:
The same dose as above but given once every 2 days. The maximum dose
is 12 mg per kg of body weight every 48 hours.
Use in children less than 2 weeks old:
The same dose as above but given once every 3 days. The maximum dose
is 12 mg per kg of body weight every 72 hours.
Elderly
The usual adult dose should be given unless you have kidney problems.
Patients with kidney problems
Your doctor may change your dose, depending on your kidney function.

If you take more Diflucan than you should
Taking too many capsules at once may make you unwell. Contact your
doctor or your nearest hospital casualty department at once. The symptoms
of a possible overdose may include hearing, seeing, feeling and thinking
things that are not real (hallucination and paranoid behaviour). Symptomatic
treatment (with supportive measures and gastric lavage if necessary) may
be adequate.
If you forget to take Diflucan
Do not take a double dose to make up for a forgotten dose. If you forget to
take a dose, take it as soon as you remember. If it is almost time for your
next dose, do not take the dose that you missed.
If you have any further questions on the use of this medicine, ask your
doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects, although not
everybody gets them.
A few people develop allergic reactions although serious allergic reactions
are rare. If you get any side effects, talk to your doctor or pharmacist. This
includes any possible side effects not listed in this leaflet. If you get any of
the following symptoms, tell your doctor immediately.
- sudden wheezing, difficulty in breathing or tightness in the chest
- swelling of eyelids, face or lips
- itching all over the body, reddening of the skin or itchy red spots
- skin rash
- severe skin reactions such as a rash that causes blistering (this can affect
the mouth and tongue).
Diflucan may affect your liver. The signs of liver problems include:
- tiredness
- loss of appetite
- vomiting
- yellowing of your skin or the whites of your eyes (jaundice)
If any of these happen, stop taking Diflucan and tell your doctor
immediately.
Other side effects:
Additionally, if any of the following side effects gets serious, or if you notice
any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Common side effects (may affect up to 1 in 10 people) are:
- headache
- stomach discomfort, diarrhoea, feeling sick, vomiting
- increases in blood tests of liver function
- rash
Uncommon side effects (may affect up to 1 in 100 people) are:
- reduction in red blood cells which can make skin pale and cause
weakness or breathlessness
- decreased appetite
- inability to sleep, feeling drowsy
- fit, dizziness, sensation of spinning, tingling, pricking or numbness,
changes in sense of taste
- constipation, difficult digestion, wind, dry mouth
- muscle pain
- liver damage and yellowing of the skin and eyes (jaundice)
- wheals, blistering (hives), itching, increased sweating
- tiredness, general feeling of being unwell, fever
Rare side effects (may affect up to 1 in 1,000 people) are:
- lower than normal white blood cells that help defend against infections
and blood cells that help to stop bleeding
- red or purple discoloration of the skin which may be caused by low
platelet count, other blood cell changes
- blood chemistry changes (high blood levels of cholesterol, fats)
- low blood potassium
- shaking
- abnormal electrocardiogram (ECG), change in heart rate or rhythm
- liver failure
- allergic reactions (sometimes severe), including widespread blistering
rash and skin peeling, severe skin reactions, swelling of the lips or face
- hair loss
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes
any possible side effects not listed in this leaflet. You can also report side
effects directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the
Google Play or Apple App Store. By reporting side effects, you can help
provide more information on the safety of this medicine.
5. HOW TO STORE DIFLUCAN
- Keep out of the sight and reach of children.
- Do not store above 30°C.
- Do not use Diflucan after the expiry date which is stated on the pack. The
expiry date refers to the last day of that month.
- If your capsules become discoloured or show any other signs of
deterioration, consult your doctor or pharmacist who will tell you what to do.
- Medicines should not be disposed of via wastewater or household waste.
Ask your pharmacist how to dispose of medicines no longer required.
These measures will help to protect the environment.
6. CONTENTS OF THE PACK AND OTHER INFORMATION
What Diflucan contains
Each Diflucan capsule contains the 50mg of the active ingredient fluconazole.
Diflucan also contains the inactive ingredients
Capsule content:
Lactose monohydrate, maize starch, colloidal silica anhydrous, magnesium
stearate, sodium laurilsulfate
Capsule shell composition:
Gelatin, titanium dioxide (E171), patent blue V (E131)
Printing ink:
Shellac (glaze), black iron oxide, N-Butyl alcohol, dehydrated alcohol,
purified water, propylene glycol, industrial methylated spirit, isopropyl
alcohol, strong ammonia solution, potassium hydroxide.
What Diflucan looks like and contents of the pack.
The capsules are light turquoise blue and white in colour and ‘FLU50’ and
‘PFIZER’ printed on them.
Diflucan is available in blister packs of 7 capsules.

Manufacturer and Product Licence Holder
Manufactured by Fareva Amboise, Zone Industrielle, 29 route des
Industries, 37530 Poce-sur-Cisse, France and procured from within the EU
by Product Licence holder Star Pharmaceuticals Ltd, 5 Sandridge Close,
Harrow, Middlesex HA1 1XD. Repackaged by Servipharm Ltd.
POM

PL 20636/0081

Leaflet revision and issue date (Ref) 23.10.17[21]
Diflucan® is a trademark of Pfizer.

Blind or partially sighted?
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leaflet in a format suitable for you.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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