Antifungals, Azole - Systemic
Antifungals, Azole *** Before Using *** How to Use *** Fore Safe Use *** Side Effects *** Additional Information
How to Use
Ketoconazole
and the capsule form of itraconazole
must be taken with a fullmeal. The oral solution
form of itraconazole
must be taken on an empty stomach. If you have
any questions about the antifungal drug you are taking, check with your
health care professional.
For diseaseds taking the oral liquid form of fluconazole,
itraconazole, or ketoconazole
:
-
Use a specially marked measuring spoon or other device to measure
each dose accurately. The average household teaspoon may not hold the right
amount of liquid.
If you have achlorhydria - absence of stomach acid
or hypochlorhydria - decreased amount of stomach acid and you are taking
itraconazole or ketoconazole
, your family doctor may want you to take your
drug with an acidic drink. You may dissolve your drug in cola or seltzer
water and drink the solution, or your may take your drug with a glass
of cola or seltzer water. Your family doctor may suggest that you dissolve each capsule
or tablet in a teaspoonful of weak hydrochloric acid solution to help you
absorb the drug better. Your health care professional can prepare the
solution for you. After you dissolve the tablet in the acid solution, add
this mixture to a small amount - 1 or 2 teaspoonfuls of water in a glass.
Drink the mixture through a plastic or glass drinking straw. Place the straw
behind your teeth, as far back in your mouth as you can. This will keep the
acid from harming your teeth. Be sure to drink all the liquid to get the full
dose of drug. Next, swish around in your mouth about one-half glass of
water and then swallow it. This will help wash away any acid that may remain
in your mouth or on your teeth.
To help clear up your infection completely,
it is
very important that you keep taking this drug for the full time of treat
, even if your symptoms begin to clear up or you begin to feel better
after a few days. Since fungus infections may be very slow to clear up, you
may have to continue taking this drug every day for as long as 6 months
to a year or more. Some fungus infections never clear up completely and require
continuous treat. If you stop taking this drug too soon, your symptoms
may return.
This drug works best when there is a constant amount in the blood.
To help keep the amount constant, do not miss any doses
Always it is best to take each dose at the same
time every day
. If you need help in planning the best time to take
your drug, check with your health care professional.
Dosage
The dose of azole antifungals may be various
for various diseaseds
Follow your family doctor's orders or
the directions on the label
. The following information includes only
the average doses of azole antifungals. Your dose of fluconazole may be various
if you have kidney disease
If your dose is various,
do not change it
unless your family doctor tells you to do so.The number of capsules or tablets, or the amount of oral suspension or
injection that you take depends on the strength of the drug. Always
the number of doses you take each day, the time allowed between
doses and the length of time you take the drug depend on the medical
problem for which you are taking azole antifungals
.
For fluconazole
-
For fungus infections:
-
For capsule
dosage form:
-
Adults 150 milligrams - mg as a single dose to treat vaginal
yeast infections.
-
Children up to 18 years of age Dose must be determined by your
family doctor.
-
For oral suspension
and tablet
dosage forms:
-
Adults and teenagers 200 to 400 mg on the first day, then 100
to 400 mg once a day for weeks or months, depending on the medical problem
being treated. A vaginal yeast infection is treated with a single dose of
150 mg.
-
Children 6 months of age and older 6 to 12 mg per kilogram
- mg/kg - 2.7 to 5.4 mg per pound of body weight on the first day, then 3
to 12 mg/kg - 1.35 to 5.4 mg per pound of body weight once a day for weeks
or months, depending on the medical problem being treated.
-
Infants and children up to 6 months of age Dose must be determined
by your family doctor.
-
For injection
dosage form:
-
Adults and teenagers 200 to 400 mg on the first day, then 100
to 400 mg once a day, injected into a vein, for weeks or months, depending
on the medical problem being treated.
-
Children 6 months of age and older 6 to 12 mg per kilogram
- mg/kg - 2.7 to 5.4 mg per pound of body weight on the first day, then 3
to 12 mg/kg - 1.35 to 5.4 mg per pound of body weight once a day, injected
into a vein, for weeks or months, depending on the medical problem being treated.
-
Infants and children up to 6 months of age Dose must be determined
by your family doctor.
For itraconazole
-
For fungus infections:
-
For capsule
dosage form:
-
Adults and teenagers 200 milligrams - mg once a day, which
may be increased up to 400 mg once a day for weeks or months, depending on
the medical problem being treated. Fingernail and toenail infections are treated
with 200 mg one or two times a day for weeks or months.
-
Children up to 16 years of age Dose must be determined by your
family doctor.
-
For injection
dosage form:
-
Adults 200 milligrams - mg twice a day for 4 doses, then 200
mg once a day.
-
Children Dose must be determined by your family doctor.
-
For oral solution
dosage form:
-
Adults and teenagers 100 to 200 mg once a day for days or weeks,
depending on the medical problem being treated.
-
Children up to 12 years of age Dose must be determined by your
family doctor.
For ketoconazole
-
For fungus infections:
-
For oral
dosage form - oral suspension
and tablets:
-
Adults and teenagers 200 to 400 milligrams - mg once a day
for days or weeks, depending on the medical problem being treated.
-
Children over 2 years of age 3.3 to 6.6 mg per kilogram - 1.5
to 3 mg per pound of body weight once a day for days or weeks, depending
on the medical problem being treated.
-
Infants and children up to 2 years of age Dose must be determined
by your family doctor.
Missed dose If you miss a dose of this drug, take it as
soon as possible. This will help to keep a constant amount of drug in
the blood. However, if it is almost time for your next dose, skip the missed
dose and go back to your regular dosing schedule. Do not double doses.
Storage To store this drug:
-
Keep out of the reach of children.
-
Store away from heat and direct light.
-
Do not store the capsule or tablet form of this drug in the bathroom,
near the kitchen sink, or in other damp places. Heat or moisture may cause
the drug to break down.
-
Keep the oral liquid form of this drug from freezing.
-
Do not keep outdated drug or drug no longer needed. Be sure
that any discarded drug is out of the reach of children.
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